Complications in immediate postoperative recovery from elective cardiac surgery: a cross-sectional study based on Roy’s theory

Authors

DOI:

https://doi.org/10.12707/RIV19042

Keywords:

thoracic surgery, cardiovascular surgical procedures, postoperative complications, nursing theory, nursing

Abstract

Background: Postoperative complications can be understood as an ineffective response of the Roy adaptation model to the coping process generated by elective cardiac surgery.

Objectives: To identify the complications in the immediate postoperative period of adults and elderly patients submitted to elective cardiac surgery with extracorporeal circulation; To categorize immediate postoperative complications as ineffective responses of the physiological mode of the human adaptive system.

Methodology: Retrospective, cross-sectional, exploratory, and descriptive observational study. The immediate postoperative records of 230 patients who underwent surgery with extracorporeal circulation performed between January and December 2013, 2014, and 2015 were analyzed.

Results: In the immediate postoperative period, 423 complications were identified, mostly related to fluid, electrolyte, and acid-base balance and endocrinal function.

Conclusion: The reading of postoperative complications as ineffective adaptive responses extends the need for evaluation and intervention of the nursing team during the postoperative period, ensuring unique disciplinary management.

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References

Akhtar, S., Barash, P. G., & Inzucchi, S. E. (2010). Scientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control. Anesthesia & Analgesia, 110(2), 478–497. doi:10.1213/ANE.0b013e3181c6be63.

Aneman, A., Brechot, N., Brodie, D., Colreavy, F., Fraser, J., Gomersall, C., … Vallely, M. (2018). Advances in critical care management of patients undergoing cardiac surgery. Intensive Care Medicine, 44(6), 799–810. doi:10.1007/s00134-018-5182-0.

Beccaria, L. M., Cesarino, C. B., Werneck, A. L., Góes, N. C., Dos Santos, K. S., & Machado, M. D. N. (2015). Complicações pós-operatórias em pacientes submetidos à cirurgia cardíaca em hospital de ensino. Revista Arquivos de Ciências da Saúde, 22(3), 37. doi:10.17696/2318-3691.22.3.2015.216.

Choi, Y. J., Yoon, S. Z., Joo, B. J., Lee, J. M., Jeon, Y.-S., Lim, Y. J., … Ahn, H. (2017). Postoperative excessive blood loss after cardiac surgery can be predicted with International Society on Thrombosis and Hemostasis scoring system. Brazilian Journal of Anesthesiology (English Edition), 67(5), 508–515. doi:10.1016/j.bjane.2016.12.001.

Ferraris, V. A., Ferraris, S. P., Saha, S. P., Hessel, E. A., Haan, C. K., Royston, B. D., … Body, S. (2007). Perioperative Blood Transfusion and Blood Conservation in Cardiac Surgery: The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists Clinical Practice Guideline. The Annals of Thoracic Surgery, 83(5), S27–S86. doi:10.1016/j. athoracsur.2007.02.099.

Fröjd, V., & Jeppsson, A. (2016). Reexploration for Bleeding and Its Association With Mortality After Cardiac Surgery. The Annals of Thoracic Surgery, 102(1), 109–117. doi:10.1016/j.athoracsur.2016.01.006.

Gao, M., Sun, J., Young, N., Boyd, D., Atkins, Z., Li, Z., … Liu, H. (2016). Impact of Body Mass Index on Outcomes in Cardiac Surgery. Journal of Cardiothoracic and Vascular Anesthesia, 30(5), 1308–1316. doi:10.1053/j.jvca.2016.03.002.

Jesus, B. M. de, Silva, S. R. da, Carreiro, D. L., Coutinho, L. T. M., Santos, C. A., & Coutinho, W. L. M. (2016). Relationship between Burnout Syndrome and health conditions among Army Military. Tempus, Actas de Saúde Coletiva, 10(2), 11-28. doi:10.18569/tempus.v10i2.1606.

Koerich, C., Lanzoni, G. M. de M., & Erdmann, A. L. (2016). Factors associated with mortality in patients undergoing coronary artery bypass grafting. Revista Latino-Americana de Enfermagem, 24(0). doi:10.1590/1518-8345.0708.2748.

Liskaser, F., Story, D. A., Hayhoe, M., Poustie, S. J., Bailey, M. J., & Bellomo, R. (2009). Effect of Pump Prime on Acidosis, Strong-ion-difference and Unmeasured Ions during Cardiopulmonary Bypass. Anaesthesia and Intensive Care, 37(5), 767–772. doi:10.1177/0310057X0903700512.

Nascimento, M. S. do, Aguiar, T. C., Silva, A. V. E. da, Duarte, T. T. da P., & Magro, M. C. da S. (2015). Lesão renal aguda no pós-operatório de cirurgia cardíaca. Acta Paulista de Enfermagem, 28(4), 367–373. doi:10.1590/1982-0194201500062.

Oliveira, J. M. A. de, Silva, A. M. F., Cardoso, S. de B., Lima, F. F., Zierer, M. de S., & Carvalho, M. L. (2015). Complicações no pós-operatório de cirurgia cardiovascular com circulação extracorpórea. Revista Interdisciplinar, 8(1), 9–15.

O’Neal, J. B., Shaw, A. D., & Billings, F. T. (2016). Acute kidney injury following cardiac surgery: current understanding and future directions. Critical Care, 20(1), 187. doi:10.1186/s13054-016-1352-z.

Roy, S. C. (2009). Roy Adaptation Model (3th ed). Boston: Pearson, Prentice Hall.

Roy, S. C. (2011). Research Based on the Roy Adaptation Model: Last 25 Years. Nursing Science Quarterly, 24(4), 312–320. doi:10.1177/0894318411419218

Santos, M. B. K. dos, Silveira, C. R., Moraes, M. A. P. de, & Souza, E. N. de. (2016). Desfechos clínicos de pacientes submetidos à cirurgia cardíaca em um hospital do noroeste do Rio Grande do Sul. Revista de Enfermagem da UFSM, 6(1), 102. doi:10.5902/2179769216467.

Soares, G. M. T., Ferreira, D. C. D. S., & Gonçalves, M. P. C. (2011). Complicações Em Cirurgia Cardíaca 2011. 24(3), 139–146.

Torres, P., Duarte, T. T. da P., & Magro, M. C. da S. (2017). Acute Kidney Injury: Common Problem In The Postoperative Period After Valve Surgery. Revista de enfermagem UFPE-online, 11(11), 4311–4318. doi:10.5205/reuol.23542-49901-1-ED.1111201706.

World Health Organization. (2017). Cardiovascular Diseases. Recuperado 28 de junho de 2019, de Cardiovascular Diseases - WHO website: https://www.who.int/health-topics/cardiovascular-diseases/.

Zheng, Z., Jayaram, R., Jiang, L., Emberson, J., Zhao, Y., Li, Q., … Casadei, B. (2016). Perioperative Rosuvastatin in Cardiac Surgery. New England Journal of Medicine, 374(18), 1744–1753. doi:10.1056/NEJMoa1507750.

Published

2019-09-30

How to Cite

Lopes, R. O. P., Castro, J. de, Nogueira, C. S. C., Braga, D. V., Gomes, J. R., Silva, R. C. da, & Brandão, M. A. G. (2019). Complications in immediate postoperative recovery from elective cardiac surgery: a cross-sectional study based on Roy’s theory. Journal of Nursing Referência, 4(22), 23–32. https://doi.org/10.12707/RIV19042

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Section

Research Articles