Adverse effects of hypothermia in postoperative patients

Slotman, Gus J.; Jed, Erica H.; Burchard, Kenneth W.

doi:10.1016/s0002-9610(85)80046-5

Cited by 172 publications

(57 citation statements)

References 18 publications

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“…We concluded that the amount of intravenous intraoperative crystalloids was a risk factor for developing hypothermia on arrival at PACU; this was already identified in previous studies [21,22]. In fact the infusion of crystalloid solutions at room temperature may significantly contribute to intraoperative hypothermia because warming fluids to core temperature requires body heat.…”

Section: Discussionsupporting

confidence: 57%

“…Previous studies have shown that older patients [21][22][23] had an increased risk for hypothermia and although the British National Institute for Health and Clinical Excellence (NICE) [2] assume that age is not an important risk factor for the incidence of hypothermia, in this study, age appears as an independent risk factor for postoperative inadvertent hypothermia. This is an important finding since data suggests that older people (over 60 years) have lower temperatures after 3 hours of surgery and at PACU arrival and that some consequences of hypothermia are more severe for older people, especially morbid cardiac events.…”

Section: Discussionmentioning

confidence: 71%

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Inadvertent Postoperative Hypothermia at Post-Anesthesia Care Unit: Incidence, Predictors and Outcome

Luís¹,

Moreno²,

Silva³

et al. 2012

OJAnes

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Background: Inadvertent postoperative hypothermia (IPH) is known to be associated with various adverse effects. The aim of this study was to evaluate the incidence, predictors and outcome of core inadvertent hypothermia on admission in the post-anesthesia care unit. Methods: Observational, prospective study in a Post-Anesthesia Care Unit. The study population consisted of adult patients after non-cardiac and non-neurologic surgery. Patients' demographics, intraoperative and postoperative data were collected. Descriptive analysis of variables was used to summarize data and the Mann-Whitney U test, Fisher's exact test or Chi-square test was used. Univariate and multivariate analyses were done with logistic binary regression with calculation of an Odds Ratio (OR) and its 95% Confidence Interval. Results: The incidence of IPH on admission was 32%. In univariate analysis: age, body mass index (BMI), high risk surgery, revised cardiac risk index (RCRI), type of anesthesia, use of forced-air warming, amount of intravenous crystalloids administrated, duration of anesthesia, duration of surgery and admission visual analogue scale (VAS) for pain > 3 were considered predictors of hypothermia. In multiple logistic regression analysis, age (OR 1.7, P = 0.045, for age > 65 years), RCRI (OR 3.18, P = 0.041, for RCRI > 2), duration of anesthesia (OR 1.52, P < 0.001) and admission VAS for pain (OR 2.05, P = 0.007) were considered independent predictors of IPH. Patients with IPH at PACU admission stay longer in the PACU. Conclusions: IPH was associated with a longer stay in the PACU. Age, comorbidities duration of anesthesia and pain at PACU admission were considered independent predictors for IPH.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 71%

Inadvertent Postoperative Hypothermia at Post-Anesthesia Care Unit: Incidence, Predictors and Outcome

Luís¹,

Moreno²,

Silva³

et al. 2012

OJAnes

View full text Add to dashboard Cite

show abstract

“…[13][14][15] Hypothermia has been associated with dysrhythmias, shifts of the oxyhemoglobin curve, inhibition of the clotting cascade, and increased wound infections and infectious complications. 13,[16][17][18][19] Traditional methods of rewarming include application of warm blankets, external conductive devices, heating and humidifying air in the ventilatory circuit, and warming intravenous infusions. While all of these techniques are used at our hospital, the level 1 infuser has been used more aggressively in the emergency department and during resuscitation during the past 5 years.…”

Section: Commentmentioning

confidence: 99%

Improved Survival Following Massive Transfusion in Patients Who Have Undergone Trauma

Cinat¹

1999

Arch Surg

197

113

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“…Unplanned perioperative hypothermia is common and estimated to occur in approximately half of all patients undergoing operative procedures (Hendolin 1982;Slottman 1985;Knaepel 2012). The perioperative period encompasses the pre-, intra-and postoperative phases of surgical care.…”

Section: Perioperative Hypothermiamentioning

confidence: 99%

Perioperative warming therapy for preventing surgical site infection in adults undergoing surgery

Ousey

Edward

Lui

et al. 2016

Cochrane Database of Systematic Reviews

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Adverse effects of hypothermia in postoperative patients

Cited by 172 publications

References 18 publications

Inadvertent Postoperative Hypothermia at Post-Anesthesia Care Unit: Incidence, Predictors and Outcome

Inadvertent Postoperative Hypothermia at Post-Anesthesia Care Unit: Incidence, Predictors and Outcome

Improved Survival Following Massive Transfusion in Patients Who Have Undergone Trauma

Perioperative warming therapy for preventing surgical site infection in adults undergoing surgery

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