Non invasive monitoring, hydro-mineral balance and care management during perisurgery in children. Bayamo, 2007
Keywords:
PERIOPERATIVE CARE /nursing, MONITORING, PHYSIOLOGIC, WATER-ELECTROLYTE BALANCE, CHILDAbstract
The majority of pediatric patients requiring anesthesia and sedation only need non-invasive monitoring, which use is low risk and the information they provide is useful. The fact of improving quality in patient attention requires nursing, surgery, and anesthesia crew work together to give an effective attention needed for optimal well-being of patient during the whole surgical experience. It was made an observational descriptive study with the objective of applying a control register for internal medium, according to the volumes of liquid given in or obtained from patient based on nurses observation, and non invasive monitoring, with interdisciplinar collaborative actions during perisurgery. Population was composed by 36 patients to which a surgery was carried out with an our duration at University Hospital Carlos M. de Cespedes, and who were transferred to the Pediatric Intensive Unit. Seventy seven point seven per cent of cases were an urgency, 58,3% constituted an acute abdomen, 22,2% digestive malformations and abdominal tumors, and 19,4% neurosurgery affections. Fever, vomits, diarrhea, and few saliva were symptoms and signs more frequently detected at preoeperatory, being fever, vomits, few saliva, thirst, distal coldness, and weak pulse, the principal findings at postoperatory. Only in 16 cases it was made an adequate hydroelectrolitical balance before operation, being negative in 5 of them. Adequate control transoperatory was achieved in 27 patients, it was not achieved a positive balance in 9 patients. During postoperatory there was achieved a correct balance in 29 patients, being positive in 20, and negative in 9 children. The precise register of intern medium by the method proposed is able to reflect in a meticulous way hydroelectrolitical balance, although it requires a better control of processes.
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