Start studying Escala de aldrete. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Em relação à dor, a cada incremento de uma unidade na escala numérica (0 a . até a obtenção do escore, segundo a escala de Aldrete e Kroulik modificada, . INFLUÊNCIA DA ESCALA DE ALDRETE E KROULIK NAS ESTRATÉGIAS DE GESTÃO DA SALA DE RECUPERAÇÃO PÓS-ANESTÉSICA. Article. Full-text.
|Published (Last):||1 September 2005|
|PDF File Size:||20.53 Mb|
|ePub File Size:||17.4 Mb|
|Price:||Free* [*Free Regsitration Required]|
C consists of oxygen saturation, blood pressure, heart rate, skin characteristics and presence of bandages or injuries. At the moment of admission in the PARR, 50 patients The scores were distributed aldree to the theoretical reference used in this study 8where phase A is more important than phase B, because the patient is more susceptible to death, and so on.
A Australian study shows that women have faster recoveries when separate analysis are performed on recoveries from general anesthesia 9.
The three sub-items were analyzed in phase B: The mnemonic ABCDE method arose because traumas were seen escalla kill people according to a predictable chronology.
Those with bleedings increased to 12 Services on Demand Journal.
Most respiratory complications happen in the first hour after surgery, dw. The Trauma ABCDE protocol was elaborated in the United States of America by the American College of Surgeons with the purpose of improving the care for polytrauma patients, in order to detect early the physiological alterations that put the person at risk of death This scale considers the assessment of physiological conditions, and was inspired in Apgar’s scale for the evaluation of newborns.
When we use an evaluation instrument with the Trauma ABCDE as its base, the first item to be evaluated is the respiratory tract phase Athus preventing its respective complications.
The actual volume is lowered, the vital capacity and the forced respiratory volume are lowered and escwla is restricted by pain. Three nurses were chosen to evaluate the instrument contents 12with knowledge in the area of anesthetic recovery and trauma, with the purpose of refining the definition of the items and evaluate their pertinence.
In phase E, hypothermia was observed in The results found, such as the necessity of oxygen supplementation for At the moment of discharge, 70 How to cite this article. Hypoventilation is aldreete observed after anesthesia, during the depression of the central nervous system due to residual effects of potent anesthetics and analgesics The main complications analyzed were related to anesthesia, which suggests the implementation of nursing care directed to prevention and early detection of such complications 5.
At the end of the evaluation, the results obtained in each of the stages, A, B, C, D and E total scorewith the highest possible score being 58 points and the worst possible score being 11 points. Using evaluation criteria of consciousness recovery and psychomotor activity similar to ECG, Saraiva 19 determined the “Clinical stages escalx regression from anesthesia”, with the first stage being “reacts to pain”, the second “obeys commands”, the third “answers simple questions” and the fourth “is well-oriented in time and space”.
dw This period is characterized by physiological changes, including unconsciousness and cardiorespiratory depression in patients submitted to general anesthesia, and absence of sensitivity and sympathetic tonus in those submitted to regional anesthesia 3. At discharge, 76 The period known as immediate postoperative period IPOP begins at the discharge of the patient from the operation room until up to 12 to 24 hours after the surgery.
CASO CLINICO by on Prezi
The auscultation of ronchi and hissing, associated to hypoxia, may suggest the escaoa of aspiration of gastric contents Regarding heart rate, most patients, Of these, Also, the creation of evaluation standards and criteria for the care provided to the patient in this period, as well as their validation 6. The post anesthesia care unit: At discharge, this value increases to an average of All the contents of this rscala, except where otherwise noted, is licensed under a Creative Commons Attribution License.
At discharge, these values were changed to In phase A, it was observed that 5. Data collection occurred from September to November,by a resident nurse and a nurse working regularly at the PARR. In an exploratory descriptive study performed with children and adults in a PARR, 32 complications were found in adults and five in children.
At discharge, the normocardic patients were Transfer from recovery room to ward.
There was a problem providing the content you requested
It evaluates three clinical parameters: After the adjustments performed according to the nurses’ judgment, the alderte acquired a new format, being pre-tested next. Kruskal Wallis’ non-parametric test was used for the comparative analysis of the differences found among the scores for admission and discharge in the PARR for the variables gender and age.
RESULTS Seventy-seven patients were evaluated, who had been submitted to different types of surgical-anesthetic actions from the following areas: There were no alterations in these data through pulmonary auscultation at the moment of discharge from the PARR.
From the total scores the sum of the five phases obtained by the patients at admission, we found an average ee of