Physiological parameters of patients in post-anesthetic recovery: cross-sectional study

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202429978%20%20

Keywords:

Perioperative nursing, Nursing care, Surgicenters

Abstract

Objective: To map the profile of physiological parameters of patients upon discharge from the Post-Anesthesia Care Unit (PACU) and analyze physiological changes related to the Aldrete and Kroulik Index (AKI) parameters in immediate postoperative patients in anesthesia recovery. Method: Cross-sectional study conducted from May 2021 to April 2022 at the PACUA of a public university hospital, evaluating physiological parameters and AKI scale. Data collection was prospective, with simultaneous medical record review during patient care in PACU to record variables at five different time points. The sample comprised 88 patients. Results: Predominance of female patients (57.9%), mean age 52.39 (±16.57) years, and average stay in the unit was 91 minutes. At discharge, patients showed average normal blood pressure (121/71 mmHg), heart rate (71 bpm), normal respiratory rate (17 breaths per minute), hypothermia (35.0°C), and adequate oxygen saturation (97%). The overall mean AKI score was 8.5. Conclusion: Patients demonstrated stable physiological parameters consistent with the minimum AKI score for discharge from PACU, although intervention was needed for body warming to maintain temperature.

References

Oliveira DF, Nakajima GS, Byk J. Cirurgia em pacientes idosos: revisão sistemática da literatura. Rev Bioét. 2019;27(2):304-12. https://doi.org/10.1590/1983-80422019272314

Araújo IS, Carvalho R. Serious adverse events in surgical patients: occurrences and outcomes. Rev SOBECC. 2018;23(2):77-83. https://doi.org/10.5327/Z1414-4425201800020004

Nascimento PDFSN, Bredes AC, Mattia AL. Complicações em idosos em Sala de Recuperação Pós-Anestésica (SRPA). Rev SOBECC. 2023;20(2):64-72. https://doi.org/10.5327/Z1414-4425201500020002

Dahlberg K, Jaensson M, Flodberg M, Månsson S, Nilsson U. Levels of education and technical skills in registered nurses working in post-anaesthesia care units in Sweden. Scand J Caring Sci. 2022;36(1):71-80. https://doi.org/10.1111/scs.12964

Li H, Wang H, Pan Y, Huang Q, Li X, Zeng X, et al. Efficacy of high-quality nursing service for the patients during the anesthesia recovery period: a meta-analysis. Appl Bionics Biomech. 2022;2022:3528915. https://doi.org/10.1155/2022/3528915

Aldrete JA, Kroulik DA. A postanesthetic recovery score. Anesth Analg. 1970;49(6):924-34. PMID: 5534693.

Nascimento RER, Silva ADM, Leitão TS, Reis IB, Carvalho IS, Sousa LV, et al. Cuidados pós-anéstesicos: índice de Aldrete e Kroulik na perspectiva da equipe de enfermagem. Recisatec. 2023;2(2):e2289. https://doi.org/10.53612/recisatec.v2i2.89

Cruz LF, Felix MMS, Ferreira MBG, Pires PS, Barichello E, Barbosa MH. Influence of socio-demographic, clinical and surgical variables on the Aldrete-Kroulik Scoring System. Rev Bras Enferm. 2018;71(6):3013-9. https://doi.org/10.1590/0034-7167-2017-0813

von ELM E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; et al. The Strengthening the Reporting of Observation Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-49. https://doi.org/10.1016/j.jclinepi.2007.11.008

Possari JF. Dimensionamento de profissionais de enfermagem em centro cirúrgico especializado em oncologia: análise dos indicadores intervenientes [tese]. São Paulo: Escola de Enfermagem; 2011. https://doi.org/10.11606/T.7.2011.tde-10052011-122056

Pereira NHC, Mattia AL. Complicaciones postoperatorias relacionadas con la hipotermia intraoperatoria. Enferm Glob. 2019;18(55):285-99. https://doi.org/10.6018/eglobal.18.3.328791

Mendonça FT, Lucena MC, Quirino RS, Govêia CS, Guimarães GMN. Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study. Braz J Anesthesiol. 2019;69(2):122-30. https://doi.org/10.1016/j.bjan.2018.10.001

Faria LR, Alvim ALS, Dutra HS, Carbogim FC, Silva CF, Bastos RR. Eventos adversos em pacientes cirúrgicos: incidência, características e fatores associados. Rev SOBECC. 2023;28:E2328890. https://doi.org/10.5327/Z1414-4425202328890890

Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional de saúde 2019: percepção do estado de saúde, estilos de vida, doenças crônicas e saúde bucal: Brasil e grandes regiões. Rio de Janeiro: IBGE; 2020.

Silva JCR. Cirurgias eletivas: um estudo sobre a funcionalidade dos procedimentos de média complexidade. [trabalho de conclusão de curso]. Volta Redonda: Universidade Federal Fluminense; 2017.

Nascimento P, Jardim DP. Pacientes de cuidados intensivos em leito de retaguarda na recuperação pós-anestésica. Rev SOBECC. 2023;20(1):38-44. https://doi.org/10.5327/Z1414-4425201500010005

Lemos CS, Poveda VB. Role of perioperative nursing in anesthesia: a national overview. Rev Eesc Enferm USP. 2022;56:e20210465. https://doi.org/10.1590/1980-220X-REEUSP-2021-0465

Lemos CS, Poveda VB. Evaluation of nursing actions in anesthesia guided by the Patient Safety Checklist: Nursing in Anesthetic Procedure (PSC/NAP): a cross-sectional study. J Perianesth Nurs. 2020;35(6):635-41. https://doi.org/10.1016/j.jopan.2020.03.017

Tobias JD. Preoperative anesthesia evaluation. Semin Pediatr Surg. 2018;27(2):67-74. https://doi.org/10.1053/j.sempedsurg.2018.02.002

Dias TLF, Anjos CM, Andrade JML, Funez MI. Análise das variáveis perioperatórias e sua relação com as complicações em Sala de Recuperação Pós-Anestésica. Rev Enferm UFSM. 2023;12:e42. https://doi.org/10.5902/2179769268599

Piotrkowska R, Jarzynkowski P, Mędrzycka-Dąbrowska W, Terech-Skóra S, Kobylarz A, Książek J. Assessment of the quality of nursing care of postoperative pain in patients undergoing vascular procedures. J Perianesth Nurs. 2020;35(5):484-90. https://doi.org/10.1016/j.jopan.2020.03.010

Mattia AL, Mendes FCN. Validação aparente e de conteúdo de escala de avaliação de enfermagem para o paciente na sala de recuperação pós-anestésica. REME Rev Min Enferm. 2022;26:e-1481. https://doi.org/10.35699/2316-9389.2022.38455

Published

2024-08-13

How to Cite

Luna, A. A., Pinho, C. M. de, Caldas, S. de A. M., Paixão, C. de M. C., Silva, F. F. e, Fassarella, C. S., Silva, N. C. M. da, & Souza, P. A. de. (2024). Physiological parameters of patients in post-anesthetic recovery: cross-sectional study. Revista SOBECC, 29. https://doi.org/10.5327/Z1414-4425202429978

Issue

Section

ORIGINAL ARTICLES