Hypothermia Frequency of Patients in the Postoperative Period

In this study, we aimed to investigate the frequency of postoperative hypothermia in our hospital.In Keçiören Training and Research Hospital, 165 ASA I-III patients between the ages of 18 and 81, whose operation times were longer than 30 minutes were included in this study. In addition to recording the demographic data of the patients, the body temperatures were also measured twice in the preoperative preparation room and in the postoperative care unit in the forehead with infrared thermometers. The operation types, the durations, the anesthesia types, and the patients’ heating status in the perioperative period were recorded. If the body temperature was 35oC or below, it was accepted as hypothermia; and if it was 34oC and below, it was accepted as deep hypothermia. We compared the data of normothermic, hypothermic and deep hypothermic patients. 79 women (47.9%) and 86 men (52.1%), totally 165 patients were included in this study. It was detected that 7 patients (4.2%) were heated preoperatively. It was determined that 16 patients (9.7%) were hypothermic in the postoperative period, and 3 of them were deep hypothermic. There were no statistically meaningful differences between the hypothermic and non-hypothermic patients in terms of age, gender, ASA, type of anesthesia, and operation time (p>0.05). Although postoperative hypothermia has not been found as a common problem in our operating theaters, we observed that most of the postoperative hypothermia cases were in percutaneous urological operations. In order to reduce the frequency of postoperative hypothermia, specific precautions for this type of operations should be taken

___

1. Turkish Society of Anesthesiology and Reanimation, Prevention of Unintended Perioperative Hypothermia Guide. Turk J Anaesth Reanim. 2013;41:188-90.

2. Frank SM, Tran KM, Fleisher LA, Elrahmany HK. Clinical importance of body temperature in the surgical patient. J Thermal Biol. 2000;25:151-5.

3. De Mattia AL, Barbosa MH, De Mattia Rocha A, Farias HL, Santos CA, Santos DM. Hypothermia in patients during the perioperative period. Rev Esc Enferm. 2012;46(1):60-6.

4. Sessler DI. Perioperative heat balance. Anesthesiology. 2000;92(2):578-96.

5. Putzu M, Casati A, Berti M, Pagliarini G, Fanelli G. Clinical complications, monitoring and management of perioperative mild hypothermia: anesthesiological features. Acta Biomed. 2007;78(3):163-9.

6. Hart SR, Bordes B, Hart J, Corsino D, Harmon D. Unintended perioperative hypothermia. Ochsner J. 2011;11(3):259-70.

7. Kempainen RR, Brunette DD. The Evaluation and management of accidental Hypothermia. Respir Care. 2004;49(2):192-205.

8. Luís C, Moreno C, Silva A, Páscoa R, Abelha F. Inadvertent postoperative hypothermia at post-anesthesia care unit: incidence, predictors and outcome. O J Anes. 2012;2:205-13.

9. Harper CM, Andrzejowski JC, Alexander R. NICE and warm. Br J Anaesth. 2008;101:293-5.

10. Aksu C, Kuş A, Gürkan Y, Solak M, Toker K. Survey on postoperative hypothermia incidence in operating theatres of Kocaeli University. Turk J Anaesth Reanim. 2014;42:66-70.

11. Abelha FJ, Castro MA, Neves AM, Landeiro NM , Santos CC. Hypothermia in a surgical intensive care unit. BMC Anesthesiol. 2005;5:7.

12. Tramontini CC, Graziano KU.Hypothermia control in elderly surgical patients in the intraoperative period: evaluation of two nursing interventions. Rev Lat Am Enfermagem. 2007;15(4):626-31.

13. NICE. Perioperative hypothermia (inadvertent): the management of inadvertent perioperative hypothermia in adults. NICE Clinical Guideline 29. London: National Institute for Health and Clinical Excellence, 2008. www.nice.org.uk/CG065 access date: 07.08.2014

14. Hooper VD, Chard R, Clifford T, Fetzer S, Fossum S et all. ASPAN’s Evidence-Based Clinical practice guideline for the promotion of perioperative normothermia. J Perianesth Nurs. 2009;24(5):271-87.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Kronik Hepatit B Hastalarında Karaciğer Fibrozisinin Ciddiyetinin Belirlenmesinde Nötrofil/Lenfosit Oranı ve Ortalama Trombosit Hacminin Klinik Önemi

Alpaslan TANOĞLU, Ergenekon KARAGÖZ, Asım ÜLÇAY, Vedat TURHAN, Muammer KARA, YUSUF YAZGAN

Risk Factors for Gestatıonal Diabetes in Women with Polycystic Ovarian Syndrome

Senem Arda DUZ, Ilgın TÜRKÇÜOĞLU

Supernumerary Nipple Children with Different Types of Malignancies

Sevcan BOZDOĞAN, Eda Bengi YILMAZ, Elvan Çağlar ÇITAK

Incidentally Detected Myocardial Cleft: Cardiac Computed Tomography and Magnetic Resonance Imaging Findings

Cemile Ayşe GÖRMELİ, Jülide YAĞMUR, Zeynep MARAŞ ÖZDEMİR, Ayşegül SAĞIR KAHRAMAN, Bayram KAHRAMAN, Ramazan ÖZDEMİR

Pseudotumor Deltoideus in the Left Humerus of a Young Adult Female Patient with Acute Lateral Shoulder Pain: A Case Report

Gülsen AYKOL, Senol Fatih ELBİR

Effect of Subclinical Hypothyroidism on the Mean Platelet Volume of Pregnant Women

Oktay SARI, Alpaslan TANOĞLU, Onur MAHMUTOGLU, ÜMİT AYDOĞAN, FATMA BEYAZİT, Yaşam Kemal AKPAK, Uğur KESKİN

Giant Saphenous Vein Graft Aneurysms in a Patient with Rheumatoid Arthritis: A Case Reportand Review of theLiterature

Bülent PETİK, SEMRA AKTÜRK, Erdal AKTÜRK

Information and Practices about Childrens’ Dental Health of the Mothers Have 2-4 Year Old and Who Applied Sıtmapınarı Family Health Center in the City of Malatya

GÜLSEN GÜNEŞ, Duygu CELİK SEYİTOGLU, Selale SAHİN

The Effect of Dexamethasone in Tramadol Induced Nausea and Vomiting

Nurçin GÜLHAŞ, MUKADDER ŞANLI, Abdul Vahap ASLAN, Ülkü ÖZGÜL, Murat BİCAKCİOGLU, MAHMUT DURMUŞ

Repeatability and Reproducibility of a New Partial Coherence Interferometer; AL-Scan Optic Biometer

Mehmet TETİKOĞLU, Hacı Murat SAĞDIK, Serdar AKTAŞ, FATİH ÖZCURA