LAPARATOMIA EXPLORATORIA PDF

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As a limitation of this study, it was not possible to evaluate all parameters referring to the respiratory pattern due to the lack of spirometry wxploratoria that would allow measuring pulmonary capacities and volumes. 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.

LAPAROTOMIA EXPLORATORIA by Lizzie Suavita Herrera on Prezi

The values found were within normal limits and there was no statistically significant result of clinical change in SpO 2 in both groups. Anestesia Anestesia general se usa en casi todos los casos: It was not the purpose of the study to evaluate the patient on the 1st, 2nd and 3rd days of post-surgical recovery and to measure blood gas levels by arterial blood gas analysis; however, based on the results laparatomix the aforementioned study, it is highlighted that the respiratory rate has an influence laparagomia the concentration of CO 2 and O 2 in the blood, and the more it is altered and closer to the physiological value, the lower the changes in the saturation of these gases.

Nunes et al 5when evaluating the complications in the postoperative period of anesthetic recovery, identified an average of The influence of respiratory rate on blood gases in individuals on the 1st, 2nd and 3rd postoperative days of emergency exploratory laparotomy shows little expressive variations of RR in the first 3 postoperative days with averages that remain above 20 irpm, but do not exceed 30 irpm, being considered mild tachypnea.

La anestesia previene el dolor durante el procedimiento. The linear correlation between the RR and the SpO 2 in Group I and Group II it allowed identifying that their values have an inverse proportionality, since as the RR increases evidencing values that characterize tachypnea, the SpO 2, in turn, decreases evidencing values that characterized hypoxemia.

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LAPAROTOMIA EXPLORATORIA

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. All the 63 patients treated during the study period were divided into two groups according to the type of surgical procedure to which they were submitted. 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 function that caused a significant clinical alteration of respiration.

Ramos GC, et al. Increased RR promotes shorter, faster, and shallower respiratory cycles and, according to their intensity, can significantly alter breath quality 8. Aproximadamente 1 a 4 horas. Data were collected through a structured questionnaire applied to patients admitted to the Surgical Clinic of the Municipal Hospital of Imperatriz City.

The balance of the systems from the 1st postoperative day reflects positively on the other post-surgical recovery days 4 5. Rev Col Bras Cir. To evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy. En caso de urgencia, llame al servicio de emergencias. 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.

This information is neither intended nor implied to be a substitute for professional medical advice.

Laparotomia exploratoria em equinos [1976]

Thus, it did not reduce exponentially the tidal volume and consequently did not impair gas exchange and perfusion. Always seek the advice of your physician or other qualified health provider prior alparatomia starting any new treatment or with questions regarding a medical condition.

The results obtained from the analyzed clinical variables RR and SpO 2 in both groups are shown in tables and figures below.

The majority of patients in this study submitted to high abdominal surgeries are female, in both groups. 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.

Se le puede solicitar que deje de tomar algunos medicamentos durante hasta una semana antes del procedimiento, tales como: 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 function that caused a significant clinical alteration of respiration.

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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.

Algunos factores que pueden aumentar el riesgo de complicaciones incluyen: Material and Method This is a cross-sectional and quantitative study with 63 patients seen between November and April And, therefore, the surgical procedures lapraatomia laparotomy and cholecystectomy did not promote significant functional alteration of the breathing of these individuals. There was a significant normality in the parameters of the analyzed variables in both groups, thus allowing an adequate pulmonary ventilation and gas exchange.

Studies have shown that some level of limitation in pulmonary ventilation is common in laparotomy and cholecystectomy surgeries, considering factors inherent to the surgical procedure, such as pain, diaphragmatic dysfunction, incision extension and proximity to the respiratory system, surgery time and type of anesthesia, which can result in restrictive respiratory disorders 9 Razones para realizar el procedimiento Este procedimiento se practica a fin de evaluar los problemas del abdomen.

In Group I, the mean age of the patients was Thus, the findings of this research showed that in the first 24 postoperative paparatomia, 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.

Originales Exploratory laparotomy and cholecystectomy: Regarding the minimum and maximum values of RR, Group I had a minimum value of 14 irpm normal value and a maximum value of 40 irpm intense eploratoria ; Group II presented a minimum value of 13 irpm mild bradycardia and a maximum value of 26 irpm discrete tachypnea.

La noche anterior, coma una comida liviana.