Immediate postoperative nursing care for appendectomy in the post-anesthesia care unit: an integrative review
DOI:
https://doi.org/10.55892/jrg.v7i14.1023Keywords:
Nurses, Male, Appendectomy, Anesthesia Recovery Period, Postoperative ComplicationsAbstract
Introduction: Appendicectomy is the surgical removal of the appendix, commonly performed to treat acute appendicitis. Despite being a routine procedure, it requires meticulous immediate post-operative care to ensure a safe recovery and prevent serious complications. Objective: To discuss the role of nurses as described in the literature in the immediate postoperative care of patients undergoing appendectomy in the post-anesthetic care unit. Methodology: A qualitative approach was used through integrative review. The research was conducted on articles published in Portuguese and English, from 2018 to 2023, selected from the databases LILACS, BDENF, and MEDLINE via the Virtual Health Library (VHL), totaling 15 studies that met the inclusion criteria. Discussion: Two main categories were identified that highlight the critical role of nurses during immediate post-operative care: (1) Management of initial recovery and patient stabilization, and (2) Prevention of complications and promotion of well-being. Evidence suggests that nursing intervention is vital to minimize risks and optimize recovery. Conclusion: Nurses play an indispensable role in the immediate post-appendicectomy follow-up, emphasizing the importance of continuous vigilance and proactive action in preventing complications, thus ensuring an effective and safe recovery process.
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References
ABU FOUL et al; 2019; Is early appendectomy in adults diagnosed with acute appendicitis mandatory? A prospective study; World J Emerg Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30651750; Acesso em: 12 de Nov de 2023.
AL BUSAIDI et al; 2021; Complications of appendectomy and cholecystectomy in acute care surgery: A systematic review and meta-analysis.; J Trauma Acute Care Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32544106; Acesso em: 12 de Nov de 2023.
CHISUM et al; 2021; Post operative pediatric appendicitis nurse-driven discharge: Patient outcomes and nursing perspectives; Am J Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32360028; Acesso em: 12 de Nov de 2023.
CURROW et al; 2020; Current technical surgical practice of emergency appendicectomy: a cross-sectional survey of surgical registrars in the UK.; Ann R Coll Surg Engl; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32501113; Acesso em: 12 de Nov de 2023.
DAMOUS et al; 2023; Challenges to implement laparoscopic appendectomy as the first-line treatment for acute appendicitis: a fifteen-year experience in a tertiary hospital in Brazil; Rev Col Bras Cir; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-37222347?lang=pt; 12 de Nov de 2023.
DE WIJKERSLOOTH; VAN DEN BOOM; WIJNHOVEN; 2019; Variation in Classification and Postoperative Management of Complex Appendicitis: A European Survey; World J Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30255334; Acesso em: 12 de Nov de 2023.
DIAS, AR. Preparando uma equipe cirúrgica de alto desempenho: lições de 11 mil cirurgias. Revista da Associação Médica Brasileira, v. 11, pág. 1548–1552, nov. 2020.; Disponível em: https://doi.org/10.1590/1806-9282.66.11.1548; Acesso em: 12 de Nov de 2023.
DILL et al; 2018; Percepções acerca de um instrumento para avaliação e alta da sala recuperação pós-anestésica; Rev. pesqui. cuid. fundam. (Online); Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-906396; Acesso em: 12 de Nov de 2023.
DURMAZ et al; 2019; The Effect of Web-Based Preoperative and Postoperative Patient Care Education on Nursing Students: A Randomized Controlled Study; Comput Inform Nurs; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31373901; Acesso em: 12 de Nov de 2023.
GERARD et al; 2018; Post-operative management of perforated appendicitis: Can clinical pathways improve outcomes?; Am J Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-28629607; Acesso em: 12 de Nov de 2023.
GOODMAN et al; 2021; Single site versus conventional laparoscopic appendectomy: some pain for no gain?; J Surg Res; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-33848830; Acesso em: 12 de Nov de 2023.
GUTIERREZ, M. et al.. Apendicectomia: fatores prognósticos no sistema único de saúde brasileiro. Revista da Associação Médica Brasileira, v. 11, pág. 1493–1497, nov. 2020; Doi: https://doi.org/10.1590/1806-9282.66.11.1493; Acesso em: 12 de Nov de 2023.
KHAN et al; 2018; Learning beyond the operating room: a call for feedback on postoperative care; Can J Anaesth; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29744814; Acesso em: 12 de Nov de 2023.
LOUREIRO, ACCF; BARBOSA, LER. Apendicectomia e Doença de Crohn. Revista de Coloproctologia (Rio de Janeiro), v. 4, pág. 373–380, fora. 2019; Doi: https://doi.org/10.1016/j.jcol.2017.12.004; Acesso em: 12 de Nov de 2023.
MARCONI, M. A.; LAKATOS, E. M. Fundamentos de metodologia científica. 2010. São Paulo: Editora Atlas.
MARTINS et al; 2019; O enfermeiro frente às complicações da hipotermia no pós-operatório imediato; Rev. enferm. UFPI; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1103387; Acesso em: 12 de Nov de 2023.
MINAYO, M. C. de S. 2011. (Org.). et al. Pesquisa social: Teoria, método e criatividade. 30. ed. Petrópolis, RJ: Vozes.
MORI et al; 2022; Effect of intensive care provided by nurse practitioners for postoperative patients: A retrospective observational before-and-after study; PLoS One; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-35061830; Acesso em: 12 de Nov de 2023.
NASCIMENTO, JHFD et al.. Comparação de resultados e custo-efetividade de apendicectomias laparoscópicas e abertas em serviços públicos de saúde. Revista do Colégio Brasileiro de Cirurgiões, v. 48, p. e20213010, 2021; Doi: https://doi.org/10.1590/0100-6991e-20213010; Acesso em: 12 de Nov de 2023.
OLIVEIRA, ALG DE. et al.. Apendicectomia videolaparoscópica: análise prospectiva de 300 casos. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) , v. 2, pág. 69–72, jun. 2008; Doi: https://doi.org/10.1590/S0102-67202008000200006; Acesso em: 12 de Nov de 2023.
PARREIRA, JG et al.. Manejo da apendicite aguda durante a pandemia de COVID-19: Visões de duas sociedades cirúrgicas brasileiras. Revista do Colégio Brasileiro de Cirurgiões, v. 48, p. e20202717, 2021; Doi: https://doi.org/10.1590/0100-6991e-20202717; Acesso em: 12 de Nov de 2023.
POCARD, M; PAUTRAT, K; 2018; Yes, there is still a place for on-call nighttime surgery for acute appendicitis!; J Visc Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29066212; Acesso em: 12 de Nov de 2023.
TSAO, KUOJEN; 2021; Response Regarding: Standardized Care and Oral Antibiotics on Discharge for Pediatric Perforated Appendicitis; J Surg Res; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-34905821; Acesso em: 12 de Nov de 2023.
TURCOTTE et al; 2022; Does Wound Management Technique Impact Surgical Site Infection in Open Emergency Colon Procedures?; Am Surg; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-33382343; Acesso em: 12 de Nov de 2023.
VENTURA et al; 2018; O impacto do cuidado lúdico no pós-operatório imediato; Rev. Pesqui. (Univ. Fed. Estado Rio J., Online); Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-916065; Acesso em: 12 de Nov de 2023.
WILLIAMS et al; 2021; Appendicitis Mortality in a Resource-Limited Setting: Issues of Access and Failure to Rescue; J Surg Res; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-33129505; Acesso em: 12 de Nov de 2023.
XAVIER et al; 2018; Avaliação da dor pós-operatória sob a ótica do enfermeiro; Rev. enferm. UFPE on line; Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-995861; Acesso em: 12 de Nov de 2023.
