Predictor of Core Hypothermia and the Surgical Intensive Care Unit

Kongsayreepong, Suneerat; Chaibundit, Crirapha; Chadpaibool, Jittika; Komoltri, Chulaluk; Suraseranivongse, Suwannee; Suwannanonda, Pudsadee; Raksamanee, Em-Orn; Noocharoen, Pensri; Silapadech, A; Parakkamodom, Sudta; Pum-In, Chusri; Sojeoyya, Lilanuch

doi:10.1213/01.ane.0000048822.27698.28

Cited by 117 publications

(140 citation statements)

References 28 publications

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“…Hypothermia is defined as core body temperature less than 36.0˚C, although some studies have considered lower limits because of a high incidence of patients bellow 36˚C [1][2][3]. Inadvertent postoperative hypothermia (IPH) emerges as the most common thermic alteration associated with anesthesia and surgery [4].…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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

Luís¹,

Moreno²,

Silva³

et al. 2012

OJAnes

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“…(5) Several studies emphasize that hypothermia should be prevented. (6,7,13,14) Therefore, patient pre-warming should start in the preoperative period and last throughout the perioperative period. The preoperative period is defined as 1 hour before induction of anaesthesia.…”

Section: Why Treat Hypothermia?mentioning

confidence: 99%

Inadvertent hypothermia during the perioperative period

Pavlović

Sakan

Balenovic

et al. 2015

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Inadvertent hypothermia, which is defined as temperature below 36°C, is common in the perioperative setting. Patients under general or regional anaesthesia have impaired temperature regulation/homeostasis. Temperature monitoring should be an established standard for all procedures that last more than 30 minutes. Unfortunately, study shows that it is not a common practice in European hospitals. Passive and active patient warming should be used to prevent and treat hypothermia. Warming should start in the preoperative period and last throughout all perioperative phases. In that way, well-known complication of hypothermia should be prevented. Cardiac event, coagulopathy and wound infection are the leading causes of delayed discharge and more adverse outcomes related to hypothermia. It is especially important to undertake all necessary intervention procedures to prevent hypothermia in a group of patients with known high number of risk factors for hypothermia. Ambient temperature, an important risk factor, should be monitored and maintained at about 21°C. According to reviewed evidence, the protocol to prevent, monitor and treat hypothermia should be established. Further studies about the implementation of temperature monitoring and regulation are needed in order to raise awareness about this issue.

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“…또 체온변화에 대한 감지 의 둔화로 체열의 생산 및 보존 능력이 감소되어 노인수술 환자는 저체온에 매우 취약하다 (Kongsayreepong et al, 2003). (Kiekkas & Karga, 2005).…”

Section: 노인수술 환자는 성인에 비해 피하지방 및 근육층이 얇고 자 율반사 기능이 약하며 저체온 시 체온 조절을 위한unclassified

“…따라서 수술 후 체온에 영향을 주는 요인을 파악하기 위해 기존의 연구 (Kim, 2007;Burns et al, 2010;Kongsayreepong et al, 2003;Parodi et al, 2012;Pearce et al, 2010;Poveda et al, 2009) • 가온요법 …”

Section: 노인수술 환자는 성인에 비해 피하지방 및 근육층이 얇고 자 율반사 기능이 약하며 저체온 시 체온 조절을 위한unclassified

Factors Influencing Body Temperature in Elderly Surgical Patients

Kwon¹,

Byeon²

2013

Journal of Korean Academy of Fundamentals of Nursing

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Predictor of Core Hypothermia and the Surgical Intensive Care Unit

Cited by 117 publications

References 28 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

Inadvertent hypothermia during the perioperative period

Factors Influencing Body Temperature in Elderly Surgical Patients

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