Evaluation of a Safety Protocol for the Management of Thirst in the Postoperative Period.


Journal

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
ISSN: 1532-8473
Titre abrégé: J Perianesth Nurs
Pays: United States
ID NLM: 9610507

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 25 05 2019
revised: 25 07 2019
accepted: 25 07 2019
pubmed: 23 12 2019
medline: 21 4 2021
entrez: 23 12 2019
Statut: ppublish

Résumé

To associate medications, anesthetic techniques, and clinical conditions that interfere in the time of patient approval in the safety protocol for thirst management. A quantitative, analytical, and longitudinal study conducted in Southern Brazil. A nonprobabilistic sample, of 203 adult patients in the immediate postoperative period, evaluated every 15 minutes for 1 hour. A general prevalence of thirst of 67.7%, and mean intensity of 6.38. Fentanyl, morphine, rocuronium, and sevoflurane increased lack of approval in the protocol within 30 minutes (P < .05). General anesthesia (P < .0001) and level of consciousness (95.4%) presented the highest nonapproval rates. Anesthetics and general anesthesia delayed protocol approval; however, after 30 minutes, 75.4% of patients had been approved. Level of consciousness was the main criterion of disapproval. The protocol identified crucial clinical conditions that made it impossible for the patient to receive thirst relief strategies and demonstrated that thirst can be satiated precociously with safety.

Identifiants

pubmed: 31864832
pii: S1089-9472(19)30367-3
doi: 10.1016/j.jopan.2019.07.005
pii:
doi:

Substances chimiques

Adjuvants, Anesthesia 0
Anesthetics, Inhalation 0
Sevoflurane 38LVP0K73A
Fentanyl UF599785JZ

Types de publication

Journal Article

Langues

eng

Pagination

193-197

Informations de copyright

Copyright © 2019 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

Auteurs

Natiely Haila Motta (NH)

Nursing Department, State University of Londrina, Londrina, Paraná, Brazil. Electronic address: natielyhaila@hotmail.com.

Leonel Alves do Nascimento (LA)

Nursing Department, State University of Londrina, Londrina, Paraná, Brazil.

Isadora Pierotti (I)

Nursing Department, State University of Londrina, Londrina, Paraná, Brazil.

Marília Ferrari Conchon (MF)

Nursing Department, State University of Londrina, Londrina, Paraná, Brazil.

Lígia Fahl Fonseca (LF)

Nursing Department, State University of Londrina, Londrina, Paraná, Brazil.

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Classifications MeSH