Abstract
to evaluate the evolution of clinical indicators that characterize airway permeability in patients in the postoperative period of thoracoabdominal surgeries and to analyze their relationship with the occurrence of the diagnosis "ineffective airway clearance". descriptive, quantitative, longitudinal research with 60 patients who were followed for five consecutive days. Eleven indicators of the nursing outcome "respiratory status: airway permeability" were used. on the first day of evaluation, the most compromised indicators were: respiratory rate, cough, depth of breath and use of accessory muscles. During follow-up, most of the indicators presented a slight deviation from normal variation and, in the last evaluation, there was a predominance of indicators with some degree of impairment. with the aid of the Nursing Outcomes Classification, it was observed that patients submitted to thoracoabdominal surgeries may present compromised airway permeability even days after surgery.
Highlights
The postoperative period (PO) represents a critical phase in which the patient needs complex care, with a focus on the prevention and detection of complications from the anesthetic and surgical procedures, aimed at a safe recovery[1]
The literature indicates that the surgical site is the most important factor for determination of postoperative pulmonary complications (POPC), which occur in 1040% of the cases of patients whose surgical incision is in the upper abdomen or in the thorax[5]
It was verified that there are clinical indicators associated with the evaluation of airway permeability that present a greater degree of impairment in the first 48 postoperative hours of surgeries performed in the thoracic and/or abdominal regions to the detriment of others, namely: respiratory rate, cough, depth of breath and use of accessory muscles
Summary
The postoperative period (PO) represents a critical phase in which the patient needs complex care, with a focus on the prevention and detection of complications from the anesthetic and surgical procedures, aimed at a safe recovery[1]. This criticality is due to physiological alterations resulting from the surgical process, mainly those of respiratory origin, especially when the procedure is performed in the thoracic and upper abdominal regions, since this type of surgery interferes directly with pulmonary mechanics, leading to ventilatory disorders[2,3]. We highlight the identification of nursing diagnoses, which serves as a basis for directing nursing interventions and assessing the care implemented[7]
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