Temperature management during the perioperative period and frequency of inadvertent hypothermia in a general hospital☆

Monzón, Caridad Greta Castillo; Arana, César Augusto Candia; Valz, Hugo Antonio Marroquín; Rodríguez, Fernando Aguilar; Mejía, Jairo Julián Benavides; Gómez, José Antonio Álvarez

doi:10.1097/01819236-201341020-00004

Cited by 9 publications

(13 citation statements)

References 40 publications

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“…The relationship between sex and hypothermia evidenced in this research is supported by other studies, 3,14,16 but the larger number of women in the sample may have influenced the higher frequency of hypothermia in this group. In addition, hypothermia measured by TTE was expressed similarly in male and female patients, different from that identified by TT, which proved to be different.…”

Section: Discussionsupporting

confidence: 75%

“…14 Although the evidence is weak, extremes of age are considered risk factors for perioperative hypothermia, as shown by some studies; 13,[15][16] this population was not included in this survey, as only patients from 18 to 59 years was involved.…”

Section: Discussionmentioning

confidence: 99%

“…8 In a study in Spain with adults undergoing some kind of elective surgery, the association between ASA classification and hypothermia was also rejected. 16 However, the National Institute for Health and Care Evidence (NICE) considers patients to be at high risk of perioperative hypothermia when they have two or more of the following risk factors: ASA greater than I, preoperative temperature below 36°C, combined and regional anesthesia, medium and extensive surgery, and patients with cardiovascular history.…”

Section: Discussionmentioning

confidence: 99%

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Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Danczuk

Nascimento

Hermida

et al. 2016

Texto contexto - enferm.

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Objective: to analyze the association between sociodemographic, clinical, operative and environmental characteristics with hypothermia events, measured intraoperatively by tympanic and temporal thermometers in adult patients undergoing elective abdominal surgery with visceral exposure. Method: prospective quantitative, correlational, observational study. Data were collected by means of structured instrument containing the variables: age, Body Mass Index; American Society of Anesthesiologists class; type of anesthesia; time of surgery; tympanic and temporal temperature; temperature and relative humidity of the surgical room. Temperatures were assessed by methods of tympanic and temporal measurement in 63 patients. The data analysis sought an association between hypothermia and patient characteristics, type of anesthesia, surgical environment, according to the method of measurement and surgical time. Results: Among the 63 patients, 15 (23.8%) had hypothermia. Of the total (n=15; 100%) number of hypothermic patients, 13 (80%) had mild hypothermia. Moderate hypothermia was identified only by temporal thermometry in three (20%) patients. Severe hypothermia was not identified, and in two (13.3%) patients the hypothermia was identified only by temporal thermometry. Hypothermia had a statistically significant association only with age (p=0.0027) and sex (p=0.015), when measuring tympanic temperature. Conclusion: Only sex and age showed correlation with hypothermia during surgery measured by tympanic thermometry; no variable influenced hypothermia measured by temporal thermometry.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Danczuk

Nascimento

Hermida

et al. 2016

Texto contexto - enferm.

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“…Lapostolle et al suggest that even if the level of hypothermia is moderate, the prognosis can be poor and the risk of mortality higher (13). This is of particular importance for patients who require surgical intervention, given that general anaesthesia inhibits the patient's endogenous control of thermoregulation and the associated behavioural reactions usually implemented to avoid heat loss (21). Peri-operative hypothermia has been stated to result in complications such as myocardial ischaemia, coagulopathies, increased infection of wounds, and increased length and cost of hospital stay (17).…”

Section: Discussionmentioning

confidence: 99%

“…A stable working environment and controlled ambient temperature is not something that can easily be achieved in the pre-hospital setting to maintain patient body temperature. The use of forced air-warmers does not present as a viable option in paramedic care as the machines require a constant power source, they are bulky and not readily portable (21). Current paramedic practice for management of the hypothermic patient comprises both passive techniques such as the use of blankets, space blankets, removal of wet clothes and heating the ambulance, and active techniques such as the administration of warmed fluid (22).…”

Section: Discussionmentioning

confidence: 99%

Pre-Hospital Use of Intravenous In-Line Fluid Warmers to Reduce Morbidity and Mortality for Major Trauma Patients: A Review of the Current Literature

Collins

Daly

Johnson

et al. 2015

Australasian Journal of Paramedicine

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IntroductionIn-line fluid warmers are an established treatment for delivering warmed intravenous (IV) fluid in the hospital setting. Recently their potential application within the pre-hospital setting has been highlighted to potentially reduce mortality and morbidity. Currently ambulance paramedics only administer warmed fluid to patients assessed as hypothermic, and this fluid is subject to further cooling on exposure to ambient environmental conditions. This review examined the peer-reviewed literature to determine the available evidence for in-line fluid warmer effectiveness and potential inclusion in pre-hospital emergency care.MethodsA review of the electronic literature, including the Medline and Ebscohost databases was conducted using the terms “intravenous fluid warmers” “hypothermia”, “ trauma”, “ fluid”, “coagulopathy”, “ acidosis”, “hypothermia and trauma patients”, “accidental hypothermia”, “lethal triad” and “trauma care”. Articles were included if they represented a study of in-line fluid warmers within the surgical, general hospital or pre-hospital emergency care settings. Articles not available in English or as full text were excluded.ResultsThe review identified 23 relevant articles for analysis. Of note, up to 40% of trauma patients with signs of hypoperfusion were reported to arrive at hospital in a hypothermic state post-incident. Hypothermia plays a significant role in contributing to the ‘triad of death’- a condition that results in poor patient outcomes and high mortality rates.ConclusionThis review identified that current pre-hospital practice does not prescribe warmed fluid to the normothermic trauma patient. The review also identified that there is a need for in-line fluid warmers in ambulance practice to prevent or limit hypothermia and reduce patient morbidity and mortality associated with trauma.

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Preventing Hypothermia During Shoulder Arthroscopy: Implementing a Pilot Warming Protocol

Alston¹

2020

AORN Journal

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Temperature management during the perioperative period and frequency of inadvertent hypothermia in a general hospital☆

Cited by 9 publications

References 40 publications

Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Pre-Hospital Use of Intravenous In-Line Fluid Warmers to Reduce Morbidity and Mortality for Major Trauma Patients: A Review of the Current Literature

Preventing Hypothermia During Shoulder Arthroscopy: Implementing a Pilot Warming Protocol

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