Assistência de Enfermagem no período de recuperação anestésica: revisão de literatura

Moraes, Lygia Oliveira de; Peniche, Aparecida de Cássia Giani

doi:10.1590/s0080-62342003000400004

Cited by 21 publications

(32 citation statements)

References 4 publications

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“…In the middle postoperative period starting 24 hours after surgery and ending with hospital discharge (4) , patients require special care, in which nurses play a key role. To perform this task, they need to have knowledge and technical and interpersonal skills that allow them to think critically and make a clinical judgment for decision making by establishing nursing diagnoses (NDs) and appropriate interventions to achieve positive results.…”

Section: Introductionmentioning

confidence: 99%

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Steyer

Oliveira

Gouvêa

et al. 2016

Rev. Gaúcha Enferm.

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Objective:To analyze the clinical profi le, nursing diagnoses, and nursing care established for postoperative bariatric surgery patients. Method: Cross-sectional study carried out in a hospital in southern Brazil with a sample of 143 patients. Data were collected retrospectively from electronic medical records between 2011 and 2012 and analyzed statistically. Results:We found a predominance of adult female patients (84%) with class III obesity (59.4%) and hypertension (72%). Thirty-fi ve nursing diagnoses were reported, among which the most frequent were: Acute Pain (99.3%), Risk for perioperative positioning injury (98.6%), and Impaired tissue integrity (93%). The most frequently prescribed nursing care were: to use protection mechanisms in the surgical patient positioning, to record pain as 5th vital sign, and to take vital signs. There was an association between age and comorbidities. Conclusion:The nursing diagnoses supported the nursing care prescription, which enables the qualifi cation of nursing assistance. Keywords: Bariatric surgery. Nursing diagnosis. Nursing care. RESUMO RESUMEN Objetivo:Analizar el perfi l clínico, diagnósticos de enfermería y cuidados de enfermería establecidos para los pacientes en postoperatorio de cirugía bariátrica. Método: Estudio transversal con la muestra de 143 pacientes. El estudio se realizó entre 2011-2012, en un hospital en el sur de Brasil. Los datos fueron recolectados retrospectivamente de los registros médicos electrónicos y analizados estadísticamente. Resultados: Se identifi caron pacientes femeninas adultas (84%), con obesidad clase III (59,4%), hipertensión (72%) y con 35 diagnósticos de enfermería, siendo los más frecuentes: el Dolor agudo (99,3%), Riesgo de lesión perioperatoria de posicionamiento (98,6%) y la Integridad del tejido deteriorado (93%). Entre los cuidados de enfermería prescritos los más utilizados fueron: utilizar los mecanismos de protección en el posicionamiento quirúrgico del paciente, registrar el dolor como quinto signo vital y verifi car los signos vitales. Se observó una asociación entre la edad y las comorbilidades. Conclusión: Los diagnósticos de enfermería apoyaron la prescripción de los cuidados de enfermería, lo que permite califi car la asistencia de enfermería. Palabras clave: Cirugía bariátrica. Diagnóstico de enfermería. Atención de enfermería. How to cite this article:Steyer NH, Oliveira MC, Gouvêa MRF, Echer IC, Lucena AF. Clinical profi le, nursing diagnoses and nursing care for postoperative bariatric surgery patients. Rev Gaúcha Enferm. 2016 mar;37(1):e50170.

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Section: Introductionmentioning

confidence: 99%

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Steyer

Oliveira

Gouvêa

et al. 2016

Rev. Gaúcha Enferm.

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“…These are physiological alterations, which basically comprise unconsciousness and cardiorespiratory depression, especially for those who receive general anesthesia (MORAES;PENICHE, 2003).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the level of consciousness related to the oxygen therapy in patients in anesthesia recovery period

Caetano¹,

Nunes²,

Mattia³

2016

Biosci. J.

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Analyze the level of consciousness by means of the Aldrete-Kroulik scale associated with the use of oxygen therapy at the Post-Anesthesia Care Unit (PACU). It is a prospective and comparative study, with quantitative analysis. It was conducted in a big Federal Public Hospital, located in Belo Horizonte city. The sample was consisted of 60 subjects, separated between groups using and do not using oxygen therapy, aged between 18 and 64 years old, submitted to elective surgery, surgical site in upper torso, under general anesthesia, and with the American Society Anesthesiologists (ASA) status I or II. The most part of the patients were female, with 50 years old or older, classified as ASA II, under total intravenous anesthesia, and length of time of anesthesia over 240 minutes. In the analysis of the level of consciousness related to the use of oxygen therapy, it is noteworthy that the p-value (0.069) is significant at the 15 minutes of permanence in the PACU. A large number of patients from the group that received supplemental oxygen therapy showed improvement in the level of consciousness at the 15 minutes of permanence in the PACU. Team work is necessary to prevent patient's complications in anesthetic recovery period.

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“…This complication is mainly related to the residual effect of the anesthetics, hypoxia, pain or anxiety. (MORAES;PENICHE, 2003;MENDONZA et al, 2010;MATOS;DE MATTIA, 2014).…”

Section: Discussionmentioning

confidence: 99%

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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Assistência de Enfermagem no período de recuperação anestésica: revisão de literatura

Cited by 21 publications

References 4 publications

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Analysis of the level of consciousness related to the oxygen therapy in patients in anesthesia recovery period

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

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