{"id":28681,"date":"2024-08-13T12:28:57","date_gmt":"2024-08-13T15:28:57","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=28681"},"modified":"2024-08-13T12:28:58","modified_gmt":"2024-08-13T15:28:58","slug":"como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/","title":{"rendered":"Como as provas de resid\u00eancia cobram as avalia\u00e7\u00f5es pr\u00e9-operat\u00f3rias"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Como_fazer\" >Como fazer?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Protocolos_para_seguir\" >Protocolos para seguir<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Antibioticoprofilaxia\" >Antibi\u00f3ticoprofilaxia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Medicalizacao_do_paciente\" >Medicaliza\u00e7\u00e3o do paciente<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Medicacoes_cardiovasculares\" >Medica\u00e7\u00f5es cardiovasculares<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Diureticos\" >Diur\u00e9ticos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Estatinas\" >Estatinas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Aspirina\" >Aspirina<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Clopidogrel\" >Clopidogrel<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Warfarina\" >Warfarina<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Novos_anticoagulantes_Apixabana_rivaroxabana\" >Novos anticoagulantes (Apixabana, rivaroxabana)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Medicacoes_gastrointestinais\" >Medica\u00e7\u00f5es gastrointestinais<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Agentes_endocrinos\" >Agentes end\u00f3crinos<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Corticoides\" >Cortic\u00f3ides<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Metformina\" >Metformina<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Sulfonilureas\" >Sulfonilureas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Inibidor_de_SGLT2\" >Inibidor de SGLT2<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Insulina\" >Insulina<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#Agora_ja_podemos_responder_algumas_questoes\" >Agora, j\u00e1 podemos responder algumas quest\u00f5es!<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/como-as-provas-de-residencia-cobram-as-avaliacoes-pre-operatorias\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-1024x576.png\" alt=\"\" class=\"wp-image-28687\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-2048x1152.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-747x420.png 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-150x84.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-696x392.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-1068x601.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Blog-MedCof-2024-08-13T122052.136-1920x1080.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>A Avalia\u00e7\u00e3o Cl\u00ednica Pr\u00e9-operat\u00f3ria \u00e9 um tema extenso e com muitos detalhes, raz\u00e3o para confundir muitos alunos e para os futuros residentes n\u00e3o gostarem muito. Contudo, \u00e9 um assunto de extrema import\u00e2ncia na rotina dos cirurgi\u00f5es. Por isso, separamos alguns pontos mais cobrados nas quest\u00f5es para relembrar os conceitos desse tema. Confira!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-fazer\"><span class=\"ez-toc-section\" id=\"Como_fazer\"><\/span><strong>Como fazer?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria serve para identificar fatores de risco e poss\u00edveis altera\u00e7\u00f5es cl\u00ednicas que prejudiquem o ato cir\u00fargico e tragam um maior risco para o paciente que ser\u00e1 submetido a uma cirurgia.Ela come\u00e7a com uma boa anamnese e um bom exame f\u00edsico. Depois disso, precisamos classificar o doente e o procedimento, os pr\u00f3ximos passos, seguem dessa avalia\u00e7\u00e3o. Para classificar o paciente, usamos v\u00e1rias classifica\u00e7\u00f5es e escalas (ASA, Karnofsky, ECOG).&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-protocolos-para-seguir\"><span class=\"ez-toc-section\" id=\"Protocolos_para_seguir\"><\/span><strong>Protocolos para seguir<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O protocolo<strong> ACERTO <\/strong>compreende diretrizes para o cuidado multimodal perioperat\u00f3rio com o objetivo de obter recupera\u00e7\u00e3o precoce mantendo fun\u00e7\u00e3o org\u00e2nica pr\u00e9-operat\u00f3ria e reduzindo o estresse cir\u00fargico. Sendo assim, algumas das recomenda\u00e7\u00f5es est\u00e3o listadas a seguir.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Diretrizes pr\u00e9-operat\u00f3rio<\/strong>:\n<ul class=\"wp-block-list\">\n<li>Avalia\u00e7\u00e3o e otimiza\u00e7\u00e3o de fun\u00e7\u00f5es org\u00e2nicas (fun\u00e7\u00e3o cardiopulmonar, renal\u2026);<\/li>\n\n\n\n<li>Garantir bom status nutricional;<\/li>\n\n\n\n<li>Melhorar aptid\u00e3o f\u00edsica com exerc\u00edcios di\u00e1rios;<\/li>\n\n\n\n<li>Educa\u00e7\u00e3o do paciente sobre todo o processo;<\/li>\n\n\n\n<li>Jejum m\u00ednimo (2h l\u00edquidos, 6h s\u00f3lidos);<\/li>\n\n\n\n<li>Bebida de carboidrato oral (maltodextrina);<\/li>\n\n\n\n<li>N\u00e3o realizar preparo intestinal.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Operat\u00f3rio:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Interven\u00e7\u00e3o cir\u00fargica minimamente invasiva;<\/li>\n\n\n\n<li>Pr\u00e9-operat\u00f3rio: antibi\u00f3ticos, omeprazol, pr\u00f3-cin\u00e9ticos quando indicados;<\/li>\n\n\n\n<li>pr\u00e9-medica\u00e7\u00e3o;<\/li>\n\n\n\n<li>Analgesia peridural se poss\u00edvel;<\/li>\n\n\n\n<li>Uso eletivo de SNG, SVD e drenos abdominais;<\/li>\n\n\n\n<li>Administra\u00e7\u00e3o de fluidos otimizada;<\/li>\n\n\n\n<li>Manter normotermia;<\/li>\n\n\n\n<li>Manuseio m\u00ednimo de tecido;<\/li>\n\n\n\n<li>Menor tempo cir\u00fargico;<\/li>\n\n\n\n<li>M\u00ednimo acesso cir\u00fargico (evitar grandes incis\u00f5es).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>P\u00f3s-operat\u00f3rio:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Monitoriza\u00e7\u00e3o de sinais vitais, d\u00e9bitos de sondas e drenos;<\/li>\n\n\n\n<li>Analgesia multimodal, preventiva e adequada;<\/li>\n\n\n\n<li>Profilaxia e tratamento de n\u00e1useas e v\u00f4mitos;<\/li>\n\n\n\n<li>Remo\u00e7\u00e3o precoce de sondas e drenos;<\/li>\n\n\n\n<li>Nutri\u00e7\u00e3o enteral precoce: Diminui risco de deisc\u00eancia de anastomoses ou feridas, diminui risco de pneumonia e mortalidade;<\/li>\n\n\n\n<li>Deambula\u00e7\u00e3o precoce: Reduz fadiga, normaliza sono, retorno mais precoce \u00e0s atividades di\u00e1rias;<\/li>\n\n\n\n<li>Garantir acompanhamento p\u00f3s-alta<strong>.<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-antibioticoprofilaxia\"><span class=\"ez-toc-section\" id=\"Antibioticoprofilaxia\"><\/span><strong>Antibi\u00f3ticoprofilaxia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O uso de antibi\u00f3tico previamente a incis\u00e3o cir\u00fargica \u00e9 realizado para reduzir o risco de infec\u00e7\u00e3o da ferida operat\u00f3ria. Desse modo, a indica\u00e7\u00e3o de antibiocoprofilaxia ou antibioticoterapia depende da classifica\u00e7\u00e3o da cirurgia (limpa, limpa-contaminada, contaminada e infectada) e das condi\u00e7\u00f5es cl\u00ednicas do paciente. Pacientes que apresentariam alta morbimortalidade caso evolu\u00edssem com infec\u00e7\u00e3o (ASA III, IV, V) t\u00eam indica\u00e7\u00e3o de antibi\u00f3tico profil\u00e1tico em cirurgias potencialmente contaminadas e de longa dura\u00e7\u00e3o.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-medicalizacao-do-paciente\"><span class=\"ez-toc-section\" id=\"Medicalizacao_do_paciente\"><\/span><strong>Medicaliza\u00e7\u00e3o do paciente<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-medicacoes-cardiovasculares\"><span class=\"ez-toc-section\" id=\"Medicacoes_cardiovasculares\"><\/span><strong>Medica\u00e7\u00f5es cardiovasculares<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Betabloqueadores;<\/li>\n\n\n\n<li>A recomenda\u00e7\u00e3o geral \u00e9 de que eles devem ser mantidos no perioperat\u00f3rio;<\/li>\n\n\n\n<li>Suspens\u00e3o abrupta no perioperat\u00f3rio aumenta morbidade cir\u00fargica;<\/li>\n\n\n\n<li>Benef\u00edcios superam os efeitos colaterais;<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"h-beneficios\"><strong>Benef\u00edcios<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reduzem risco de isquemia mioc\u00e1rdica;<\/li>\n\n\n\n<li>Melhora e previne arritmias card\u00edacas.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\" id=\"h-efeitos-colaterais\"><strong>Efeitos colaterais<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bradicardia;<\/li>\n\n\n\n<li>Hipotens\u00e3o.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bloqueadores dos canais de c\u00e1lcio (A recomenda\u00e7\u00e3o geral \u00e9 manter);<\/li>\n\n\n\n<li>Aus\u00eancia de evid\u00eancias robustas quanto ao que deve ser feito;<\/li>\n\n\n\n<li>IECA\/BRA;<\/li>\n\n\n\n<li>Podemos manter em pacientes com dif\u00edcil controle press\u00f3rico ou insufici\u00eancia card\u00edaca;<\/li>\n\n\n\n<li>Principal risco \u00e9 de hipotens\u00e3o;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-diureticos\"><span class=\"ez-toc-section\" id=\"Diureticos\"><\/span><strong>Diur\u00e9ticos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Devemos avaliar individualmente a indica\u00e7\u00e3o do uso;<\/li>\n\n\n\n<li>Se uso como anti-hipertensivo podemos suspender no dia da cirurgia;<\/li>\n\n\n\n<li>Se uso devido a insufici\u00eancia card\u00edaca em geral mantemos;<\/li>\n\n\n\n<li>O principal risco associado \u00e9 de hipocalemia e hipovolemia.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-estatinas\"><span class=\"ez-toc-section\" id=\"Estatinas\"><\/span><strong>Estatinas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00e1 recomenda\u00e7\u00e3o de manuten\u00e7\u00e3o das estatinas;<\/li>\n\n\n\n<li>Diminuem o risco de evento vascular no intra e no perioperat\u00f3rio.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-aspirina\"><span class=\"ez-toc-section\" id=\"Aspirina\"><\/span><strong>Aspirina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A recomenda\u00e7\u00e3o de manuten\u00e7\u00e3o ou suspens\u00e3o vai a depender do tipo de cirurgia;<\/li>\n\n\n\n<li>Em cirurgias n\u00e3o card\u00edacas a orienta\u00e7\u00e3o \u00e9 de suspender o uso por 5-7 dias antes da cirurgia;<\/li>\n\n\n\n<li>H\u00e1 risco aumentado de sangramento caso mantenhamos uso;<\/li>\n\n\n\n<li>Exce\u00e7\u00e3o se faz em endarterectomias e alguns cirurgias vasculares.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-clopidogrel\"><span class=\"ez-toc-section\" id=\"Clopidogrel\"><\/span><strong>Clopidogrel<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avalia\u00e7\u00e3o deve ser individualizada com base no risco benef\u00edcio;<\/li>\n\n\n\n<li>Pacientes com evento cardiovascular recente na maioria dos casos se beneficiam da continuidade da terapia;<\/li>\n\n\n\n<li>H\u00e1 um risco consider\u00e1vel de trombose de stent, por exemplo;<\/li>\n\n\n\n<li>Devemos considerar o risco de sangramento envolvido no procedimento cir\u00fargico e individualizar o caso.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-warfarina\"><span class=\"ez-toc-section\" id=\"Warfarina\"><\/span><strong>Warfarina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Enoxaparina:<\/strong> Deve ser suspensa 24 horas antes do procedimento eletivo;<\/li>\n\n\n\n<li><strong>Heparina n\u00e3o-fracionada:<\/strong> Deve ser suspensa 4-5 horas antes do procedimento.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-novos-anticoagulantes-apixabana-rivaroxabana\"><span class=\"ez-toc-section\" id=\"Novos_anticoagulantes_Apixabana_rivaroxabana\"><\/span><strong>Novos anticoagulantes (Apixabana, rivaroxabana)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Em geral devem ser suspensos de 24-48 horas antes da cirurgia;<\/li>\n\n\n\n<li>Tempo espec\u00edfico depende da fun\u00e7\u00e3o renal do paciente.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-medicacoes-gastrointestinais\"><span class=\"ez-toc-section\" id=\"Medicacoes_gastrointestinais\"><\/span><strong>Medica\u00e7\u00f5es gastrointestinais<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inibidores da bomba de pr\u00f3tons;<\/li>\n\n\n\n<li>Diminui incid\u00eancia de \u00falceras de estresse associado ao estresse cir\u00fargico;<\/li>\n\n\n\n<li>O efeito colateral conhecido associa-se ao risco aumentado de infec\u00e7\u00e3o por clostridium difficile.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-agentes-endocrinos\"><span class=\"ez-toc-section\" id=\"Agentes_endocrinos\"><\/span><strong>Agentes end\u00f3crinos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-corticoides\"><span class=\"ez-toc-section\" id=\"Corticoides\"><\/span><strong>Cortic\u00f3ides<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tanto os orais quanto inalat\u00f3rios devem ser mantidos;<\/li>\n\n\n\n<li>Suspens\u00f5es abruptas podem desencadear insufici\u00eancia adrenal;<\/li>\n\n\n\n<li>Em alguns casos de pacientes com uso cr\u00f4nico de cortic\u00f3ide via oral podemos ter que aumentar a dose;<\/li>\n\n\n\n<li>Idealmente devemos ter uma avalia\u00e7\u00e3o individualizada com endocrinologista.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-metformina\"><span class=\"ez-toc-section\" id=\"Metformina\"><\/span><strong>Metformina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recomendamos suspens\u00e3o;<\/li>\n\n\n\n<li>Principalmente pelo risco de acidose l\u00e1ctica, hipoperfus\u00e3o renal e hipoxemia.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sulfonilureas\"><span class=\"ez-toc-section\" id=\"Sulfonilureas\"><\/span><strong>Sulfonilureas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Devem ser suspensas pelo risco de hipoglicemia.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-inibidor-de-sglt2\"><span class=\"ez-toc-section\" id=\"Inibidor_de_SGLT2\"><\/span><strong>Inibidor de SGLT2<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Devem ser suspensos 3-4 dias antes da cirurgia;<\/li>\n\n\n\n<li>Aumentam o risco de infec\u00e7\u00e3o urin\u00e1ria e hipovolemia;<\/li>\n\n\n\n<li>Podem precipitar cetoacidose euglic\u00eamica;<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-insulina\"><span class=\"ez-toc-section\" id=\"Insulina\"><\/span><strong>Insulina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Deve ser continuada e corrigida para evitar disglicemias.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-agora-ja-podemos-responder-algumas-questoes\"><span class=\"ez-toc-section\" id=\"Agora_ja_podemos_responder_algumas_questoes\"><\/span><strong>Agora, j\u00e1 podemos responder algumas quest\u00f5es!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><strong>(SCMSP 2020)&nbsp;<\/strong><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" width=\"624\" height=\"271\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXfS7A2oc9ocriDujKZhetTeExFEhEj6sugkytOZKhKRJek0GlmKJam_QHblD10RYCMjYfFMXhPVL30hFaG6OfaTIA4bqMtINHPYYMfhHxeWYch8DGwaUw0De9SKjxvmQUM-Fk6QW9ncdJc_aHzAh5dPKldr?key=RdX1MmCU3HVIwdCT8zgGbA\"><\/p>\n\n\n\n<p><strong>(PSU-MG 2019)<\/strong><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXeu-T48otOowtkN1l5n_QN8UK9ij1BmXKZzqEONI7tmEtk1Ob_QC4RlGtOBZ4gd9DQeLWmtheljRuldulkkNyYKdUdny2W7n0HZ9JeU6s4rzIL-OLpgqba2Wfmoe-eqJkMPl0vrp_RS1802V8ZkDkq9yrY?key=RdX1MmCU3HVIwdCT8zgGbA\" width=\"624\" height=\"183\"><\/p>\n\n\n\n<p><strong>(SP &#8211; Instituto de Assist\u00eancia M\u00e9dica o Servidor 2021)<\/strong><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXfmJUrJPKQjSnOJYkrFZYIcKXQRy97n-qJkZcJqtZhCFGOfUJEBBCu1IXg9wOvEt7OXFTQqxKMvSg3dLYOq_lU133kq5-JltaUs919xOAqNSVSdPgtk6M1QtRwSPJZpDqvoNGrZW1Xc1JoBxuxOCBt_QV2c?key=RdX1MmCU3HVIwdCT8zgGbA\" width=\"624\" height=\"192\"><\/p>\n\n\n\n<p><strong>(ISCMSP 2022)&nbsp;<\/strong><\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXc29cnoqXjwG2E8KHOd1mCOFHhpKQRhTTqHzCmk3K2Jej8VpJgOmvsUQ13ZdXXKwCeTJJzGWWrZI_kBxtI9s8sSxnaX2ZKG5TMcfEKJGu_CxmBVPnGGeyXb6iToSbjsbd0Y_y6FsmFTBybmiynVpGm-_WuG?key=RdX1MmCU3HVIwdCT8zgGbA\" width=\"605\" height=\"220\"><\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-gabarito\"><strong>Gabarito<\/strong><\/h4>\n\n\n\n<p><strong>Quest\u00e3o 01&nbsp;A<\/strong> &#8211; CORRETA &#8211; De fato podemos oferecer a bebida com carboidratos at\u00e9 2h antes da cirurgia, o uso de cefazolina profil\u00e1tica \u00e9 indicado pela abertura do TGI e pontecial contamina\u00e7\u00e3o, a hidrata\u00e7\u00e3o venosa deve ser suspensa nas primeiras 24h com retomada da ingest\u00e3o por via oral de l\u00edquidos. Opioides devem ser evitados por predispor a \u00edleo paral\u00edtico no PO e os antiem\u00e9ticos procin\u00e9ticos como metoclopramida devem ser mantidos de hor\u00e1rio com possibilidade de uso de outros como ondansetrona de resgate.<\/p>\n\n\n\n<p><strong>Quest\u00e3o 02&nbsp;<\/strong>Vamos usar as alternativas para aprender, lembrando que a quest\u00e3o pede a alternativa INCORRETA:<\/p>\n\n\n\n<p><strong>A<\/strong> &#8211; \u200bCORRETA \u2013 Alternativa falsa, gabarito da quest\u00e3o. Vamos pensar um pouco. Falamos que a decis\u00e3o de exames e cirurgia depende do risco do paciente e do risco do procedimento. Essa alternativa n\u00e3o exemplifica nada e fala que para qualquer paciente e qualquer procedimento cir\u00fargico exames com anteced\u00eancia de 12 meses (01 ano) estiverem normais, podemos operar sem problemas. Com certeza n\u00e3o! E se o paciente, nesse \u00faltimo ano, teve uma angina, sofreu um infarto, ou qualquer outra coisa?? E se ele for ser submetido a um transplante?? Lembrem-se, avalia\u00e7\u00e3o cl\u00ednica antes.<\/p>\n\n\n\n<p><strong>B <\/strong>-\u200b INCORRETA \u2013 alternativa correta. Por que o paciente usa digoxina? Por alguma cardiopatia. Se ele usa medica\u00e7\u00e3o, tem um motivo. Precisamos investigar esse motivo e tamb\u00e9m ver se o rem\u00e9dio est\u00e1 cumprindo o seu papel, sem causar efeitos colaterais. Os exames se justificam.<\/p>\n\n\n\n<p><strong>C<\/strong> &#8211; \u200bINCORRETA \u2013 Maravilha! Alternativa corret\u00edssima. Avaliamos o paciente (ASA I, assintom\u00e1tico) e avaliamos o procedimento (cirurgia ambulatorial, minimamente problem\u00e1ticas). Nesses casos, realmente n\u00e3o precisamos de exames complementares (convence o anestesista agora hehe).<\/p>\n\n\n\n<p><strong>D<\/strong> &#8211; INCORRETA \u2013 Perfeita tamb\u00e9m. Primeiro passo na avalia\u00e7\u00e3o cl\u00ednica pr\u00e9-operat\u00f3ria? Anamnese e exame f\u00edsico, avalia\u00e7\u00e3o das escalas pr\u00e9-operat\u00f3rias. Eles v\u00e3o guiar os nossos exames ou n\u00e3o. Paciente ASA I, assintom\u00e1tico, maravilha. Paciente com falta de ar? ASA III? Cuidado. <\/p>\n\n\n\n<p><strong>Quest\u00e3o 03&nbsp;<\/strong>C &#8211; CORRETA &#8211; Alguns protocolos n\u00e3o consideram esse risco elevado, mas outros recomendam de fato a suspens\u00e3o de anticoncepcionais orais 6 semanas antes do procedimento se \u00e9 sabido que o paciente necessitar\u00e1 de imobiliza\u00e7\u00e3o.<\/p>\n\n\n\n<p><strong>Quest\u00e3o 04 <\/strong>A &#8211; CORRETA &#8211; A terapia nutricional com imunonutrientes realmente diminui as complica\u00e7\u00f5es perioperat\u00f3rias desde que administrada com esta anteced\u00eancia. Pacientes de risco, em programa\u00e7\u00e3o de cirurgias eletivas, devem ser avaliados precocemente para introdu\u00e7\u00e3o ou n\u00e3o de suporte nutricional pr\u00e9-operat\u00f3rio, de pelo menos 15 dias.<\/p>\n\n\n\n<p><strong>N\u00e3o se esque\u00e7a que voc\u00ea encontra muito mais na nossa plataforma de estudos, ent\u00e3o <a href=\"https:\/\/www.grupomedcof.com.br\/home\/\">seja agora mesmo um MedCoffer!<\/a><\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-metodo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCoffer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 10 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Masterclass: Dominando a Coqueluche para o Revalida\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/bYF-4OlPBxo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>A avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria serve para identificar fatores de risco e poss\u00edveis altera\u00e7\u00f5es cl\u00ednicas que prejudiquem o ato cir\u00fargico. Veja mais!<\/p>\n","protected":false},"author":21,"featured_media":28687,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[1800,1127,1801,68],"ppma_author":[3617],"class_list":{"0":"post-28681","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-avaliacoes-pre-operatorias","9":"tag-clinica","10":"tag-protocolos","11":"tag-residencia-medica"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Como as provas de resid\u00eancia cobram as avalia\u00e7\u00f5es pr\u00e9-operat\u00f3rias - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"A avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria serve para identificar fatores de risco e poss\u00edveis altera\u00e7\u00f5es cl\u00ednicas que prejudiquem o ato cir\u00fargico. 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