Temperatura corporal, índice Aldrete e Kroulik e alta do paciente da Unidade de Recuperação Pós-Anestésica

Abstract

A alta do paciente da recuperação pós-anestésica (RPA) depende, dentre outros fatores, do retorno à normotermia e do escore alcançado pelo Índice de Aldrete e Kroulik. Sendo assim, o objetivo deste estudo foi verificar a relação entre o Índice de Aldrete e Kroulik e a temperatura corporal dos pacientes. O local de pesquisa foi o Hospital Universitário da Universidade de São Paulo. O cálculo amostral foi determinado por conveniência e foi constituído por 60 pacientes, entre 18 e 60 anos, submetidos à anestesia geral. Foram verificados a temperatura corporal na região timpânica e o Índice de Aldrete e Kroulik do paciente na recepção e alta da recuperação pós-anestésica. Os dados obtidos foram processados pelo pacote estatístico SPSS, com um nível de 5% de significância, e aplicaram-se o teste de Spearman e o teste de Wilcoxon. Conclui-se que não houve correlação significativa entre os dois parâmetros indicativos de alta.

Análise das complicações em pacientes no período de recuperação anestésica

“…O campo da pesquisa foi a SRPA, que conta com oito leitos e onde mantêm-se a temperatura ambiente entre 22 e 24 °C, e a umidade relativa do ar entre 45 e 60%, conforme as recomendações do Ministério da Saúde A pontuação do IAK varia de 0 a 2 pontos para cada parâmetro, na qual o zero (0) indica condições de maior gravidade, a pontuação um (1) corresponde a um nível intermediário e a pontuação dois (2) representa as funções restabelecidas 9 .…”

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

“…(ASPAN, 2012) The third most frequent complication was hypothermia, with a mean of 21.7% patients. This complication is defined as a body temperature below than 36º C. (POVEDA; GALVÃO, 2011;CASTRO et al, 2012) Among the factors that may contribute to the development of hypothermia, the most common in post-surgical patients included: Temperature of the operatory room, infusion of cold solutions in body cavities or intravenously, patient's age, muscle relaxation, exposure of body cavities, length of time for the surgery, type of surgery, and ventilation without heated gases. (GALVÃO, 2011;CASTRO et al, 2012;POVEDA;DE MATTIA et al, 2013) It is extremely important that the health team involved with patient's care during the anesthetic recovery period prevent these complications.…”

“…This complication is defined as a body temperature below than 36º C. (POVEDA; GALVÃO, 2011;CASTRO et al, 2012) Among the factors that may contribute to the development of hypothermia, the most common in post-surgical patients included: Temperature of the operatory room, infusion of cold solutions in body cavities or intravenously, patient's age, muscle relaxation, exposure of body cavities, length of time for the surgery, type of surgery, and ventilation without heated gases. (GALVÃO, 2011;CASTRO et al, 2012;POVEDA;DE MATTIA et al, 2013) It is extremely important that the health team involved with patient's care during the anesthetic recovery period prevent these complications. 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.…”

“…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.…”

Análise dos registros da pressão arterial na sala de recuperação pós-anestésica

“…(3) It should be highlighted that the index is one way to assess the patient, which does not discard the need for complementary assessments, like pain, temperature, nausea and vomiting for example, among others. (2,4) This scenario entails insecurity regarding the patient's forwarding to the unit of destination. The blood pressure assessment may be compromised and the patient may be subject to complications or discomfort related to hypo or hypertension.…”