Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit

Detalhes bibliográficos
Autor(a) principal: Dias, Thaise Loyanne Felix
Data de Publicação: 2022
Outros Autores: dos Anjos, Célio Melo, de Andrade, Joanlise Marco Leon, Funez, Mani Indiana
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Enfermagem da Universidade Federal de Santa Maria
Texto Completo: http://periodicos.ufsm.br/reufsm/article/view/68599
Resumo: Objective: to analyze the frequencies of complications in the Post-Anesthetic Care Unit (PACU) by surgical specialties and their association with pre-, intra- and immediate postoperative variables. Method: cross-sectional study with 98 patients. Perioperative data were used, collected through interviews, physical examination and electronic medical records; and descriptive, bivariate and logistic regression analyses. Results: hypothermia was more frequent in general and gynecological surgeries in women, being associated with general or spinal anesthesia and lithotomy positioning (p<0.05); nausea in general and gynecological surgeries (p=0.05), and vomiting in general (p=0.01); pain in general surgeries, associated with general anesthesia and intraoperative prescription of analgesics (p<0.05). General surgery increased the chances of pain in the PACU by 3.5 times (p=0.01). Conclusion: there was a higher frequency of hypothermia, pain and nausea/vomiting associated with gynecological and general specialties, female sex, lithotomy surgical position, intraoperative analgesic prescription and spinal and general anesthesia.
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spelling Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care UnitAnálisis de variables perioperatorias y su relación con complicaciones en la Unidad de Cuidados PostanestésicosAnálise das variáveis perioperatórias e sua relação com as complicações em Sala de Recuperação Pós-AnestésicaCirurgia geralPeríodo pós-operatórioDorHipotermiaEnfermagem perioperatóriaEnfermagem PerioperatóriaPeríodo de Recuperación AnestésicaProcedimientos Quirúrgicos OperatoriosPeríodo PostoperatorioComplicaciones PostoperatoriasEnfermería PerioperatoriaAnesthesia Recovery PeriodOperative Surgical ProceduresPostoperative periodPostoperative ComplicationsPerioperative NursingObjective: to analyze the frequencies of complications in the Post-Anesthetic Care Unit (PACU) by surgical specialties and their association with pre-, intra- and immediate postoperative variables. Method: cross-sectional study with 98 patients. Perioperative data were used, collected through interviews, physical examination and electronic medical records; and descriptive, bivariate and logistic regression analyses. Results: hypothermia was more frequent in general and gynecological surgeries in women, being associated with general or spinal anesthesia and lithotomy positioning (p<0.05); nausea in general and gynecological surgeries (p=0.05), and vomiting in general (p=0.01); pain in general surgeries, associated with general anesthesia and intraoperative prescription of analgesics (p<0.05). General surgery increased the chances of pain in the PACU by 3.5 times (p=0.01). Conclusion: there was a higher frequency of hypothermia, pain and nausea/vomiting associated with gynecological and general specialties, female sex, lithotomy surgical position, intraoperative analgesic prescription and spinal and general anesthesia.Objetivo: analizar las frecuencias de las complicaciones en la Unidad de Cuidados Post Anestésicos (UCPA) por especialidades quirúrgicas y su asociación con variables pre, intra y postoperatorias inmediatas. Método: estudio transversal con 98 pacientes. Se utilizaron datos perioperatorios, recolectados a través de entrevistas, examen físico y prontuario electrónico; y análisis de regresión descriptiva, bivariada y logística. Resultados: la hipotermia fue más frecuente en cirugías generales y ginecológicas en mujeres, asociándose a anestesia general o espinal y posicionamiento litotómico (p<0.05). Náuseas en general y cirugías ginecológicas (p=0.05), y vómitos en general (p=0.01). Dolor en cirugías generales, asociado a anestesia general y prescripción intraoperatoria de analgésicos (p<0.05). La cirugía general aumenta las posibilidades de dolor en la UCPA 3.5 veces (p=0.01). Conclusión: hubo mayor frecuencia de hipotermia, dolor y náuseas/vómitos, asociados a especialidades ginecológicas y generales, sexo femenino, posicionamiento quirúrgico litotómico, prescripción analgésica intraoperatoria y anestesia raquídea y general.Objetivo: analisar as frequências das complicações em Sala de Recuperação Pós-Anestésica (SRPA) por especialidades cirúrgicas e sua associação com variáveis pré, intra e pós-operatórias imediatas. Método: estudo transversal, com 98 pacientes. Utilizaram-se dados perioperatórios, coletados por meio de entrevista, exame físico e prontuário eletrônico; e análises descritivas, bivariadas e regressão logística. Resultados: hipotermia foi mais frequente nas cirurgias geral e ginecológica em mulheres, sendo associada às anestesias geral ou raquidiana e ao posicionamento litotômico (p<0,05). Náuseas em cirurgias gerais e ginecológicas (p=0,05), e vômitos nas gerais (p=0,01). Dor nas cirurgias gerais, associada à anestesia geral e à prescrição de analgésicos no intraoperatório (p<0,05). Cirurgia geral aumenta 3,5 vezes as chances de dor em SRPA (p=0,01). Conclusão: encontrou-se maior frequência de hipotermia, dor e náuseas/vômitos, associadas às especialidades ginecológica e geral, ao sexo feminino, posicionamento cirúrgico litotômico, à prescrição de analgésicos no intraoperatório e às anestesias raquidiana e geral.Universidade Federal de Santa Maria2022-08-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/htmltext/htmlhttp://periodicos.ufsm.br/reufsm/article/view/6859910.5902/2179769268599Revista de Enfermagem da UFSM; v. 12 (2022); e422179-7692reponame:Revista de Enfermagem da Universidade Federal de Santa Mariainstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMporenghttp://periodicos.ufsm.br/reufsm/article/view/68599/48783http://periodicos.ufsm.br/reufsm/article/view/68599/48784http://periodicos.ufsm.br/reufsm/article/view/68599/48785http://periodicos.ufsm.br/reufsm/article/view/68599/48786Copyright (c) 2022 Revista de Enfermagem da UFSMhttp://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessDias, Thaise Loyanne Felixdos Anjos, Célio Melode Andrade, Joanlise Marco LeonFunez, Mani Indiana2022-12-29T17:45:01Zoai:ojs.pkp.sfu.ca:article/68599Revistahttps://periodicos.ufsm.br/reufsmPUBhttp://cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/reufsm/oaicentraldeperiodicos@ufsm.br||reufsm@gmail.com2179-76922179-7692opendoar:2022-12-29T17:45:01Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)false
dc.title.none.fl_str_mv Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
Análisis de variables perioperatorias y su relación con complicaciones en la Unidad de Cuidados Postanestésicos
Análise das variáveis perioperatórias e sua relação com as complicações em Sala de Recuperação Pós-Anestésica
title Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
spellingShingle Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
Dias, Thaise Loyanne Felix
Cirurgia geral
Período pós-operatório
Dor
Hipotermia
Enfermagem perioperatória
Enfermagem Perioperatória
Período de Recuperación Anestésica
Procedimientos Quirúrgicos Operatorios
Período Postoperatorio
Complicaciones Postoperatorias
Enfermería Perioperatoria
Anesthesia Recovery Period
Operative Surgical Procedures
Postoperative period
Postoperative Complications
Perioperative Nursing
title_short Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
title_full Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
title_fullStr Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
title_full_unstemmed Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
title_sort Analysis of perioperative variables and their relationship with complications in the Post-Anesthetic Care Unit
author Dias, Thaise Loyanne Felix
author_facet Dias, Thaise Loyanne Felix
dos Anjos, Célio Melo
de Andrade, Joanlise Marco Leon
Funez, Mani Indiana
author_role author
author2 dos Anjos, Célio Melo
de Andrade, Joanlise Marco Leon
Funez, Mani Indiana
author2_role author
author
author
dc.contributor.author.fl_str_mv Dias, Thaise Loyanne Felix
dos Anjos, Célio Melo
de Andrade, Joanlise Marco Leon
Funez, Mani Indiana
dc.subject.por.fl_str_mv Cirurgia geral
Período pós-operatório
Dor
Hipotermia
Enfermagem perioperatória
Enfermagem Perioperatória
Período de Recuperación Anestésica
Procedimientos Quirúrgicos Operatorios
Período Postoperatorio
Complicaciones Postoperatorias
Enfermería Perioperatoria
Anesthesia Recovery Period
Operative Surgical Procedures
Postoperative period
Postoperative Complications
Perioperative Nursing
topic Cirurgia geral
Período pós-operatório
Dor
Hipotermia
Enfermagem perioperatória
Enfermagem Perioperatória
Período de Recuperación Anestésica
Procedimientos Quirúrgicos Operatorios
Período Postoperatorio
Complicaciones Postoperatorias
Enfermería Perioperatoria
Anesthesia Recovery Period
Operative Surgical Procedures
Postoperative period
Postoperative Complications
Perioperative Nursing
description Objective: to analyze the frequencies of complications in the Post-Anesthetic Care Unit (PACU) by surgical specialties and their association with pre-, intra- and immediate postoperative variables. Method: cross-sectional study with 98 patients. Perioperative data were used, collected through interviews, physical examination and electronic medical records; and descriptive, bivariate and logistic regression analyses. Results: hypothermia was more frequent in general and gynecological surgeries in women, being associated with general or spinal anesthesia and lithotomy positioning (p<0.05); nausea in general and gynecological surgeries (p=0.05), and vomiting in general (p=0.01); pain in general surgeries, associated with general anesthesia and intraoperative prescription of analgesics (p<0.05). General surgery increased the chances of pain in the PACU by 3.5 times (p=0.01). Conclusion: there was a higher frequency of hypothermia, pain and nausea/vomiting associated with gynecological and general specialties, female sex, lithotomy surgical position, intraoperative analgesic prescription and spinal and general anesthesia.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufsm.br/reufsm/article/view/68599
10.5902/2179769268599
url http://periodicos.ufsm.br/reufsm/article/view/68599
identifier_str_mv 10.5902/2179769268599
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufsm.br/reufsm/article/view/68599/48783
http://periodicos.ufsm.br/reufsm/article/view/68599/48784
http://periodicos.ufsm.br/reufsm/article/view/68599/48785
http://periodicos.ufsm.br/reufsm/article/view/68599/48786
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista de Enfermagem da UFSM
http://creativecommons.org/licenses/by-nc-sa/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista de Enfermagem da UFSM
http://creativecommons.org/licenses/by-nc-sa/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/html
text/html
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
publisher.none.fl_str_mv Universidade Federal de Santa Maria
dc.source.none.fl_str_mv Revista de Enfermagem da UFSM; v. 12 (2022); e42
2179-7692
reponame:Revista de Enfermagem da Universidade Federal de Santa Maria
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Revista de Enfermagem da Universidade Federal de Santa Maria
collection Revista de Enfermagem da Universidade Federal de Santa Maria
repository.name.fl_str_mv Revista de Enfermagem da Universidade Federal de Santa Maria - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv centraldeperiodicos@ufsm.br||reufsm@gmail.com
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