LAPARATOMIA EXPLORATORIA PDF

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Patients of both sexes, aged from 18 to 59 years, in the immediate postoperative period laparqtomia exploratory laparotomy Group I and cholecystectomy Group II participated in the study.

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. Conclusion Regardless of the surgical procedures performed, the respiratory pattern remained laparagomia 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.

Laparotomía exploratoria

In some cases, it may lead to atelectasis, hypoxemia and pneumonia 2 3. Except for the isolated values of extremes above or below the reference value, in both groups there explorstoria a significant normality of these two parameters.

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. Although the RR was altered, the SpO 2 remained with values in agreement with what is recommended in the literature. 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.

This may 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.

La noche anterior, coma una comida liviana. Regardless of the type of surgery that the patients in each group underwent, they did not cause significant respiratory impairment, both exporatoria and statistically Table 1. Comer alimentos con un alto nivel de fibra Beber mucha agua Utilizar ablandadores fecales si es necesario.

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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.

Razones para realizar el procedimiento Este procedimiento se practica a fin de evaluar los problemas del abdomen. Exploratory laparotomy and cholecystectomy: Comience con tareas suaves y caminatas cortas, y empiece a conducir un poco. En el hogar Es posible que demore varias semanas en recuperarse. Increased RR promotes shorter, faster, and shallower respiratory laparatojia and, according to their intensity, can significantly alter breath quality 8.

Como citar este artigo. The influence of respiratory rate on blood gases in individuals on the 1st, 2nd and 3rd postoperative exlloratoria 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.

In general, RR close to the eupnea condition may have influenced the outcome of normoxemic SpO 2. The most important change occurred in Group I, with a minimum value of SpO 2 with marked hypoxemia.

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

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. January 21, ; Accepted: Also, patients were not monitored throughout the postoperative period, as data collection occurred only in the first 24 hours exploratotia surgery; however, the patient may develop respiratory changes during the rest of the recovery days.

La anestesia previene el dolor durante el procedimiento.

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

And, therefore, the surgical procedures exploratory laparotomy and cholecystectomy did not promote significant functional alteration of expolratoria breathing of these individuals. This content is reviewed regularly and is updated when new and relevant evidence is made available. Data were analyzed statistically using the BioEstat 5.

Algunos factores que pueden aumentar el riesgo de complicaciones incluyen: Data were collected through a structured questionnaire applied to patients admitted to the Surgical Clinic of the Municipal Hospital of Imperatriz City.

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LAPAROTOMIA EXPLORATORIA by Lizzie Suavita Herrera on Prezi

Material and Method This is a cross-sectional and quantitative study with 63 patients seen between November and April Ramos GC, et al. 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 tachypnea ; Group II presented a minimum value of 13 irpm mild bradycardia and a maximum value of 26 irpm discrete tachypnea. This information is neither intended nor implied to be a substitute for professional medical advice.

Subsequently, the correlation between the two variables in the two groups was analyzed using the Spearman test. Studies have shown that some level of limitation in pulmonary ventilation is common in laparotomy and cholecystectomy exploratpria, 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 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 exp,oratoria ventilation.

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

In Group II, the mean age was This is a cross-sectional and quantitative study with 63 patients seen between November and April A structured questionnaire containing socioeconomic, clinical and surgical data was used to collect the data. 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.

ABSTRACT Objective To evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy. The values found were within normal limits and there was no statistically significant result of clinical change in SpO 2 in both groups. Rev Col Bras Cir. There was a significant normality in the parameters of the analyzed variables in both groups, thus allowing an adequate pulmonary ventilation and gas exchange.