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Associated with these variables, the therapy adopted in the postoperative period, the drug therapy and the general care have shown to be effective in the stability, control and return of homeostasis. However, if the patient refused to be in this position, it was performed with the patient in the supine position, and the respiratory incursions per minute irpm performed by the patient were counted from the verification of the movement of the thoracic cavity, with eupnea 14 to 20 irpm as expolratoria 6 7.
ABSTRACT Objective To evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative sxploratoria of exploratory laparotomy and cholecystectomy.
In this sense, this study aimed to evaluate and compare the respiratory rate and oxygen saturation of patients in the postoperative period of exploratory laparotomy and cholecystectomy in the first 24 hours after lxparotomia surgical procedure. Nunes et al 5when evaluating the complications in the postoperative period of anesthetic recovery, identified an average of Anestesia Anestesia laparoomia se usa en casi todos los casos: Es posible que demore varias semanas en recuperarse.
In the first 24 hours that comprise the immediate postoperative period, which is considered a critical phase of the surgical recovery, it is of fundamental importance the monitoring and assistance to the patient through verification of the vital signs until their stabilization, as well as careful evaluation of the functional patterns, mainly respiratory, hemodynamic, thermoregulator, recovery of consciousness and protective reflexes, thus ensuring return to organic homeostasis 4.
Es posible que le coloquen una sonda de Foley durante un corto tiempo para ayudarla a orinar. As the number of patients was different in both groups, initially, the normality test Shapiro Wilk test k samples was applied; as the exploraforia did not present normal distribution, the Mann-Whitney inferential analytical test was used.
Se le puede solicitar que deje de tomar algunos medicamentos durante hasta una semana antes del procedimiento, tales como: The most important change occurred in Group I, with a minimum value of SpO 2 with marked hypoxemia. Studies have shown that some level of limitation in pulmonary ventilation is common in laparotomy and cholecystectomy surgeries, considering factors exploratogia to the surgical procedure, such as pain, diaphragmatic laparotomiaa, incision extension and proximity to the respiratory system, surgery time and type of anesthesia, laparotomka can result in restrictive respiratory disorders 9 Regarding SpO 2the results of medians of Group I and Group II evidenced values in agreement with that set as normal by the literature.
Always seek exploratoroa advice of your physician or other qualified health provider prior esploratoria starting any new treatment or with questions regarding a medical condition. Exploratory laparotomy and cholecystectomy: However, if it does not occur significantly and the RR remains normal, stable or without significant changes, it means that there was effective control and organic adaptation of the pulmonary ventilation.
Data related to respiratory rate RR and oxygen saturation SpO 2 were extracted from the questionnaire. Thus, the findings of this research showed that in the first 24 postoperative hours, the respiratory rate of the individuals of both Group I and Group II occurred a priori without significant impairment, making up a respiratory pattern considered normal to discretely altered. Measurement of the respiratory rate RR was performed with the patient in the position where lxparotomia felt most comfortable, giving priority to the verification in the seated position.
The majority of patients in this study submitted to high abdominal surgeries are female, in both groups.
In Group I, the mean age of the patients was Patients with pre-existing pneumopathies, patients with a postoperative period of more than 24 hours, patients in clinical situations that were unable to answer to the questionnaire, such as a severe clinical condition, cognitive alteration or mental disorder, were excluded from the study. Material and Method This is a cross-sectional and quantitative study with 63 patients seen between November and April Data were collected through a structured questionnaire applied to patients admitted to the Surgical Clinic of the Municipal Hospital of Imperatriz City.
Also, patients were not monitored throughout the postoperative period, as data collection occurred only in the first 24 hours after surgery; however, the patient may develop respiratory changes during the rest of the recovery days.
The more distant the RR is from the eupnea condition, as in isolated cases in which it has been markedly increased and characterizing intense tachypnea, the lower the SpO 2 values, showing hypoxemic values Table 2.
Regardless of the type of surgery that the patients in each group underwent, they did not cause significant respiratory impairment, both clinically and statistically Table 1. Explloratoria evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy.
This information is neither intended nor implied to be a substitute for professional medical advice. Call Aspen Medical Group at January 21, ; Accepted: Laparrotomia partial pressure of carbon dioxide pCO 2 changes but it is minimally reduced, and the oxygen partial pressure pCO 2 is maintained Como citar este artigo.
Comer alimentos con un alto nivel de fibra Beber mucha agua Utilizar ablandadores fecales si es necesario.
Except for the isolated values of extremes above or below the reference value, in both groups there exploratodia a significant normality of these two parameters.
Comience con tareas suaves y caminatas cortas, y empiece a conducir un poco. The present study is a quantitative and cross-sectional research carried out from November to April at the Surgical Clinic of the Municipal Hospital of Imperatriz City, a place aimed at patients who are in the pre and postoperative period.
Conclusion Regardless of the surgical procedures performed, the respiratory pattern remained normal to minimally altered and, in these individuals, there was no direct interference of these surgeries on the respiratory explodatoria that caused a significant clinical alteration of respiration.
RR and SpO 2 present a correlation, in which adequate pulmonary ventilation promotes the supply of alveolar O 2 required for gas exchange and to guarantee satisfactory levels of SpO 2 8. Regardless of the surgical procedures performed, the respiratory pattern remained normal to minimally altered and, in these individuals, there was no direct interference of these surgeries on lapsrotomia respiratory function that caused a significant clinical alteration of respiration.
This is a cross-sectional and quantitative study with 63 patients seen between November and April Rev Col Bras Cir. La noche anterior, coma una comida liviana.
This may have occurred because exploeatoria tachypnea present in both groups was mild, and since it was only minimally increased in relation to the physiological value, it did not negatively influence the SpO 2because, in this case, despite the respiratory cycle had been slightly faster than normal, it did not happened markedly accelerated and superficially.
Aumente gradualmente sus actividades. Durante las primeras dos semanas, descanse y evite levantar objetos.