ABSTRACT
Objective To investigate the effect of different forbidden drink schemes on anesthesia induction and postoperative nausea and vomiting during pediatric interventional heart surgery.Methods One hundred and twenty pediatric patients underwent cardiac interventional procedures under general anesthesia were randomized into group A,B and C,with 40 patients in each group.Patients in cach group were fasted for 8 h preoperatively.Water was prohibited for patients in group A for 6 h preoperatively.Patients in groups B and C orally took 10％ glucose solution and a multivitamin drink (Outfast) at 2 h preoperatively,respectively.Nausea and vomiting after anesthesia induction were recorded for 24 h postoperatively.Results The sedation and mask acceptance scores were significantly higher in group B and C than those in group A,and were significantly higher in group C than those in group B (P ＜ 0.05,resoectively).Following anesthesia induction,MAP was significantly higher in group B and C than that in group A (P ＜ 0.05,resoectively).Both the severity and incidence of postoperative nausea and vomiting were higher in group B and C than those in group A,and was lower in group C than that in group B (P ＜ 0.05,resoectively).Conclusions Taking clear water orally 2 hours before surgery can decrease the restlessness of pediatric interventional heart surgery during anesthesia induction period,with stable smooth hemodynamics,reducing the degree of PONV.
ABSTRACT
Objective To discuss the effect of evaluation before surgery,the tolerance of surgery and risk after surgery.Methods The analysis was conducted through random selection of 80 cases of pa-tients admitted by the hospital and had cardiothoracic surgery on other day.Patients were divided into 3 groups,respectively pulmonary function test normality,damage mildly and moderately and damage severely. Patients were observed in rest state,after motion,after motion in 2 minutes,4 minutes and 6minutes for their blood gas analysis.Results ⑴ PaO2 ,PaCO2 and SaO2 of patients in the second group changed after motion,however,the discrepancy between the two groups was not significant statistically(P >0.05 ). PaO2 and SaO2 of patients in the second group changed a lot after motion,the discrepancy between the two groups was significant statistically(P 0.05).⑵ In rest state,SaO2 was no more than 90% and 100%(4 /4)of pa-tients had complication .After motion,SaO2 was no more than 90% or the descend range of it was no less than 4%.90.0%(9 /10)of patients had complication,92.8%(13 /14)in total.SaO2 was more than 90%in rest state and after motion or the descend range was less than 4%.10.6%(7 /66)of patients had compli-cation after surgery.the discrepancy between the two groups was significant statistically(P <0.01).Con-clusions Dynamic blood analysis of pulmonary function test can better forecast cardio-pulmonary function, risk of surgery and past -operative recovery of patients,the index with most value is SaO2 of arterial blood gases after motion(0 min).
ABSTRACT
Objetivos: Avaliar os sintomas ansiosos em pacientes em consultório de anestesia de Tubarão. Métodos: Foi realizado um estudo observacional de delineamento transversal, entre os meses de fevereiro e junho de 2010, no qual foi aplicado o Inventário Traço Estado -IDATE. Este consiste de 20 questões, visando à identificação de duas escalas distintas de ansiedade: estado e traço ansioso. Os escores da escala variam de 20 a 80 pontos, sendo que a maior pontuação obtida, maior os níveis de ansiedade. Os pontos de corte adotados foram: abaixo de 33 equivalendo a pacientes sem sintomatologia ou ansiedade leve, entre 33 e 49 a sintomatologia é classificada como média e pontuação acima de 49 indica alta sintomatologia. Levantaram-se os dados sócio-demográficos e clínicos por meio de questionários. Resultados: Foram entrevistados 360 pacientes, as quais realizaram cirurgias diversas no dia seguinte da aplicação do Inventário. Com a aplicação do Inventário Traço Estado para sintomas ansiosos, a pontuação variou entre 31 e 72 pontos, com uma média de 52.45 (DP 7.69). Foi identificado 1 paciente, considerado como portador de sintomas leves ou ausência de sintomas ansiosos (0.3%), 114 pacientes com sintomas moderados (31.7%) e 245 com sintomas ansiosos graves (68.1%). Conclusões: Encontrou-se uma elevada prevalência de sintomas ansiosos em mais da metade dos pacientes entrevistados, além da associação da sintomatologia com fatores sócio-demográficos.
Objective: Evaluating the anxious symptoms in patients inside the anesthesia practice in Tubarão. Methods: I was made as observational transverse delimitation, between months of February and July 2010, which was applied in IDATE. This consists of 20 questions, aiming at the identification of two distinct anxiety scales: condition and anxiety trait. Scores range from 20 to 80 points, being the highest score, and higher anxiety levels. The cutting points were fitted: below 33 patients are without symptoms or weak anxiety, between 33 to 49 symptoms are classified moderate, above 49 indicates severe symptomatology. A survey was made about clinical and socio demographic data by means of questionnaire. Results: Were investigated 360 patients, who performed several surgeries on the day following the application of the ?Inventário?. With the interview of the ? Inventário Traço Estado? for anxiety symptoms, the scores ranged between 31 and 72 points, with an average of 52.45(DP 7.69). One patient was identified, considered as having weak symptoms or without anxiety symptoms (0.3%), 114 patients with moderate symptoms (31.7%) and 245 with severe anxiety symptoms (68.1%). Conclusions: We found a high prevalence of anxiety symptoms in more than half of the interviewed patients.