Thammasat University Hospital Declare success! After showing the potential of treating end-stage heart failure patients with the ‘heart transplant’ method, being the first At present, the overall condition of the patient is good. no complication
On February 10, 2023 Assoc. Prof. Dr. Phruhas Tor-Udom, Director of Thammasat University Hospital Thammasat University (TU) revealed that Thammasat University Hospital successfully performed a heart transplant for a patient with end-stage heart failure by Thammasat University Hospital It is considered the 6th hospital in Thailand that has the potential for heart transplant surgery. for the success that has occurred It is the result of the collaboration of a multidisciplinary team. whether it is a committee to improve the quality of services for heart patients heart transplant committee and the Quality Development Committee for Cardiothoracic Surgery Patients which has a team to improve the quality of services for patients with cardiovascular disease, consisting of the Thammasat Heart Center Nursing work for cardiac patients Cardiothoracic Surgery Critical Care Nursing He initiated the preparatory treatment of patients with end-stage heart failure through heart transplantation because the patients did not respond to drug therapy.
Prof. Dr. Thurs He also said that in April 2022, there was a nursing team, namely a coordinating nursing team. Nurse, case manager, heart disease patient group operating room nursing team Nursing teams in various wards and a team of artificial heart and lung machine operators (Perfusionist) went to study at Chulalongkorn Hospital, Thai Red Cross Society, next to Thammasat Heart Center. Thammasat University Hospital has begun the establishment of a Center of Excellence in Heart Failure and Transplantation There is coordination with various agencies. To be able to treat patients with end-stage heart failure by means of heart transplantation. Laboratory tests and additional procedures to register patients as awaiting heart donation recipients with the Organ Donation Center of the Thai Red Cross Society by the first patient of Thammasat University Hospital. Registered in December 2022 as a 50-year-old male patient. The diagnosis result was end-stage heart failure. Received treatment and follow-up at a heart failure clinic ( Heart failure clinic) by Thida Sriratana Tabukanon, M.D. and Asst. Prof. Adisai Buakamsri, M.D.
Dr. Thida Sriratana Tabukanon, a medical practitioner said the patient was diagnosed with end-stage heart failure And received a heart donation from a donor in a hospital on February 5, 2023, being the first successful heart transplant operation at Thammasat University Hospital. From a team of thoracic surgeons led by Asst. Prof. Dr. Bulawat Homvisate, MD. which has a process to prepare the patient before undergoing surgery and continued care after surgery There is a team of nurses in the cardiac intensive care unit. The nursing team of cardiothoracic surgery intensive care unit The nursing team coordinates heart transplantation. and nurse, case manager, heart disease patient group to follow up on medical treatment closely
Asst. Prof. Dr. Bulawat Homvisate, Surgeon, head of the heart transplantation team Said the results of the heart transplant surgery were satisfactory by the medical team. The patient is now safe. no complication It is under close follow-up by a team of doctors and nurses.
Assoc. Prof. Dr. Dilok Piyayothai, Dean of the Faculty of Medicine, Thammasat University Said that for the part of the Faculty of Medicine, Thammasat University is considered a proud achievement that Thammasat doctors were able to safely perform a heart transplant for a patient at Thammasat University Hospital. and the Faculty of Medicine, Thammasat University and the multidisciplinary team that took care of the patients this time. The key factor in this success is partly due to the readiness of personnel. The medical team has supported specialists in both thoracic and heart surgery. and a cardiologist who has continued his studies in heart transplantation and caring for patients with chronic heart failure for many years. When working with multidisciplinary personnel, this success was achieved. The Faculty is pleased and ready to provide full academic support to enhance the knowledge and skills of our physicians to improve the efficiency of care for heart patients in the future.
Por. Prisana Pathumanan Director of Nursing Department Said that in the part of the nursing team taking care of the patient, there is M.D. Dusakorn Piethip, head of the Cardiothoracic Surgery Critical Care Unit. He is the team leader in patient care. which prepares for patients undergoing heart transplant surgery Preparing the location, team of personnel, and practical guidelines for nursing in every step. It starts from preparing the patient before surgery at the cardiac intensive care unit (CCU), after the first phase of surgery in the Cardiothoracic Intensive Care Unit (ICU, CVT) and in the rehabilitation phase preparing for distribution at the Special Surgery Unit 1.
However, in the postoperative period, there is a strict control to prevent infection, for example, placing patients in a separate room, all equipment and tools are sterilized and cleaned according to standards before being used. Access to the patient’s room is restricted to only the personnel who are responsible for taking care of it, etc. As for the personnel team, the personnel team has prepared to organize training to educate the personnel in the hospital. And provide knowledge only in the department that receives patients directly Sending a team of nurses to study at a model hospital and formulating guidelines or TU heart transplantation protocol from patient preparation, coordination, patient care both before and after surgery Preparing patients for discharge from the hospital (Discharge planning), including preparing patients to return to their daily lives at home with their families.
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