LAPARATOMIA EXPLORATORIA PDF

LAPARATOMIA EXPLORATORIA PDF

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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.

There was a significant normality in the parameters of the analyzed variables in both groups, thus allowing an adequate pulmonary ventilation and gas exchange. In Group I, the mean age laparatomla the patients was 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.

LAPAROTOMIA EXPLORATORIA

Although the RR was altered, the SpO 2 remained with values in agreement with what is recommended in the literature. 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. To evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy.

In some cases, it may lead to atelectasis, hypoxemia and pneumonia 2 3. Data were analyzed statistically using the BioEstat 5. Data related explogatoria respiratory rate RR and oxygen saturation SpO 2 were extracted from the questionnaire.

Laparotomía exploratoria | Aspen Medical Group

January 21, ; Accepted: And, therefore, the surgical procedures exploratory laparotomy and laparatlmia did not promote significant functional alteration of the breathing of these individuals. Originales Exploratory laparotomy and cholecystectomy: Como citar este artigo.

Subsequently, the correlation between the two variables in the two groups was analyzed using the Spearman test. This is a cross-sectional and quantitative study with 63 patients seen between November and April Exploratory laparotomy and cholecystectomy: 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 of the aforementioned study, it is highlighted that the respiratory rate has an influence on the concentration of CO 2 and O 2 paparatomia the blood, and the more it is altered and closer to the physiological value, the lower the exploratlria in the saturation of these gases.

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Laparotomia exploratoria em equinos [1976]

Regarding SpO 2the results of medians of Group I and Group II evidenced values in agreement with that set as normal by the literature. La noche anterior, coma una comida liviana. 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.

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. In the first 24 hours that comprise the immediate postoperative period, which is considered a critical phase of the surgical recovery, it is expllratoria fundamental importance the monitoring and lapadatomia 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.

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. 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 exploragoria.

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.

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. In general, RR close to the eupnea condition may have influenced the outcome laparatkmia normoxemic SpO 2. Thus, the findings of this research showed that in the first 24 postoperative hours, explorwtoria respiratory rate of the individuals of both Group I and Group II occurred a priori without significant ex;loratoria, making up a respiratory pattern considered normal to discretely altered.

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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 laparatkmia study.

The cases in which the values of both analyzed variables were altered, evidencing conditions of tachypnoea or bradypnea xeploratoria hypoxemia, were isolated cases, not statistically significant. 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.

Initially, an invitation was made verbally to the patients present at the study site and submitted to exploratory laparotomy Group I and cholecystectomy Group II surgeries.

In Explloratoria II, the mean age was 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.

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 devices that would allow measuring pulmonary capacities and volumes.

Laparotomía exploratoria

In Group II, the minimum value was also below the reference value, but with no significant clinical repercussion as in Group I, both of which were not statistically significant Figure 2. Patients of both sexes, aged from 18 to 59 years, who were in the immediate postoperative period of high abdominal surgeries of the exploratory laparotomy or cholecystectomy types were included in the study.

Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical laparatlmia.