Rotinas de cuidados pós-anestésicos de anestesiologistas brasileiros

Getúlio Rodrigues de Oliveira Filho

doi:10.1590/S0034-70942003000400012

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Rotinas de cuidados pós-anestésicos de anestesiologistas brasileiros

Postanesthetic routines of Brazilian anesthesiologists

Getúlio Rodrigues de Oliveira Filho

http://dx.doi.org/10.1590/S0034-70942003000400012 Braz J Anesthesiol, vol.53, n4, p.518-534, 2003

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Resumo

JUSTIFICATIVA E OBJETIVOS: Não existem dados sobre a disponibilidade de equipamentos nas Salas de Recuperação Pós-Anestésica (SRPA), as rotinas de monitorização e os critérios de alta pós-anestésica utilizados pelos anestesiologistas brasileiros. Este estudo visou obter estas informações. MÉTODO: Foi pesquisada uma amostra aleatória de 1123 anestesiologistas. Os dados foram analisados por tabulação simples e cruzada e por regressão logística. RESULTADOS: Foram analisados 271 questionários (26,59%). O estudo revelou que a maioria dos anestesiologistas atua em instituições que possuem SRPA equipadas com dispositivos de reanimação, fontes de oxigênio, aspiradores, cardioscópios, oxímetros de pulso e que mantêm anestesiologista de plantão. A existência de monitores de função neuromuscular e dispositivos de aquecimento ativo é menos freqüente. Em ordem decrescente de freqüência, são monitorizados rotineiramente a pressão arterial, a freqüência cardíaca, a SpO2, o nível de consciência, a patência das vias aéreas, a freqüência respiratória, as náuseas e vômitos, a dor pós-operatória e a força muscular. A oxigenioterapia, os antieméticos e o tratamento de calafrios pós-operatórios são administrados rotineiramente ou a pacientes selecionados pela maioria dos anestesiologistas. A maioria dos anestesiologistas registra os dados pós-anestésicos. CONCLUSÕES: Este estudo sugere que os anestesiologistas brasileiros preocupam-se com a segurança dos pacientes no período pós-anestésico imediato, conforme atestam a elevada disponibilidade de equipamentos e os percentuais expressivos de monitorização de parâmetros isolados. Algumas rotinas de monitorização precisam ser implementadas de acordo com as novas diretrizes de cuidados pós-anestésicos e os novos critérios de alta para pacientes ambulatoriais.

Palavras-chave

ANESTESIOLOGIA, ANESTESIOLOGISTA, RECUPERAÇÃO PÓS-ANESTÉSICA, RECUPERAÇÃO PÓS-ANESTÉSICA

Abstract

BACKGROUND AND OBJECTIVES: There are no data on Postanesthetic Care Units (PACU) equipment, monitoring routines and discharge criteria adopted by Brazilian anesthesiologists. This study aimed at obtaining such data. METHODS: A nationwide survey was conducted with a random sample of 1123 anesthesiologists. Data were analyzed by simple and cross tabulation and logistic regression. RESULTS: Two hundred seventy-one questionnaires (26.59%) were analyzed. The study showed that most anesthesiologists work in institutions with PACUs equipped with resuscitation equipment, oxygen sources, aspirators, cardioscopes, pulse oximeters and with an anesthesiologist on duty. Neuromuscular function monitors and active heating devices are less frequent. In a descending order of frequency, the following parameters are routinely monitored: blood pressure, heart rate, SpO2, consciousness level, airway patency, respiratory rate, nausea and vomiting, postoperative pain and muscle strength. Oxygen therapy, anti-emetics and postanesthetic shivering control are prescribed on a routine or selective basis by most anesthesiologists who also record postoperative data. CONCLUSIONS: This study suggests that Brazilian anesthesiologists are concerned about patients safety during postanesthetic recovery, as shown by high equipment availability in the PACU and expressive routine monitoring ratios of isolated parameters. Some monitoring routines should be implemented to comply with new guidelines on postanesthetic care and new discharge criteria for outpatient procedures.

Keywords

ANESTHESIOLOGIST, ANESTHESIOLOGY, POSTANESTHETIC RECOVERY, POSTANESTHETIC RECOVERY

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Rotinas de cuidados pós-anestésicos de anestesiologistas brasileiros

Postanesthetic routines of Brazilian anesthesiologists

Getúlio Rodrigues de Oliveira Filho

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