Immediate postoperative complications of myocardio revascularization
DOI:
https://doi.org/10.5327/Z1414-4425201900040008Keywords:
Enfermagem, Centro cirúrgico, Pós operatório de Cirurgias cardíacasAbstract
Objective: To verify the main complications of myocardial revascularization (MR) with cardiopulmonary bypass (CPB) and its association with modifiable and non-modifiable risk factors, nursing diagnoses, CPB time and nursing workload. Method: Retrospective cohort through analysis of 50 medical records of adult patients undergoing MR with CPB between 2012 and 2017. Project approved by the Research Ethics Committee Report No. 1969823. Results: The sample was predominantly male (70%), with a mean age of 62.1 years (standard deviation - SD ± 9.98). The mean CPB time was 124 minutes (SD ± 0.46). Postoperative complications occurred in 52% of the 50 patients analyzed, with bleeding being the most frequent (16%). The most frequent nursing diagnosis was risk of infection (92%). It was found that nursing staff care was most needed by patients with postoperative hypotension (p = 0.003) and arrhythmia (p = 0.000). Conclusion: Knowledge of postoperative complications associated with the patients helps develop more appropriate care plansReferences
Nascimento LS, Dias RM, Dutra CDT, Silva LMC, Pedrosa LN, Araújo JS, Frazão AGF. Fatores de risco para doenças crônicas não transmissíveis e variáveis sociodemográficas de servidores públicos. Rev Bras Promoç Saúde. 2015; 28(2): 230-239. Disponível em: http://periodicos.unifor.br/RBPS/article/view/3570/pdf
Colósimo FC, Sousa AG, Silva GS, Piotto RF, Pierin AMG. Hipertensão arterial e fatores associados em pessoas submetidas à cirurgia de revascularização do miocárdio. Rev Esc Enferm USP. 2015; 49 (2): 20-201. Disponível em: http://www.revistas.usp.br/reeusp/article/view/103182/101581
Koerich C, Lanzoni GMM, Erdmann AL. Factors associated with mortality in patients undergoing coronary artery bypass grafting. Rev. Latino-Am.Enfermagem. 2016;24 : 1-9. Available from: http://www.revistas.usp.br/rlae/article/view/124906/121758
Carvalho ARS, Matsuda LM, Carvalho MSS, Almeida RMSSA, Schneider DSLG. Complicações no pós operatório de Revascularização miocárdica. Ciência, Cuidado e Saúde, Maringá. 2008; 5 (1): 50-59. Disponível em: http://ojs.uem.br/ojs/index.php/CiencCuidSaude/article/viewFile/5111/3326
Torrati FG, Dantas RAS. Extracorporeal circulation and complications during the immediate postoperative period for cardiac surgery. Acta paul. enferm. [Internet]. 2012 [cited 2018 abril 25]; 25(3): 340-345. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000300004&lng=en. http://dx.doi.org/10.1590/S0103-21002012000300004.
BRASIL. Conselho Nacional de Saúde. Resolução 466 de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília, 2012. Disponível em: http://conselho.saude.gov.y-passlmoes/2012/Reso466.pdf
Queijo AF, Padilha KG. NURSING ACTIVITIES SCORE (NAS): adaptação transcultural e validação para a lingua portuguesa. Rev Esc Enferm USP. 2009; 43: 1-8. Disponível em: http://www.scielo.br/pdf/reeusp/v43nspe/a04v43ns.pdf
Soares GMT, Ferreira DCS, Gonçalves MPC, Alves TGSA, David FL, Henriques KMC, Riani LR. Prevalência das Principais Complicações Pós-Operatórias em Cirurgias cardíacas. Rev. Bras Cardiologia. [Internet] ] 2011; 24(3): 139-146. Disponível em: http://sociedades.cardiol.br/socerj/revista/2011_03/a_2011_v24_n03_01prevalencia.pdf
Quadros FF, Gutierrez LLP, Ribeiro JL. Obesidade e fatores de risco cardiovascular em filhos de obesos: uma revisão. Scientia Medica. 2013; 23 (2): 119-126. Disponível em: http://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/viewFile/11675/9653
Oliveira JLM, Hirata MH, Sousa AGMR, Gabriel FS, Hirata TDC, Tavares IS, Melo LD, Dória FS, Sousa ACS, Pinto IMF. Sexo Masculino e Hipertensão Arterial São Preditores de Placa à Angiotomografia das Coronárias. Arq Bras Cardiol. 2015; 104(5): 409-416. Disponível em: http://www.scielo.br/pdf/abc/v104n5/pt_0066-782X-abc-20150028.pdf
NANDA. Diagnósticos de enfermagem da NANDA; definições e classificação 2011-2014. Porto Alegre, 2013.
SOBEST. Classificação das Lesões por Pressão – Consenso NPUAP 2016. Adaptada culturalmente para o Brasil. Disponível em: http://www.sobest.org.br/textod/35
Rocha LA, Maia TF, Silva LF. Diagnósticos de enfermagem em pacientes submetidos à cirurgia cardíaca. Rev Bras. Enferm. 2006; 59(3): 321-326. Disponível em: http://www.scielo.br/scielo.php?pid=S0034-71672006000300013&script=sci_arttext&tlng=pt
Henriques LS, Forte WC. Alterações imunológicas pós circulação extracorpórea. Rev Bras alergia e imunopatologia. 2000; 234: 1-4. Disponível em: http://www.asbai.org.br/revistas/Vol234/alt.htm
Sobral ML, Santos FS Jr, Sá JC et al. Aperfeiçoamento em técnica de perfusão cardioplégica no pinçamento único de aorta - resultados iniciais. Rev Bras Cir Cardiovasc. 2014; 29(2): 229-234. Disponível em: http://www.scielo.br/pdf/rbccv/v29n2/0102-7638-rbccv-29-02-0229.pdf
Christensen MC, Krapf S, Kempel A, Heyman CV. Costs of excessive postoperative hemorrhage in cardiac surgery. J Thorac Cardiovasc Surg. 2009;133 (3): 687-693. Disponível em: https://www.jtcvs.org/article/S0022-5223(09)00324-9/fulltext
Oliveira JLM, Hirata MH, Sousa AGMR, Gabriel FS, Hirata TDC, Tavares IS, Melo LD, Dória FS, Sousa ACS, Pinto IMF. Sexo Masculino e Hipertensão Arterial São Preditores de Placa à Angiotomografia das Coronárias. Arq Bras Cardiol. 2015; 104(5): 409-416. Disponível em: http://www.scielo.br/pdf/abc/v104n5/pt_0066-782X-abc-20150028.pdf
Oliveira JMA, Silva AMF, Cardoso AB, Lima FF, Zierer MS, Carvalho ML. Complicações no pós-operatório de cirurgia cardiovascular com circulação extracorpórea. R. Interd. 2015; 8(1): 09-15. Disponível em: https://revistainterdisciplinar.uninovafapi.edu.br/index.php/revinter/article/view/584/pdf_177
Kapadohos T, Angelopoulos E, Vasileiadis I, Nanas S, Kotanidou A, Karabinis A, Marathias K, Routsi C. Determinants of prolonged intensive care unit stay in patients after cardiac surgery: a prospective observational study. J Thorac Dis. 2017; 9(1): 70-79. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303108/
Altafin JF, Grion CM, Tanita MT. et al., Nursing Activities Score e carga de trabalho em unidade de terapia intensiva de hospital universitário. Ver Bras Ter Intensiva, 2014;26(3): 292-298. Disponível em: http://www.scielo.br/pdf/rbti/v26n3/0103-507X-rbti-26-03-0292.pdf
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.
