Diagnosis, prevention and treatment of accidental and perioperative hypothermia

Brandt, Sebastián; Mühlsteff, Jens; Imhoff, Michael

doi:10.1515/bmt-2012-0016

Cited by 1 publication

(1 citation statement)

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“…According to a research, patients were infused with a unit of frozen blood or 1L crystal solution, which would cause the average core temperature to drop by 0.25°C. 21 In some cases, moderate hypothermia may be beneficial, such as therapeutic hypothermia. However, hypothermia may be a risk factor that could affect the quality of recovery and increase postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Cognitive Dysfunction Induced by Different Surgical Methods and Its Risk Factors

Gong

Liu

et al. 2018

The American Surgeon

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The aim of the present study was to compare the effect of different surgical methods on postoperative cognitive function in patients undergoing abdominal surgery, determine the risk factors of postoperative cognitive dysfunction (POCD) by logistic regression, and investigate these risk factors through different surgical methods. A total of 70 patients undergoing selective abdominal surgery were selected into this study. The age of these patients ranged within 32 to 85 years. The cognitive function of these patients was assessed by the mini-mental state examination at one day before the operation, and at the first and seventh day after the operation. The temperature of the tympanic membrane, PETCO2 values, visual analogue scale scores, educational level, and operation time were recorded. Logistic regression analysis was used to analyze related factors of POCD. The incidence rate of perioperative hypothermia in groups O and L were 31.2 and 10.5 per cent, respectively; and the difference was statistically significant (P < 0.05). The difference in visual analogue scale scores at the first and seventh day after the operation between these two groups were statistically significant (P < 0.01). The incidence of POCD in group O was significantly higher than that in group L at the first and seventh day after the operation (P < 0.05). According to logistic regression results, it was found that age, perioperative hypothermia, and postoperative pain were risk factors of POCD. The difference in POCD for the patients undergoing abdominal surgery through different surgical methods was statistically significant, and this was closely correlated to perioperative hypothermia and postoperative pain.

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Section: Discussionmentioning

confidence: 99%