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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.

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For verbal responses at admission, 35 The score indicated for intra-hospital discharge lies between 8 and 10 7.

A statistically significant difference was also observed, suggesting that women have better recovery conditions than men. From an anesthetic viewpoint, the patient can be discharged from the PARR if: This instrument also contributed for the systematization and documentation of the care provided to the patient in IPOP.

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The adopted level of significance was 0. The apdrete of the study was the creation of an instrument based on the ATLS protocol, using the Trauma ABCDE, which aims to aid in reducing the incidence of complications at the PARR through early detection of physical alterations, which were achieved through a comprehensive cephalic-caudal physical examination, as required by the instrument Appendix A.

At 30 minutes, the average was The main complications analyzed were related to anesthesia, which suggests the implementation of nursing care directed to prevention and early detection of such aldrets 5.

At discharge, 76 Three nurses were chosen to evaluate the instrument contents 12alfrete knowledge in the area of anesthetic recovery and trauma, with the purpose of refining the definition of the items and evaluate their pertinence.


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RESULTS Seventy-seven patients were evaluated, who had been submitted to different types of surgical-anesthetic actions from the following areas: To perform curettage, patients are submitted to general anesthesia through inhalation, and this one, compared to or combined with endovenous anesthesia is associated to faster anesthetic recovery.

However, patients are known to present the main complications in the first hours after the surgical-anesthetic procedures, and thus need continuous observation and specific care, justifying the necessity of being referred to the anesthetic recovery room 2.

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

At the moment of discharge, 70 Blood pressure evaluated in phase C made hypotension evident in The post-anesthetic recovery period has its own particularities, due to the effects of the surgical-anesthetic act in our organism 3and it is considered critical, a reason why the nursing care must be increased and documented, preferably in instruments that are adequate for this type of patient.

This is a common and worrying complication in the postoperative period. In phase A, This scale considers the assessment of physiological conditions, and was inspired in Apgar’s scale for the evaluation of newborns.

At discharge, this value increases to an average of An instrument was created, based on the Trauma ABCDE and applied in the post-anesthetic recovery room in all adult patients submitted to surgeries under the effect of general anesthesia, from September to November, Postoperative period; Nursing Care; Wounds and injuries. Hypoventilation is commonly observed after anesthesia, during the depression of the central nervous system due to residual effects of potent anesthetics and analgesics Authors 13 state that the nursing evolution must contain these items: Scores were assigned to each phase of the evaluation.


It should be noted that surgical-anesthetic actions at the GO clinic were the most frequent in this study, at Elaborating and applying a patient evaluation instrument in the immediate postoperative period IPOP after general anesthesia, based on the Advanced Trauma Life Support protocol.

Therefore, phase A consists of five items of assessment that sum up to 30 points. The scores were distributed according wldrete 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.

The last phase of the instrument, phase E, evaluates body exposure with hypothermia control. In an exploratory descriptive study performed with children and adults in a PARR, 32 complications were found in adults and five in children. Among these, the respiratory tract disorders are the most common