Abstract

LOPES, Rafael Oliveira Pitta et al. Complications in immediate postoperative recovery from elective cardiac surgery: a cross-sectional study based on Roy's theory. Rev. Enf. Ref. [online]. 2019, vol.serIV, n.22, pp.23-32. ISSN 0874-0283.  https://doi.org/10.12707/RIV19042.

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.

Keywords : thoracic surgery; cardiovascular surgical procedures; postoperative complications; nursing theory; nursing.

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