简介：BackgroundUltrasound-guidedtemporarypacemakerimplantationhasbeenprovensafeandefficient.However,fewstudieshavefocusedonelderandcriticalpatients.MethodsTwelveelderandcriticalpatientsunderwenttemporarycardiacpacingthroughthejugularveinorsubclavianvein,withbedsideultrasoundimagestoassisttheplacementofelectrodewithintherightventricle.ResultsUltrasound-guidedtemporarycardiacpacemakerinsertionwassuccessfulinallofthe12patients.Electrodesweresentintotherightventriclecorrectlywiththehelpofultrasoundimaging.Inallcases,temporarypacemakerfunctionedwellwithoutprocedure-relatedcomplications.ConclusionTemporarycardiacpacingguidedbyultrasoundissafeandeffectiveinelderandcriticalpatients,whichisworthofpromoting,especiallyinintensivecareunit.

简介：BackgroundVocalcordmovementdisorder(VCMD)isalaryngealdisordercharacterizedbyparadoxicaladductionofthevocalcordsduringininspiration,expirationorboth.ThenursingexperienceofpatientswithVCMDafteraorticdissectionsurgeryislimited.MethodsWeretrospectivelyanalyzedtheclinicaldataandnursingrecordsof269patientsafteraorticdissectionsurgeryinGuangdongGeneralHospitalbetweenMay2010andMay2012.Weobservedthepatients’pronunciation,andjudgediftherewasdysphagiaundergoingwaterdrinkingtesttwohoursafterextubation,toconfirmwhetherpatientshadVCMD.ResultsSeventeenpatientshadVCMDafteraorticdissectionsurgery,ofwhom2sufferedhoarseness,3haddysphasiaand12hadbothhoarsenessanddysphasia.Aftertimelytreatmentandcarefullynursing,allthepatientsrecoveredwell.ConclusionsWiththeenhancedcareofpatientswithaorticdissection,observinghoarsenessappearanceanddrinkingexperimentimmediatelyafterextubationcandetectVCMDassoonaspossible.Furtherrehabilitationtrainingandpsychologycarecanpreventbuckingandaspirationeffectively,andpromotingrecoveryandimprovingpatient’slifequality.