Análise de conceito da Sede Perioperatória para o desenvolvimento de um novo diagnóstico de enfermagem

Nascimento, Leonel Alves do; Garcia, Aline Korki Arrabal; Conchon, Marilia Ferrari; Lopes, Marcos Venícios de Oliveira; Fonseca, Lígia Fahl

Leonel Alves do Nascimento Autor Correspondente: Leonel Alves do Nascimento E-mail: leonel_lan@hotmail.com

Universidade Estadual de Londrina. Londrina, Paraná, Brasil.

http://orcid.org/0000-0002-9590-6360

Aline Korki Arrabal Garcia

Universidade Estadual de Londrina. Londrina, Paraná, Brasil.

http://orcid.org/0000-0001-8648-9887

Marilia Ferrari Conchon

Universidade Estadual de Londrina. Londrina, Paraná, Brasil.

http://orcid.org/0000-0003-0393-1559

Marcos Venícios de Oliveira Lopes

Universidade Federal do Ceará. Fortaleza, Ceará, Brasil.

http://orcid.org/0000-0001-5867-8023

Lígia Fahl Fonseca

Universidade Estadual de Londrina. Londrina, Paraná, Brasil.

http://orcid.org/0000-0001-7550-9141

Autor Correspondente: Leonel Alves do Nascimento E-mail: leonel_lan@hotmail.com

EDITOR CHEFE: Dulce Barbosa

EDITOR ASSOCIADO: Mitzy Reichembach

Descritores	Número de Registros Obtidos	Artigos selecionados	Artigos analisados
thirst AND postoperative period	639	4	1
thirst AND perioperative period	215	7	5
thirst AND preoperative period	357	4	1
thirst AND nursing, recovery room	293	1	1
thirst AND mouth dryness	681	0	0
thirst AND saliva flow	393	0	0
thirst AND dry lips	1071	0	0
Total	3649	16	8

Atributos críticos	Fontes
Atributos viscerais	(5)(6)(8) (27) (35) (36)(36)
Atributos comportamentais	(2) (5)(6) (14) (36) (45) (46) (47)
Antecedentes	Fontes
Respiração oral	(29)
Desidratação	(17) (40)
Diabetes insiptus após cirurgia da pituitária	(29)
Tempo de jejum pré e pós-operatório prolongado	(5) (6) (8) (9)(18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) (30) (31) (32) (33) (34) (35)(37)(39)
Utilização de opioides e anticolinérgicos	(5)
Paciente cirúrgico	(36)
Controle hídrico	(9) (41) (46)
Boca seca	(1) (8) (19) (20) (28)
Perda insensível de hidratação pela utilização de gases anestésicos não umidificados	(40)
Agentes anestésicos causam vasodilatação e induzem a estados de relativa hipovolemia	(41) (45)
Hipovolemia	(17)
Fatores ambientais e físicos, como calor	(6)
Hábito de beber água	(6)
Uso de tampão nasal	(6)
Intubação	(6)
Desejo de beber algo refrescante	(1)
Mudanças na homeostase sanguínea, osmolaridade aumentada	(3) (14) (17)(45) (47)
Ansiedade	(8)
Drogas como atropina, escopalamina, biperideno causam boca seca	(48)
Rápida desidratação em crianças	(6)
Consequentes	Fontes
Boca seca	(5) (6)(8) (27)(35) (36)
Vontade de beber água	(5)(36)
Lábios ressecados	(5) (6) (8) (36)
Garganta seca	(5) (36)
Gosto ruim na boca	(5) (36)
Língua grossa	(5) (8)(36)
Boca amarga	(36)
Boca áspera	(36)
Boca irritada	(36)
Cansaço	(36)
Cavidade oral friável	(36)
Dificuldade de deglutição	(36)
Dor de cabeça	(36)
Fácil sangramento da cavidade oral	(36)
Garganta amarga	(36)
Garganta áspera	(36)
Hipossalivação, saliva grossa	(5) (8)(36)
Lábios rachados	(8)(36)
Língua seca	(36)
Mau hálito	(36)
Olhos ressecados, secos	(36)
Perda de apetite	(36)
Queimação na garganta	(36)
Queimação no estômago	(36)
Sonolência	(36)
Tontura	(36)
Vontade de engolir	(36)
Xerostomia	(36)
Choro, agitação	(6)
Relato do cuidador é importante com crianças e pacientes com dificuldades de comunicação	(6)
Lábios esbranquiçados	(6)
Dor na garganta	(6)
Constante deglutição de saliva	(6)
Comportamento de busca por água	(2)(6) (14) (45) (46) (47)

Definição
Experiência sensorial, fisiológica e subjetiva que se refere ao desejo de ingerir água visando restabelecer a homeostase dos líquidos corporais, gerando intenso desconforto quando não atendido.
Características Definidoras
Boca seca⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^-⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ^,⁸8 Silva LCJR, Aroni P, Fonseca LF. I am thirsty! experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2):75. doi: 10.5327/Z1414-4425201600020003 https://doi.org/10.5327/Z1414-4425201600... ^,²⁷27 Power S, Kavanagh DO, McConnell G, Cronin K, Corish C, Leonard M, et al. Reducing preoperative fasting in elective adult surgical patients: a case-control study. Ir J Med Sci. 2012;181(1):99-104. doi: 10.1007/s11845-011-0765-6 https://doi.org/10.1007/s11845-011-0765-... ^,³⁵35 Itou K, Fukuyama T, Sasabuchi Y, Yasuda H, Suzuki N, Hinenoya H, et al. Safety and efficacy of oral rehydration therapy until 2h before surgery: a multicenter randomized controlled trial. J Anesth. 2012;26(1):20-7. doi: 10.1007/s00540-011-1261-x https://doi.org/10.1007/s00540-011-1261-... ^-³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Constante deglutição de saliva⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾ Garganta seca⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^,³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Lábios esbranquiçados⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾ Lábios ressecados⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^-⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ^,⁸8 Silva LCJR, Aroni P, Fonseca LF. I am thirsty! experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2):75. doi: 10.5327/Z1414-4425201600020003 https://doi.org/10.5327/Z1414-4425201600... ^,³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Língua grossa⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^,⁸8 Silva LCJR, Aroni P, Fonseca LF. I am thirsty! experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2):75. doi: 10.5327/Z1414-4425201600020003 https://doi.org/10.5327/Z1414-4425201600... ⁾ Halitose⁽³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Saliva grossa⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^,⁸8 Silva LCJR, Aroni P, Fonseca LF. I am thirsty! experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2):75. doi: 10.5327/Z1414-4425201600020003 https://doi.org/10.5327/Z1414-4425201600... ^,³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾	Boca amarga⁽³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Boca áspera⁽³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Cavidade oral friável⁽³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Comportamento de busca de água⁽²2 Zimmerman CA, Leib DE, Knight ZA. Neural circuits underlying thirst and fluid homeostasis. Nature Rev Neurosci. 2017;18(8):459-469. doi: 10.1038/nrn.2017.71 https://doi.org/10.1038/nrn.2017.71... ^,⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ^,¹⁴14 Bichet DG. Vasopressin and the Regulation of Thirst. Ann Nutr Metab. 2018;72(2):3-7. doi: 10.1159/000488233 https://doi.org/10.1159/000488233... ^,⁴⁵45 Zimmerman CA, Lin Y-C, Leib DE, Guo L, Huey EL, Daly GE, et al. Thirst neurons anticipate the homeostatic consequences of eating and drinking. Nature. 2016;537(7622):680-4. doi: 10.1038/nature18950 https://doi.org/10.1038/nature18950... 46 Leiper JB. Thirst. In: Caballero B, Allen L, Prentice A, editors. Encyclopedia of Human Nutrition. 2nd ed. Oxford: Elsevier/Academic Press; 2005. p. 4:278.^-⁴⁷47 Allen WE, DeNardo LA, Chen MZ, Liu CD, Loh KM, Fenno LE, et al. Thirst-associated preoptic neurons encode an aversive motivational drive. Science. 2017;357(6356):1149-55. doi: 10.1126/science.aan6747 https://doi.org/10.1126/science.aan6747... ⁾ Gosto ruim na boca⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^,³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Queimação na garganta⁽³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾ Relato do cuidador⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾ Vontade de beber água⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^,³⁶36 Martins PR, Fonseca LF, Rossetto EG, Martins PR, Fonseca LF, Rossetto EG. Developing and validating the Perioperative Thirst Discomfort Scale. Rev Esc Enferm USP. 2017;51(0). doi: 10.1590/s1980-220x2016029003240 https://doi.org/10.1590/s1980-220x201602... ⁾
Fatores Relacionados
Jejum pré e pós-operatório prolongado⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^-⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ^,⁸8 Silva LCJR, Aroni P, Fonseca LF. I am thirsty! experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2):75. doi: 10.5327/Z1414-4425201600020003 https://doi.org/10.5327/Z1414-4425201600... ^-⁹9 Gois CFL, Aguilar OM, Santos V, Rodríguez EOL. Stress factors for patients undergoing cardiac surgery. Invest Educ Enferm [Internet]. 2012 [cited 2019 Jul 5];30(3):312-9. Available from: http://www.scielo.org.co/pdf/iee/v30n3/v30n3a03.pdf http://www.scielo.org.co/pdf/iee/v30n3/v... ^,¹⁸18 Aguilar-Nascimento JE, Almeida DAL, Dock-Nascimento DB, Correia MITD, Campos ACL, Portari-Filho PE, et al. Actual preoperative fasting time in Brazilian hospitals: The BIGFAST multicenter study. Ther Clin Risk Manag. 2014;10(1):107-12. doi: 10.2147/TCRM.S56255 https://doi.org/10.2147/TCRM.S56255... 19 Jian WL, Zhang YL, Xu JM, Xia SY, Zeng H, Dai RP, et al. Effects of a carbohydrate loading on gastric emptying and fasting discomfort: An ultrasonography study.Int J Clin Exp Med. [Internet]. 2017 [cited 2019 Jul 5];10(1):788-94. Available from: http://www.ijcem.com/files/ijcem0040776.pdf http://www.ijcem.com/files/ijcem0040776.... 20 Helminen H, Viitanen H, Sajanti J. Effect of preoperative intravenous carbohydrate loading on preoperative discomfort in elective surgery patients. Eur J Anaesthesiol. 2009;26(2):123-7. doi: 10.1097/eja.0b013e328319be16 https://doi.org/10.1097/eja.0b013e328319... 21 De Jonghe B, Fajardy A, Mérian-Brosse L, Fauconnier A, Chouillard E, Debit N, et al. Reducing pre-operative fasting while preserving operating room scheduling flexibility: feasibility and impact on patient discomfort. Acta Anaesthesiol Scand. 2016;60(9):1222-9. doi: 10.1111/aas.12756 https://doi.org/10.1111/aas.12756... 22 Bopp C, Hofer S, Klein A, Weigand MA, Martin E, Gust R. A liberal preoperative fasting regimen improves patient comfort and satisfaction with anesthesia care in day-stay minor surgery. Minerva Anestesiol [Internet]. 2011 [cited 2019 Jul 5]77(7):680-6. Available from: https://www.minervamedica.it/en/freedownload.php?cod=R02Y2011N07A0680 https://www.minervamedica.it/en/freedown... 23 Çakar E, Yilmaz E, Çakar E, Baydur H. The effect of preoperative oral carbohydrate solution intake on patient comfort: a randomized controlled study. J Perianesthesia Nurs. 2017;32(6):589-99. doi: 10.1016/j.jopan.2016.03.008 https://doi.org/10.1016/j.jopan.2016.03.... 24 Klemetti S, Kinnunen I, Suominen T, Antila H, Vahlberg T, Grenman R, et al. The effect of preoperative fasting on postoperative thirst, hunger and oral intake in paediatric ambulatory tonsillectomy. J Clin Nurs. 2010;19(3-4):341-50. doi: 10.1111/j.1365-2702.2009.03051.x https://doi.org/10.1111/j.1365-2702.2009... 25 Tosun B, Yava A, Açikel C. Evaluating the effects of preoperative fasting and fluid limitation. Int J Nurs Pract. 2015;21(2):156-65. doi: 10.1111/ijn.12239 https://doi.org/10.1111/ijn.12239... 26 Yildiz H, Gunal SE, Yilmaz G, Yucel S. Oral carbohydrate supplementation reduces preoperative discomfort in laparoscopic cholecystectomy. J Investig Surg. 2013;26(2):89-95. doi: 10.3109/08941939.2012.699998 https://doi.org/10.3109/08941939.2012.69... 27 Power S, Kavanagh DO, McConnell G, Cronin K, Corish C, Leonard M, et al. Reducing preoperative fasting in elective adult surgical patients: a case-control study. Ir J Med Sci. 2012;181(1):99-104. doi: 10.1007/s11845-011-0765-6 https://doi.org/10.1007/s11845-011-0765-... ^-²⁸28 Gunawardhana AI. Knowledge, attitudes and practice of preoperative fasting guidelines in the National Hospital of Sri Lanka. Sri Lankan J Anaesthesiol. 2012;20(2):92. doi: 10.4038/slja.v20i2.4259 https://doi.org/10.4038/slja.v20i2.4259... ^,³⁰30 Engelhardt T, Wilson G, Horne L, Weiss M, Schmitz A. Are you hungry? are you thirsty?: fasting times in elective outpatient pediatric patients. Paediatr Anaesth. 2011;21(9):964-8. doi: 10.1111/j.1460-9592.2011.03573.x https://doi.org/10.1111/j.1460-9592.2011... 31 Gebremedhn EG, Nagaratnam VB. Audit on preoperative fasting of elective surgical patients in an African academic medical center. World J Surg. 2014;38(9):2200-4. doi: 10.1007/s00268-014-2582-3 https://doi.org/10.1007/s00268-014-2582-... 32 Imbelloni L, Gomes D, Braga R, Morais Filho G, Silva A. Clinical strategies to accelerate recovery after surgery orthopedic femur in elderly patients. Anesth Essays Res. 2014;8(2):156. doi: 10.4103/0259-1162.134490 https://doi.org/10.4103/0259-1162.134490... 33 Francisco SC, Batista ST, Pena GG. Fasting in elective surgical patients: comparison among the time prescribed, performed and recommended on perioperative care protocols. ABCD Arq Bras Cir Dig. 2015;28(4):250-4. doi: 10.1590/s0102-6720201500040008 https://doi.org/10.1590/s0102-6720201500... 34 Njoroge G, Kivuti-Bitok L, Kimani S. Preoperative fasting among adult patients for elective surgery in a Kenyan Referral Hospital. Int Sch Res Not. 2017;2017:1-8. doi: 10.1155/2017/2159606 https://doi.org/10.1155/2017/2159606... ^-³⁵35 Itou K, Fukuyama T, Sasabuchi Y, Yasuda H, Suzuki N, Hinenoya H, et al. Safety and efficacy of oral rehydration therapy until 2h before surgery: a multicenter randomized controlled trial. J Anesth. 2012;26(1):20-7. doi: 10.1007/s00540-011-1261-x https://doi.org/10.1007/s00540-011-1261-... ^,³⁷37 Aroni P, Nascimento LA, Fonseca LF. Assessment strategies for the management of thirst in the post-anesthetic recovery room. Acta Paul Enferm. 2012;25(4):530-6. doi: 10.1590/S0103-21002012000400008 https://doi.org/10.1590/S0103-2100201200... ^,³⁹39 Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017;126(3):376-93. doi: 10.1097/ALN.0000000000001452 https://doi.org/10.1097/ALN.000000000000... ⁾ Respiração oral⁽²⁹29 Takeuchi K, Nagatani T, Okumura E, Wakabayashi T. A novel method for managing water and electrolyte balance after transsphenoidal surgery: preliminary study of moderate water intake restriction. Nagoya J Med Sci [Internet]. 2014 [cited 2019 Jan 17];76(1-2):73-82. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345719/ https://www.ncbi.nlm.nih.gov/pmc/article... ⁾ Osmolaridade aumentada⁽³3 Stevenson RJ, Mahmut M, Rooney K. Individual differences in the interoceptive states of hunger, fullness and thirst. Appetite. 2015;95:44-57. doi: 10.1016/j.appet.2015.06.008 https://doi.org/10.1016/j.appet.2015.06.... ^,¹⁴14 Bichet DG. Vasopressin and the Regulation of Thirst. Ann Nutr Metab. 2018;72(2):3-7. doi: 10.1159/000488233 https://doi.org/10.1159/000488233... ^,¹⁷17 Hughes F, Ng SC, Mythen M, Montgomery H. Could patient-controlled thirst-driven fluid administration lead to more rapid rehydration than clinician-directed fluid management? an early feasibility study. Br J Anaesth. 2018;120(2):284-90. doi: 10.1016/j.bja.2017.11.077 https://doi.org/10.1016/j.bja.2017.11.07... ^,⁴⁵45 Zimmerman CA, Lin Y-C, Leib DE, Guo L, Huey EL, Daly GE, et al. Thirst neurons anticipate the homeostatic consequences of eating and drinking. Nature. 2016;537(7622):680-4. doi: 10.1038/nature18950 https://doi.org/10.1038/nature18950... ^,⁴⁷47 Allen WE, DeNardo LA, Chen MZ, Liu CD, Loh KM, Fenno LE, et al. Thirst-associated preoptic neurons encode an aversive motivational drive. Science. 2017;357(6356):1149-55. doi: 10.1126/science.aan6747 https://doi.org/10.1126/science.aan6747... ⁾ Desidratação⁽¹⁷17 Hughes F, Ng SC, Mythen M, Montgomery H. Could patient-controlled thirst-driven fluid administration lead to more rapid rehydration than clinician-directed fluid management? an early feasibility study. Br J Anaesth. 2018;120(2):284-90. doi: 10.1016/j.bja.2017.11.077 https://doi.org/10.1016/j.bja.2017.11.07... ^,⁴⁰40 Yogendran S, Asokumar B, Cheng DC, Chung F. A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery. Anesthesia Analgesia. 1995;80:682-6. doi: 10.1097/00000539-199504000-00006 https://doi.org/10.1097/00000539-1995040... ⁾ Perda insensível de hidratação pela respiração, incrementada pela utilização de gases anestésicos não umidificados⁽⁴⁰40 Yogendran S, Asokumar B, Cheng DC, Chung F. A prospective randomized double-blinded study of the effect of intravenous fluid therapy on adverse outcomes on outpatient surgery. Anesthesia Analgesia. 1995;80:682-6. doi: 10.1097/00000539-199504000-00006 https://doi.org/10.1097/00000539-1995040... ⁾	Hipovolemia⁽¹⁷17 Hughes F, Ng SC, Mythen M, Montgomery H. Could patient-controlled thirst-driven fluid administration lead to more rapid rehydration than clinician-directed fluid management? an early feasibility study. Br J Anaesth. 2018;120(2):284-90. doi: 10.1016/j.bja.2017.11.077 https://doi.org/10.1016/j.bja.2017.11.07... ⁾ Boca seca⁽¹1 Kjeldsen CL, Hansen MS, Jensen K, Holm A, Haahr A, Dreyer P. Patients' experience of thirst while being conscious and mechanically ventilated in the intensive care unit. Nurs Crit Care. 2018;23(2):75-81. doi: 10.1111/nicc.12277 https://doi.org/10.1111/nicc.12277... ^,⁸8 Silva LCJR, Aroni P, Fonseca LF. I am thirsty! experience of the surgical patient in the perioperative period. Rev SOBECC. 2016;21(2):75. doi: 10.5327/Z1414-4425201600020003 https://doi.org/10.5327/Z1414-4425201600... ^,¹⁹19 Jian WL, Zhang YL, Xu JM, Xia SY, Zeng H, Dai RP, et al. Effects of a carbohydrate loading on gastric emptying and fasting discomfort: An ultrasonography study.Int J Clin Exp Med. [Internet]. 2017 [cited 2019 Jul 5];10(1):788-94. Available from: http://www.ijcem.com/files/ijcem0040776.pdf http://www.ijcem.com/files/ijcem0040776.... ^-²⁰20 Helminen H, Viitanen H, Sajanti J. Effect of preoperative intravenous carbohydrate loading on preoperative discomfort in elective surgery patients. Eur J Anaesthesiol. 2009;26(2):123-7. doi: 10.1097/eja.0b013e328319be16 https://doi.org/10.1097/eja.0b013e328319... ^,²⁸28 Gunawardhana AI. Knowledge, attitudes and practice of preoperative fasting guidelines in the National Hospital of Sri Lanka. Sri Lankan J Anaesthesiol. 2012;20(2):92. doi: 10.4038/slja.v20i2.4259 https://doi.org/10.4038/slja.v20i2.4259... ⁾ Hábito de beber água⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾ Rápida desidratação em crianças⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾ Calor⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾
Populações em Risco
Extremos de idade Necessidade de jejum Pacientes portadores de diabetes mellitus
Condições Associadas
Diabetes insiptus após cirurgia na hipófise⁽²⁹29 Takeuchi K, Nagatani T, Okumura E, Wakabayashi T. A novel method for managing water and electrolyte balance after transsphenoidal surgery: preliminary study of moderate water intake restriction. Nagoya J Med Sci [Internet]. 2014 [cited 2019 Jan 17];76(1-2):73-82. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345719/ https://www.ncbi.nlm.nih.gov/pmc/article... ⁾ Anestésicos que causam vasodilatação e induzem estados de hipovolemia⁽⁴¹41 Ashok V, Bala I, Bharti N, Jain D, Samujh R. Effects of intraoperative liberal fluid therapy on postoperative nausea and vomiting in children: a randomized controlled trial. Paediatr Anaesth. 2017;27(8):810-5. doi: 10.1111/pan.13179 https://doi.org/10.1111/pan.13179... ^,⁴⁵45 Zimmerman CA, Lin Y-C, Leib DE, Guo L, Huey EL, Daly GE, et al. Thirst neurons anticipate the homeostatic consequences of eating and drinking. Nature. 2016;537(7622):680-4. doi: 10.1038/nature18950 https://doi.org/10.1038/nature18950... ⁾ Intubação⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾	Restrição hídrica⁽⁹9 Gois CFL, Aguilar OM, Santos V, Rodríguez EOL. Stress factors for patients undergoing cardiac surgery. Invest Educ Enferm [Internet]. 2012 [cited 2019 Jul 5];30(3):312-9. Available from: http://www.scielo.org.co/pdf/iee/v30n3/v30n3a03.pdf http://www.scielo.org.co/pdf/iee/v30n3/v... ^,⁴¹41 Ashok V, Bala I, Bharti N, Jain D, Samujh R. Effects of intraoperative liberal fluid therapy on postoperative nausea and vomiting in children: a randomized controlled trial. Paediatr Anaesth. 2017;27(8):810-5. doi: 10.1111/pan.13179 https://doi.org/10.1111/pan.13179... ^,⁴⁶46 Leiper JB. Thirst. In: Caballero B, Allen L, Prentice A, editors. Encyclopedia of Human Nutrition. 2nd ed. Oxford: Elsevier/Academic Press; 2005. p. 4:278.⁾ Utilização de anticolinérgicos muscarínicos e nicotínicos⁽⁵5 Pierotti I, Fracarolli IFL, Fonseca LF, Aroni P, Pierotti I, Fracarolli IFL, et al. Evaluation of the intensity and discomfort of perioperative thirst. Esc Anna Nery. 2018;22(3):1-7. doi: 10.1590/2177-9465-ean-2017-0375 https://doi.org/10.1590/2177-9465-ean-20... ^,⁴⁸48 Lakstygal AM, Kolesnikova TO, Khatsko SL, Zabegalov KN, Volgin AD, Demin KA, et al. DARK Classics in Chemical Neuroscience: Atropine, Scopolamine, and Other Anticholinergic Deliriant Hallucinogens. ACS Chem Neurosci. 2019;10(5):2144-2159. doi: 10.1021/acschemneuro.8b00615 https://doi.org/10.1021/acschemneuro.8b0... ⁾ Tampão nasal⁽⁶6 Campana MC, Fonseca LF, Lopes DFM, Martins PR. Perceptions of caregivers about surgical children's thirst. Rev Rede Enferm Nordeste. 2015;16(6):799-808. doi: 10.15253/2175-6783.2015000600005 https://doi.org/10.15253/2175-6783.20150... ⁾

[1] Autor Correspondente: Leonel Alves do Nascimento E-mail: leonel_lan@hotmail.com

Brasil

Brasil

Análise de conceito da Sede Perioperatória para o desenvolvimento de um novo diagnóstico de enfermagem

RESUMO

Objetivos:

Métodos:

Resultados:

Considerações Finais: