LAPAROTOMIA EXPLORATORIA PDF
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In general, RR close to the eupnea condition may have influenced the outcome of normoxemic SpO 2. Exploratory laparotomy and cholecystectomy: Except for the isolated values of extremes above or below the reference value, in both groups there was a significant normality of these two parameters. 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.
In some cases, it may lead to atelectasis, hypoxemia and pneumonia 2 3. Data were analyzed statistically using the BioEstat 5. 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.
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 the surgical procedure.
This is a cross-sectional and quantitative study with 63 patients seen between November and April Es posible que le coloquen una sonda de Foley durante un corto tiempo para ayudarla a orinar. 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 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.
Laparotomía exploratoria | Aspen Medical Group
Regarding SpO 2the results of medians of Group I and Group II evidenced values in agreement with that set as normal by the literature. 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. The results obtained from the analyzed clinical variables RR and SpO 2 in both groups are shown in tables and figures below.
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. Thus, it did not reduce exponentially the tidal volume and consequently did not impair gas exchange and perfusion.
ABSTRACT Objective To evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy. Razones para realizar el procedimiento Este procedimiento se practica a fin de evaluar los problemas del abdomen. 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.
And, therefore, the surgical procedures exploratory laparotomy and cholecystectomy did not promote significant functional alteration of the breathing of these individuals. 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 parameter 6 7.
En el hogar 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.
Subsequently, the correlation between the two variables in the two groups was analyzed using the Spearman lxparotomia. 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.
Laparotomia exploratoria em equinos 
This information is neither intended nor implied to be a substitute for professional medical advice. Although the RR was altered, the SpO 2 remained with values in agreement with what is recommended in the literature. A structured questionnaire containing socioeconomic, clinical and surgical data was used to collect the data.
Patients with pre-existing pneumopathies, patients with a postoperative period of more than 24 hours, patients in clinical situations that were unable to answer laparotomiz the questionnaire, such as a severe clinical condition, cognitive alteration or mental disorder, were excluded from the study.
The most important change occurred in Group I, with a minimum value of SpO 2 with marked hypoxemia. 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.
Always seek the advice of your physician or other qualified health provider exploratiria to starting any new treatment or with questions regarding a medical condition. Aumente gradualmente sus actividades. Data related to respiratory rate RR and oxygen saturation SpO 2 were extracted from the questionnaire.
This content is reviewed regularly and is updated when new and relevant evidence is made available. Associated with these variables, the therapy adopted in the postoperative period, exploratroia drug therapy and the general exploraroria have shown to be effective in the stability, control and return of homeostasis.
As the laparotoomia 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 Box-Plot graph shows an important difference in the maximum value of both groups, where Group I xeploratoria a peak of 40 irpm and presented intense tachypnea, while Group II presented mild tachypnoea Figure 1. 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.
The partial pressure of carbon dioxide pCO 2 changes but it is minimally reduced, and the oxygen partial pressure pCO 2 is maintained 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 lalarotomia period. 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.
The presence of pain in the postoperative period of abdominal surgeries limits the movement of the abdominal region, limiting also the stimulation of coughing and altering the respiratory cycle.