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. 2020 Apr;35(2):193-197.
doi: 10.1016/j.jopan.2019.07.005. Epub 2019 Dec 19.

Evaluation of a Safety Protocol for the Management of Thirst in the Postoperative Period

Natiely Haila Motta  1 , Leonel Alves do Nascimento  2 , Isadora Pierotti  2 , Marília Ferrari Conchon  2 , Lígia Fahl Fonseca  2
Affiliations

Evaluation of a Safety Protocol for the Management of Thirst in the Postoperative Period

Natiely Haila Motta et al. J Perianesth Nurs. 2020 Apr.

Abstract

Purpose: To associate medications, anesthetic techniques, and clinical conditions that interfere in the time of patient approval in the safety protocol for thirst management.

Design: A quantitative, analytical, and longitudinal study conducted in Southern Brazil.

Methods: A nonprobabilistic sample, of 203 adult patients in the immediate postoperative period, evaluated every 15 minutes for 1 hour.

Findings: A general prevalence of thirst of 67.7%, and mean intensity of 6.38. Fentanyl, morphine, rocuronium, and sevoflurane increased lack of approval in the protocol within 30 minutes (P < .05). General anesthesia (P < .0001) and level of consciousness (95.4%) presented the highest nonapproval rates.

Conclusions: Anesthetics and general anesthesia delayed protocol approval; however, after 30 minutes, 75.4% of patients had been approved. Level of consciousness was the main criterion of disapproval. The protocol identified crucial clinical conditions that made it impossible for the patient to receive thirst relief strategies and demonstrated that thirst can be satiated precociously with safety.

Keywords: clinical protocols; period of recovery from anesthesia; thirst.

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