RESUMEN
JUSTIFICATIVA E OBJETIVOS: No período pós-operatório de pacientes pediátricos, pode ocorrer dor aguda de intensidade variável, e cabe aos enfermeiros e médicos avaliar e tratar a dor, ajudando as crianças a vivenciarem esta situação da forma menos traumática possível. Os objetivos deste estudo foram avaliar a incidência de dor e alterações dos parâmetros vitais, em crianças pré-escolares no pós-operatório imediato de cirurgias gerais, identificar os analgésicos prescritos e administrados no tratamento da dor, durante sua permanência na sala de recuperação anestésica (SRA). MÉTODO: Pesquisa de campo, descritivo-exploratória, prospectiva e quantitativa, com 32 crianças submetidas a cirurgias gerais e internadas na SRA de um hospital particular de São Paulo. RESULTADOS: A maioria dos pacientes era do gênero masculino, com idade predominante de 4 anos. As cirurgias mais realizadas foram adenoamigdalectomia, postectomia e adenoidectomia, sob anestesia geral e os analgésicos mais prescritos foram dipirona e paracetamol. Apenas duas crianças tiveram dor durante sua permanência na SRA, sendo medicadas com paracetamol e nalbufina, com regressão total da dor. CONCLUSÃO: A incidência de dor no pós-operatório imediato foi baixa, não havendo alterações significativas nos parâmetros vitais.
BACKGROUND AND OBJECTIVES: Children in the postoperative period may have acute pain of variable intensity, and it is up to nurses and physicians to evaluate and treat pain, helping children to live this situation in the least traumatic way. This study aimed at evaluating the incidence of pain and the change in vital parameters of preschoolers in the immediate postoperative period of general surgeries, in addition to identifying prescribed and administered analgesics to treat pain during their stay in the anesthetic care unit (ACU). METHOD: This was a field, descriptive-exploratory, prospective and quantitative research carried out with 32 children submitted to general surgeries and admitted to the ACU of a private hospital in São Paulo. RESULTS: Most patients were males, with predominant age of 4 years. Most common surgeries were adenotonsillectomy, postectomy and adenoidectomy under general anesthesia and most commonly prescribed analgesics were dipirone and paracetamol. Only two children had pain during their ACU stay, being medicated with paracetamol and nalbuphine, with total pain remission. CONCLUSION: Postoperative pain incidence was low, without significant changes in vital parameters.
Asunto(s)
Periodo de Recuperación de la Anestesia , Niño , Dimensión del Dolor , Dolor Postoperatorio , Sala de RecuperaciónRESUMEN
The objective of this research was to study the usefulness of nootkatone as a senescence indicator for Rouge La Toma cv. grapefruit (Citrus paradisi Macf.), simulating different treatments that included the normal postharvest handling of citrus fruits: temperature conditioning, cold storage, shipment periods to overseas markets such as Japan and the U.S., marketing conditions, and storage at nonchilling temperature (control treatments). The highest nootkatone levels, determined by GLC-MS analyses, were detected in fruits subjected to control treatments. No significant differences were observed in nootkatone levels between treatments either with or without temperature conditioning prior to the start of the cold storage. Levels of nootkatone increased throughout time for all assayed treatments. The linear regressions of nootkatone levels showed correlation coefficients of 0.80 and 0.83 with storage time (29 and 42 days, respectively). Therefore, nootkatone appears to be a good indicator of senescence for Rouge La Toma grapefruit.