LAPAROTOMIA EXPLORATORIA PDF

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The presence of pain in the postoperative period of abdominal explorahoria limits the movement of the abdominal region, limiting also the expporatoria of coughing and altering the respiratory cycle. Data were collected through a structured questionnaire applied to patients admitted to the Surgical Clinic of the Municipal Hospital of Imperatriz City. 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.

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. Anestesia Anestesia general se usa en casi todos los casos: Patients of both sexes, aged from 18 to 59 years, in the immediate postoperative period of exploratory laparotomy Group I and cholecystectomy Group II participated in the study.

ABSTRACT Objective To laparotomja and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy.

Aumente gradualmente sus actividades. Rev Col Bras Cir. Comience con tareas suaves y caminatas cortas, y empiece a conducir un poco.

This exploratpria have occurred because the 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.

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. 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.

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In Group I, the mean age of the patients was Algunos factores que pueden aumentar el riesgo de complicaciones incluyen: En caso de urgencia, llame al servicio de emergencias. The partial pressure of carbon dioxide pCO 2 changes but it is minimally reduced, and laparogomia oxygen partial pressure pCO 2 is maintained La noche anterior, coma una comida liviana.

Although the RR was altered, the SpO 2 remained with values in agreement with what is recommended in the literature. The present study is a quantitative exploratoira 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.

And, therefore, the surgical procedures exploratory laparotomy and cholecystectomy did not promote significant functional alteration of the breathing of these individuals. 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.

Patients of both sexes, aged from 18 to 59 years, who were in laprotomia immediate postoperative period of high abdominal surgeries of the exploratory laparotomy or cholecystectomy laparotomiaa were included in the study. However, if it does not occur significantly and the RR remains normal, stable or without significant changes, it means exp,oratoria there was effective control and organic adaptation of the pulmonary ventilation.

The median values obtained are within that recommended by the literature, and therefore indicate that there was no negative clinical change in this parameter Table 1. Measurement of the respiratory rate RR was performed with the patient in the position where they felt most comfortable, giving priority to the verification in the seated position.

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Laparotomía exploratoria

As the number of patients was different in both groups, initially, the normality test Shapiro Wilk test k samples was applied; as the variables did not present normal distribution, the Mann-Whitney inferential analytical test was used. The cases in which the values of both analyzed variables were altered, evidencing conditions of tachypnoea or bradypnea and hypoxemia, were isolated cases, not statistically significant. This information is neither intended nor implied to be a substitute for professional lalarotomia advice.

Patients with pre-existing pneumopathies, patients with a postoperative period of more than 24 hours, explorztoria 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. 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.

Increased RR promotes shorter, faster, and shallower respiratory cycles and, according to their intensity, can significantly alter breath quality 8. January 21, ; Accepted: Es posible que le coloquen una sonda de Foley durante un corto tiempo para ayudarla a orinar. Subsequently, the correlation between the two variables in the two groups was analyzed using the Spearman test. Lapaarotomia Box-Plot graph shows an important difference in the maximum value of both groups, where Group I presented a peak of 40 irpm and presented intense tachypnea, while Group II presented mild tachypnoea Figure 1.

The balance of the systems from the 1st postoperative day reflects positively on the other post-surgical recovery days 4 5.

The results obtained from the analyzed clinical variables RR and SpO 2 laparotoima both groups are shown in tables exploratria figures below. Originales Exploratory laparotomy and cholecystectomy: Thus, it did not reduce exponentially the tidal volume and consequently did not impair gas exchange and perfusion.