Diagnósticos de enfermería de complicaciones en la sala de recuperación anestésica

Mattia, Ana Lúcia De; Maia, Leila; Silva, S. Santos; Oliveira, Tabatha

doi:10.4321/s1695-61412010000100002

Cited by 8 publications

(18 citation statements)

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“…A hipotermia, definida como temperatura central corporal menor do que 36 °C, é um evento comum ao paciente submetido a este processo [12][13][14][15][16] . Estudos apontam que pacientes submetidos ao procedimento anestésico-cirúrgico estão expostos a vários fatores, que podem alterar a termorregulação; dentre os fatores que contribuem para esta complicação, podemos destacar a temperatura da SO; a infusão de soluções frias em cavidades ou por via endovenosa; a idade dos pacientes; o relaxamento muscular; a exposição de cavidades; o tempo de cirurgia; o tipo de cirurgia, e a ventilação com gases não aquecidos 9,[12][13][14][15][16] .…”

Section: Discussionunclassified

Análise das complicações em pacientes no período de recuperação anestésica

2014

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Section: Discussionunclassified

Análise das complicações em pacientes no período de recuperação anestésica

2014

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“…Once recognizing and identifying the complications presented by the patients, especially the most common complications, it is necessary to make immediate nursing interventions in order to prevent the development of other complications, as well as reduce the patient's discomfort and the length of time of permanence in the PACU. (CUNHA;DE MATTIA et al, 2010;MATOS;DE MATTIA, 2014) This study also showed that, although present in the scientific text, the concordance between the most frequent complications (pain, hypoxemia, hypothermia, and alteration of consciousness) and presence of pre-established physiological conditions were not statistically significant after the questionnaires were analyzed manually. Therefore, further research to regarding this subject is recommended, using a larger sample, in order to clarify this possible association.…”

Section: Discussionmentioning

confidence: 86%

“…Also, controlling pain is effective to reduce the hospital length of stay. (CAPELLO et al, 2009;DE MATTIA et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…It is especially important for the nursing team, once these complications can contribute to increase the occurrence of alterations such as cardiac morbidity, arrhythmias, elevation of catecholamine, hormonal changes, coagulopathies, increasing the surgical site infection, as well as prolonging the length of time for the patient's recovery that may extend even after the patient discharge from the PACU. (DE MATTIA et al, 2010;POVEDA;GALVÃO, 2011;CASTRO et al, 2012) Thus, planning actions to control these complications should be performed throughout the perioperative period.…”

Section: Discussionmentioning

confidence: 99%

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The association between complications in patients during the anesthetic recovery period and the physiological conditions experienced in the preoperative period

2016

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ABSTRACT:The aim of this research is to verify the correlation between the patient's underlying diseases in the preoperative period and the occurrence of complications during the anesthetic recovery period. This is a quantitative field research, with a non-experimental design, comparative, and prospective. The sample is part of a big study conducted with 42 patients. For this research was selected 24 patients, who were submitted to elective surgery, under general anesthesia, with the American Society Anesthesiologists (ASA) status classification I or II; also they should be healthy and do not have any of the comorbidities listed as a criteria of exclusion from the study. The most common complications found were pain, hypoxia, hypothermia, and changes level of consciousness. Comparing this result with the results obtained with the initial study (conducted with 42 patients), regardless of whether the patient has or not comorbidities or mild diseases, which led them to the surgical procedure, the triad of complications, composed of pain, hypoxemia and hypothermia were the most frequent during the first 60 minutes of patient permanence in the PACU. In the manual analysis of the questionnaires, it was not verified significant agreement between the most common clinical manifestations and the presence of comorbidities. It is recommended that further studies should be conducted in order to properly address the complications presented by patients without comorbidities, when in the anesthetic recovery period.

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“…A hipotermia é um dos diagnósticos de Enfermagem mais frequentemente encontrados em pacientes na sala de recuperação pós-anestésica, sendo suas causas provenientes do período intraoperatório 1 . É um estado clínico de temperatura corporal abaixo do normal (inferior a 36°C), sendo classificada como leve, entre 35,9°C e 34°C; moderada, entre 33,9°C e 30°C; grave, inferior a 29,9°C 2 .…”

Section: Introductionunclassified

Infusão venosa aquecida relacionada à prevenção das complicações da hipotermia intraoperatória

2014

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RESUMO:Objetivo: Analisar as complicações relacionadas à hipotermia no período intraoperatório, na utilização da infusão intravenosa aquecida. Método: Estudo experimental, comparativo, de campo, prospectivo e quantitativo, desenvolvido em um hospital público federal. A amostra foi constituída por 60 adultos, sendo um dos critérios de inclusão a temperatura axilar estar entre 36°C e 37,1°C; esses indivíduos foram divididos em grupos controle e experimental, compostos utilizando-se a técnica de amostragem probabilística sistemática. Resultados: As complicações apresentadas foram: taquicardia, hipertensão arterial e sangramento. A hipertensão arterial e o sangramento apresentaram significância estatística entre os grupos, com p=0,0150 e p=0,0050, respectivamente. A taquicardia não apresentou significância estatística entre os grupos (p=1,0000). Conclusão: A utilização da infusão venosa aquecida isolada não previne as complicações relacionadas à hipotermia intraoperatória. Compete ao Enfermeiro o planejamento das intervenções de Enfermagem para prevenção da hipotermia e manutenção da normotermia. PALAVRAS-CHAVE: Hipotermia. Enfermagem perioperatória. Complicações intraoperatórias. TRIAL: (REQ:1453). ABSTRACT: Objective:The present study aims to analyze the complications related to hypothermia in the intraoperative period using warmed venous infusion. Method: An experimental, comparative, prospective, field study using a quantitative approach was carried out in a public hospital. The sample consisted of 60 adults divided into one control and one experimental group. The groups were formed using the systematic probabilistic sampling technique. Inclusion criteria comprised axillary temperature between 36 and 37.1 °C. Results: The following complications were observed: tachycardia, arterial hypertension, and bleeding. Arterial hypertension and bleeding presented statistical significance between the groups, p=0.0150 and p=0.0050, respectively. No statistical significance was found between the groups (p=1.0000) for tachycardia. Conclusion: The use of isolated warmed venous infusion does not prevent complications related to intraoperative hypothermia. It is the nursing staff's duty to plan the nursing interventions required to avoid hypothermia and maintain normothermia. KEYWORDS:Hypothermia. Perioperative nursing. Intraoperative complications. TRIAL: (REQ:1453).RESUMEN: Objetivo: Analizar las complicaciones relacionadas con la hipotermia en el período intraoperatorio cuando se utiliza infusión intravenosa calentada. Método: Estudio experimental, comparativo, de campo, prospectivo y cuantitativo, desarrollado en un hospital público federal. Se eligió una muestra de 60 adultos, siendo uno de los criterios de inclusión la temperatura axilar entre 36° y 37,1°C, divididos en grupos control y experimental a través de la técnica de muestreo probabilístico sistemático. Resultados: Las complicaciones verificadas fueron: taquicardia, hipertensión arterial y sangrado. La hipertensión arterial y el sangrado presentaron significancia e...

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Diagnósticos de enfermería de complicaciones en la sala de recuperación anestésica

Cited by 8 publications

References 5 publications

Análise das complicações em pacientes no período de recuperação anestésica

Análise das complicações em pacientes no período de recuperação anestésica

The association between complications in patients during the anesthetic recovery period and the physiological conditions experienced in the preoperative period

Infusão venosa aquecida relacionada à prevenção das complicações da hipotermia intraoperatória

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