Nursing outcome “airway permeability” in postoperative patients

Abstract

Objectives: to evaluate the evolution of clinical indicators that characterize airway permeability in patients in the postoperative period of thoracoabdominal surgeries and to analyze their relationship with the occurrence of the diagnosis “ineffective airway clearance”. Methods: descriptive, quantitative, longitudinal research with 60 patients who were followed for five consecutive days. Eleven indicators of the nursing outcome “respiratory status: airway permeability” were used. Results: on the first day of evaluation, the most compromised indicators were: respiratory rate, cough, depth of breath and use of accessory muscles. During follow-up, most of the indicators presented a slight deviation from normal variation and, in the last evaluation, there was a predominance of indicators with some degree of impairment. Conclusions: with the aid of the Nursing Outcomes Classification, it was observed that patients submitted to thoracoabdominal surgeries may present compromised airway permeability even days after surgery.

Construction and validation of a mobile application for development of nursing history and diagnosis

“…Nails are structures attached to the skin that serve to protect the tips of the fingers and toes from trauma (26) . Through them, nurses can detect important information in the physical examination, such as brittle and concave nails, which suggest iron deficiency; jagged, bitten and dirty nails are indicative of nervousness and poor hygiene; clubbing is suggestive of cyanotic heart disease, emphysema and chronic bronchitis; and cyanotic nails may indicate cardiovascular and respiratory dysfunction (25) .…”

“…As for the devices suggested by the judges, it is important to point out that one of the duties of nurses during physical examinations is the monitoring, handling and recording of devices and drains on the skin of patients (26) . Laryngeal masks are an important tool for managing difficult airways during cardiopulmonary resuscitation (25)(26) .…”

“…As for the devices suggested by the judges, it is important to point out that one of the duties of nurses during physical examinations is the monitoring, handling and recording of devices and drains on the skin of patients (26) . Laryngeal masks are an important tool for managing difficult airways during cardiopulmonary resuscitation (25)(26) . A randomized controlled study, with nursing students from a public university in the State of São Paulo, found that it was extremely important to include the use of laryngeal masks in simulations of emergency practices, since a number of the students did not know their purpose or how to use them (27) .…”