Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study

Mendonça, Fabrício Tavares; Lucena, Marcelo Cabral de; Quirino, Raul; Govêia, Cátia Sousa; Guimarães, Gabriel Magalhães Nunes

doi:10.1016/j.bjane.2018.11.002

Cited by 15 publications

(22 citation statements)

References 32 publications

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“…The present research findings indicated that gender presented a direct relationship with pain, nausea, and hypertension. In the explored women, pain, nausea, and hypertension were more common after surgery, i.e., consistent with the results of the study by Mendonça (2019). There was a direct relationship between the duration of anesthesia and the mean scores of shivering, pain, nausea, tachycardia, and tachypnea.…”

Section: Discussionsupporting

confidence: 88%

“…According to Miller, nausea and vomiting are more prevalent in inhaled anesthesia cases, with a prevalence of 10%-30% (Miller et al 2015). Studies noted that due to the prevalence of nausea and vomiting and the odds of aspiration pneumonia which can be life-threatening, timely prevention and treatment should be given to such cases (Belcher et al 2017;Mendonça et al, 2019). In the present study, vomiting was the most common complication after surgery.…”

Section: Discussionmentioning

confidence: 48%

“…The American Anesthesia Association has introduced characteristics, such as prolonged anesthesia, emergency surgery, a history of underlying disease, and smoking as the causes of postoperative anesthesia complications (Finsterwald et al 2018). Increasing the duration of the administration of the inhaled anesthetics is associated with the incidence of postoperative shivering after surgery (Poveda & Nascimento 2017;Mendonça et al 2019). Kellner et al (2018) revealed that 48% of patients had experienced complications after surgery and anesthesia.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of Anesthesia Complications in Orthopedic Surgeries and its Related Factors

Kiani

Hoseinian

Sadat

et al. 2021

JCCNC

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Background: The duration of surgery in orthopedic surgeries is often longer than one hour. Therefore, these patients are at further risk of complications induced by general anesthesia. The present study aimed to determine the prevalence of anesthesia complications in orthopedic surgeries and its related factors. Methods: This cross-sectional study was performed on 400 patients undergoing orthopedic surgery in Shahid Beheshti Hospital of Kashan Province, Iran, in 2020. The study subjects were recruited by convenience sampling method. We included those who similarly underwent general anesthesia for elective surgery and were transferred to Post-Anesthesia Care Unit (PACU). The research instruments included a demographic questionnaire and a checklist for recording complications (shivering, pain, nausea, vomiting, & vital signs). The necessary data were recorded after the patient was admitted to the PACU, as well as half an hour and one hour later. The obtained data were analyzed using the Chi-squared test, Independent Samples t-test, one-way Analysis of Variance (ANOVA), Pearson correlation coefficient, and logistic regression analysis in SPSS v. 16. Results: The present research results suggested that the most and least frequent complications were vomiting (91.8%) and changes in blood pressure (5%), respectively. Gender was significantly associated with pain, nausea, and hypertension (P<0.05). The Pearson correlation coefficient data indicated a significant relationship between the duration of anesthesia and the mean scores of shivering, pain, nausea, tachycardia, and tachypnea (P<0.05). There was also a significant relationship between the types of surgery and shivering, pain, blood pressure, and nausea (P<0.05). Pulse rate was significantly associated with complete intravenous anesthesia and the duration of anesthesia (P<0.05). Conclusion: The relatively high incidence of post-anesthesia complications in orthopedic surgeries indicates the significance of employing skilled personnel as well as using adequate monitoring equipment at the PACU. Such measures help to decrease mortality and morbidity among patients, also save on hospital costs.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

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Prevalence of Anesthesia Complications in Orthopedic Surgeries and its Related Factors

Kiani

Hoseinian

Sadat

et al. 2021

JCCNC

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“…12 The duration of hypothermia in elderly patients was found to be longer in PACU. 16 Another study considered the use of continuous CTM during surgery. 17 This study shows similar findings by a correlation between age with inadvertent hypothermia and this has been supported by previous studies.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent Perioperative Hypothermia and Important Risk Factors during Major Abdominal Surgeries

Sagiroglu¹,

Ozturk²,

Baysal³

et al. 2020

J Coll Physicians Surg Pak

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“…Based on the results of this study, 46.7% of patients who experienced hypothermia were aged 41-65 years, while those aged 18-25 years had an incidence rate of 13.3%. In the elderly, spinal anesthesia causes hypothermia and slows recovery (Mendonça, Lucena, Quirino, Govêia, & Guimarães, 2019 Before and after warm fluid for 15 minutes 0.24 ± 0,59 0,21-0,26 0,00 Before and after warm fluid for 30 minutes 0,56 ± 0,11 0,51-0,61 0,00 Before and after warm fluid for 45 minutes 0,93 ± 0,16 0,85-0,99 0,00 Before and after warm fluid for 60 minutes 1,28 ± 0,26 1,15-1,40 0,00 Intervention group: warming blanket Before and after warming blanket for 15 minutes 0,15 ± 0,06 0,12-0,17 0,00 Before and after warming blanket for 30 minutes 0,34 ± 0,09 0,29-0,38 0,00 Before and after warming blanket for 45 minutes 0,57 ± 0,13 0,50-0,63 0,00 Before and after warming blanket for 60 minute s 0,77 ± 0,18 0,68-0,86 0,00 Control group Before and after blanket for 15 minutes 0,14 ± 0,24 0,03-0,25 0,015 Before and after blanket for 30 minutes 0,39 ± 0,34 0,23-0,56 0,00 Before and after blanket for 45 minutes 0,62 ± 0,43 0,41-0,82 0,00 Before and after blanket for 60 minutes 0,41 ± 0,35 0,24-0,58 0,00 effectively than a warming blanket or cotton blanket. Warm fluids significantly controlled shivering after 30 minutes.…”

Section: Discussionmentioning

confidence: 99%

Management of Shivering in Post-Spinal Anesthesia Using Warming Blankets and Warm Fluid Therapy

Qona'ah¹,

Rosuliana²,

Bratasena³

et al. 2020

J. Ners

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Hypothermia is a common and serious complication of spinal surgery and it is associated with many harmful perioperative outcomes. The aim of this study was to compare the effectiveness of warming blankets and warm fluid therapy to manage shivering. A quasi-experiment with a non-equivalent control group was applied as the research design. There were 60 patients involved in the study. The instrument of this study was a warmer fluid modification, a warming blanket and a cotton blanket. The data was analyzed using an applied paired t-test and independent t-test. After 60 minutes of the intervention, the mean and SD of body temperature of the patients receiving warm fluids was 36.71 ± 0.18, a warming blanket was 36.12 ± 0.35, and the control group was 35.76 ± 0.22. The p values were 0,000. Warm fluid therapy and warming blankets are significant in terms of increasing the body temperature of post-spinal anesthesia patients. Warm fluids are more effective than warming blanket. Warming blankets and warm fluid therapy can be used as a way to increase the body temperature of patients with hypothermia.

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Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study

Cited by 15 publications

References 32 publications

Prevalence of Anesthesia Complications in Orthopedic Surgeries and its Related Factors

Prevalence of Anesthesia Complications in Orthopedic Surgeries and its Related Factors

Inadvertent Perioperative Hypothermia and Important Risk Factors during Major Abdominal Surgeries

Management of Shivering in Post-Spinal Anesthesia Using Warming Blankets and Warm Fluid Therapy

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