RESUMO
Variability in glycaemia in revascularized patients in the immediate postoperative period was studied in order to determine the presence of hyperosmolar hyperglycaemia coma, ketogenic and non-ketogenic, and the relation with hemodynamic changes. It was found that 15 patients (9.2%) from the Arteriology Service and two patients (7.1%) from the Diabetes Angiopathy Service had a non-ketogenic hyperglycaemic hyperosmolar coma and there was no ketogenic hyperglycaemic hyperosmolar coma. There were 32 patients (16.8%) with hemodynamic changes who had mild and moderate hyperglycaemia in the immediate postoperative period.
Assuntos
Glicemia/análise , Enfermagem Perioperatória/métodos , Procedimentos Cirúrgicos Vasculares , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Hiperglicemia/sangue , Hiperglicemia/enfermagem , Hipoglicemia/sangue , Hipoglicemia/enfermagem , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/sangue , Complicações Pós-Operatórias/enfermagem , Período Pós-OperatórioRESUMO
Heart rate changes during the immediate postoperative period were studied in 190 patients that underwent revascularization surgery. At the same time, other cardiovascular complications in those patients were analyzed. In 89 patients (46.8%), cardiovascular antecedents were found. Ischemic heart disease was found in 84 patients (44.2%). The most common cardiac arrhythmia was found to be sinus tachycardia, which was seen in 87 patients (45.7%). Following in order of frequency were supraventricular extrasystoles together with ventricular extrasystoles in 18 patients (9.4%) and isolated ventricular extrasystoles in 16 (8.4%). The most common cardiovascular and hemodynamic complications, both associated and as predisposing causes, were high blood pressure in isolation or combined with heart failure found in 58 (30.5%) and 8 (4.3%) patients, respectively. Hypokalemia played an important role since it was found in 105 patients (55.3%), 90 of whom had cardiac arrhythmia (85.7%). Seven revascularized patients (3.7%) died due to cardiovascular causes.