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1.
Rev. SOBECC ; 22(2): 60-67, abr.-jun 2017.
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-848184

ABSTRACT

Objetivo: Analisar a saturação periférica de oxigênio na utilização da oxigenoterapia na primeira hora de pacientes em sala de recuperação pós-anestésica. Método: Estudo comparativo, prospectivo e quantitativo, em um hospital federal localizado em Belo Horizonte, Minas Gerais. A amostra foi constituída por 60 adultos, distribuídos em dois grupos, sem ou com oxigenoterapia, e teve como um dos critérios de inclusão a saturação periférica de oxigênio maior ou igual a 95% na entrada da sala de recuperação pós-anestésica. Resultados: Completados 60 minutos, 5 pacientes sem oxigenoterapia (16,7%) e 2 pacientes com oxigenoterapia (6,7%) apresentavam hipoxemia leve. Houve diferença marginalmente significativa entre os dois grupos para a saturação periférica de oxigênio normal (p=0,0563) e hipoxemia leve (p=0,0578). Conclusão: É importante a implantação de protocolos de recepção de pacientes na sala de recuperação pós-anestésica, incluindo a oxigenoterapia, com o objetivo de manter a saturação periférica de oxigênio, minimizando as complicações da hipoxemia.


Objective: Objective: To analyze the peripheral oxygen saturation in the use of oxygen therapy in the patient's first hour in a postanesthetic care unit. Method: Prospective, quantitative, and comparative study in a federal hospital located in Belo Horizonte, Minas Gerais. The sample consisted of 60 adults divided into two groups, with or without oxygen therapy, and one of the inclusion criteria was peripheral oxygen saturation, greater than or equal to 95% upon admittance to the postanesthetic care unit. Results: After 60 minutes, 5 patients without oxygen therapy (16.7%) and 2 patients with oxygen therapy (6.7%) showed mild hypoxemia. There was a marginally significant difference between the two groups for normal oxygen saturation (p=0.0563) and mild hypoxemia (p=0.0578). Conclusion: It is important to implement protocols for the admittance of patients to the postanesthetic care unit, including oxygen therapy, in order to maintain peripheral oxygen saturation, aiming to minimize the complications of hypoxemia.


Objetivo: Analizar la saturación periférica de oxígeno en la utilización de la oxigenoterapia en la primera hora de pacientes en sala de recuperación pos-anestésica. Método: Estudio comparativo, prospectivo y cuantitativo, en un hospital federal localizado en Belo Horizonte, Minas Gerais. La muestra fue constituida por 60 adultos, distribuidos en dos grupos, sin o con oxigenoterapia, y tuvo como uno dos criterios de inclusión la saturación periférica de oxígeno mayor o igual al 95% en la entrada de la sala de recuperación pos-anestésica. Resultados: Completados 60 minutos, 5 pacientes sin oxigenoterapia (16,7%) y 2 pacientes con oxigenoterapia (6,7%) presentaban hipoxemia leve. Hubo diferencia marginalmente significativa entre los dos grupos para la saturación periférica de oxígeno normal (p=0,0563) e hipoxemia leve (p=0,0578). Conclusión: Es importante la implantación de protocolos de recepción de pacientes en la sala de recuperación pos-anestésica, incluyendo la oxigenoterapia, con el objetivo de mantener la saturación periférica de oxígeno, minimizando las complicaciones de la hipoxemia.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Oxygen Inhalation Therapy , Anesthesia Recovery Period , Oxygen Level , Oximetry , Lung , Hypoxia
2.
Biosci. j. (Online) ; 32(5): 1380-1387, sept./oct 2016. tab
Article in English | LILACS (Americas) | ID: biblio-965736

ABSTRACT

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.


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.


Subject(s)
Oxygen Inhalation Therapy , Anesthesia Recovery Period , Anesthetics, General , Consciousness Disorders , Delayed Emergence from Anesthesia
3.
Biosci. j. (Online) ; 32(1): 246-254, jan./fev. 2016. tab
Article in English | LILACS (Americas) | ID: biblio-965286

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.


Verificar a relação entre as condições fisiológicas de base do paciente no pré-operatório com a ocorrência de complicações no paciente em período de recuperação anestésica. pesquisa quantitativa, com delineamento não experimental, comparativa, de campo e prospectiva. Amostra foi constituída por 24 adultos, submetidos à cirurgia eletiva, com anestesia geral, apresentando classificação da American Society Anesthesiologists (ASA) I ou II; e que não possuíam as comorbidades elencadas para o estudo. As complicações mais freqüentes: dor, hipoxemia, hipotermia e alterações da consciência. Na avaliação manual dos questionários não foi verificada concomitância significativa entre as manifestações mais freqüentes. Sugere-se o desenvolvimento de mais estudos a respeito das complicações apresentadas por pacientes sem comorbidades no período de recuperação anestésica.


Subject(s)
Postoperative Complications , Perioperative Nursing , Anesthesia Recovery Period , Preoperative Care
4.
Rev. SOBECC ; 19(3): 129-135, jul.-set. 2014. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: lil-745395

ABSTRACT

Objetivo:Analisar as complicações do paciente em período de recuperação anestésica. Método: trata-se de uma pesquisa com abordagem metodológica quantitativa, delineamento não experimental, comparativa, de campo e prospectiva. A amostra foi constituída por 42 adultos, submetidos à cirurgia eletiva, com anestesia geral, apresentando classificação da American Society Anesthesiologists (ASA) I ou II; a coleta de dados ocorreu de fevereiro a junho de 2013. Resultados: As complicações mais frequentes foram hipotermia, dor e hipoxemia. Houve associação estatisticamente significante entre o Índice de Aldrete Kroulik com bradipneia (p=0,038) e hipoxemia (p=0,025), na entrada do paciente na sal de recuperação pós-anestésica, e aos 60 minutos de permanência, com hipertensão arterial (p=0,023) e taquicardia (p=0,048). Conclusão: Diante dos resultados evidenciados, compete ao Enfermeiro a implementação de medidas eficazes na prevenção e no controle das complicações do paciente no período de recuperação anestésica...


Subject(s)
Humans , Adult , Postoperative Complications/nursing , Postoperative Complications/prevention & control , Perioperative Nursing , Anesthesia Recovery Period , Recovery Room
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