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ABSTRACT Objective To evaluate and compare the respiratory rate and oxygen saturation of patients in the immediate postoperative period of exploratory laparotomy and cholecystectomy.
The Box-Plot graph shows an important difference in the maximum value of both groups, where Group I presented a peak of 40 irpm and presented intense tachypnea, while Group II presented mild tachypnoea Figure 1. Also, patients were not monitored throughout the postoperative period, as data collection occurred only in the first 24 hours after surgery; however, the patient may develop respiratory changes laparotomiaa the rest of the recovery days. This information is neither intended nor implied to be a substitute for professional medical advice.
Originales Exploratory laparotomy and cholecystectomy: 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 alparotomia, since as the RR increases evidencing values that characterize tachypnea, the SpO 2, in turn, decreases evidencing values that characterized hypoxemia.
En caso de urgencia, llame al servicio de emergencias. Se le puede solicitar que deje de tomar algunos medicamentos durante hasta una semana antes del procedimiento, tales como: Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Data related to respiratory rate RR and oxygen saturation SpO 2 were extracted from the questionnaire. In Group II, the mean age was Razones para realizar el procedimiento Este procedimiento se practica a fin de evaluar los problemas del abdomen.
Call Aspen Medical Group at 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.
A structured questionnaire containing socioeconomic, clinical and surgical data was used to collect the data. 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. Data were collected through a structured questionnaire applied to patients admitted to the Surgical Clinic of the Municipal Hospital of Imperatriz City.
This is a cross-sectional and quantitative study with 63 patients seen between November and April This content is reviewed regularly and is updated when new and relevant evidence is made available. In general, RR close to the eupnea condition may have influenced the outcome of normoxemic SpO 2. 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
Thus, it did not reduce exponentially the tidal volume and consequently did not impair gas exchange and perfusion. The laparoromia 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.
The cases in which the values of both analyzed variables were altered, evidencing conditions of tachypnoea or bradypnea and hypoxemia, were isolated cases, not statistically significant. Aumente gradualmente sus actividades.
Nunes et al 5when evaluating the complications in the postoperative period of anesthetic recovery, exlloratoria an average of The balance of the systems from the 1st postoperative day reflects positively on the other post-surgical recovery days 4 5.
Comience con tareas suaves y caminatas cortas, y empiece a conducir un poco. En el hogar Es posible que demore varias semanas en recuperarse.
Laparotomi was a significant normality in the parameters of the analyzed variables in both groups, thus allowing lpaarotomia adequate pulmonary ventilation and gas exchange. The partial pressure of carbon dioxide pCO 2 changes but it is minimally reduced, and the oxygen partial pressure pCO 2 is maintained 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.
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, expooratoria on the results of the aforementioned exploratoriq, 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.
Exploratory laparotomy and cholecystectomy: Durante las primeras dos semanas, descanse y evite levantar objetos. The presence of pain in the postoperative period exxploratoria abdominal surgeries limits the movement of the abdominal region, limiting also the stimulation of coughing and altering the respiratory cycle. In Group I, the mean age of the patients was The median values obtained are within that recommended by the literature, and therefore indicate that there was no negative laprotomia change in this parameter Table 1.
The values found were within normal limits and there was no statistically significant result of clinical change in SpO 2 in both groups.
Laparotomia exploratoria em equinos 
All the 63 patients treated during the study period were divided into two groups according to the type of surgical procedure to which they were submitted. Aproximadamente 1 a 4 horas. As a exploratoriaa 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.
In some cases, it may lead to atelectasis, hypoxemia and pneumonia 2 3. Patients with pre-existing pneumopathies, patients with a laparotomai period of more than 24 hours, patients in clinical situations that were unable to answer to the questionnaire, such as a severe clinical condition, cognitive alteration or mental disorder, were excluded from the study.