科研之友
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摘要
objective: elaborating and applying a patient evaluation instrument in the immediate postoperative period (ipop) after general anesthesia, based on the advanced trauma life support protocol. methods: 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, 2007. results: 93.5% of the patients were observed to have pervious airways; however, 92.2% of them needed oxygen supplementation. there were alterations in pulmonary auscultation in 15.6% of the patients, hypotension in 16.9% and hypothermia in 23.4%. a statistically significant difference was also observed, suggesting that women have better recovery conditions than men. conclusion: the physical exam in the sequence proposed by the trauma abcde allowed for the identification of the main physiological alterations in the ipop, contributing for nursing care.
