The relationship between operation duration and shivering in post-spinal anaesthesia patients

Renaningtyastutik, Yuli; Lumadi, Sih Ageng; Handian, Feriana Ira

doi:10.55048/jpns.v1i3.29

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…When there is a change in body temperature, it is detected by 2 types of thermoreceptors, namely thermoreceptors in the skin and in the hypothalamus. Thermoreceptors in the skin (peripheral thermoreceptors) and in the hypothalamus and spinal cord (central thermoreceptors) (Renaningtyastutik, Lumadi, & Handian, 2022). Central thermoreceptors provide important feedback in maintaining core body temperature while peripheral thermoreceptors provide information (Muchtar, Suangga, & Kurniawan, 2023).…”

Section: Discussionmentioning

confidence: 99%

Interventions of warm blanket compresses and aromatherapy on blood pressure of post-surgery patients

Zakaria,

Pujiastuti,

Mardiyono

2024

Internat.Jrnl.

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Background: Post-surgery is a condition that is prone to post-surgery complications. During this condition the patient is in the recovery room and observations are made on the function of circulation, respiration and consciousness. Surgical procedures carry the risk of disrupting body integrity and can even become a threat to the patient's life. Effective therapy is used to overcome problems experienced by patients in post-operative care. One of the therapies carried out is by combining warm compresses using blankets and aromatherapy which is expected to have a stronger effect in increasing tolerance of the body's regulatory system to changes in blood pressure. Purpose: This research proves the effectiveness of the combined intervention of providing warm blanket compresses and essential aroma therapy to determine changes in blood pressure in patients after surgery. Method: The research is true experimental research with a pretest-posttest design. This study had 60 respondents who were divided into 2 groups and were taken using random sampling method techniques. The research was conducted on 26 December 2022 – 28 January 2023. In this research statistical analysis was carried out computerized. The pre-test post-test difference test uses the Wilcoxon test. The difference test between groups uses Mann – Whitney. Results: Receiving a combination of warm compresses, blankets heated to a temperature of 44 Celsius for 30 minutes and giving 4 drops of essential aromatherapy in 100 cc of water with diffusion for 15 minutes. This research shows that there is a significant difference in the average value of blood pressure reduction. Conclusion: The combination of giving warm blanket compresses and essential aromatherapy was effective in reducing blood pressure in patients after spinal anesthesia surgery in the recovery room with significant results obtained, namely with a pre value of 134.30 mmHg and a post value of 120.80. Diastolic values were significant, namely with a pre-value of 88.10 mmHg and a post value of 79.67. The mean delta value for systolic blood pressure in the intervention group was -14.50 mmHg in the control group and -6.70 mmHg. The mean delta value for diastolic blood pressure in the intervention group was -8.43 mmHg in the control group and -4.83 mmHg.

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Section: Discussionmentioning

confidence: 99%

Interventions of warm blanket compresses and aromatherapy on blood pressure of post-surgery patients

Zakaria,

Pujiastuti,

Mardiyono

2024

Internat.Jrnl.

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“…Postoperative surgical pain makes the non-thermoregulatory shivering happen. [27] The effect of acetaminophen in decreasing postoperative pain makes it also a beneficial method against POS. In addition, acetaminophen has been shown to effectively reduce PON and POV, [28,29] the antiemetic effect was by direct mechanisms or through the reduction in postoperative pain.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of intravenous acetaminophen on postoperative shivering: A meta-analysis of randomized controlled trials

Liu,

Cao,

Zeng

et al. 2024

Medicine

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Purpose: Postoperative shivering (POS) is a common and vital complication after anesthesia, which may result in serious consequences and uncomfortable experiences. Acetaminophen has been used to treat fever and mild to moderate pain. However, there is not enough evidence to prove its advantage for POS. This meta-analysis aimed to explore the prophylactic use of acetaminophen as a valid agent for POS. Methods: Two researchers independently searched PubMed, the Cochrane Library, and Embase for controlled clinical trials. The meta-analysis of randomized controlled trials (RCTs) was performed by Review Manager. Results: Nine trials with 856 patients were included in our meta-analysis. Acetaminophen significantly reduced POS compared with placebo (pooled risk ratio [RR]: 0.43, 95% confidence interval [CI]: 0.35–0.52). What is more, not only 15 mg/kg but also 1000 mg intravenous acetaminophen could reduce the incidence of shivering compared with placebo. Conclusion: Our present meta-analysis demonstrates that the intravenous prophylactic infusion of acetaminophen may prevent POS, and the results may provide new evidence to expand the clinical value of acetaminophen in addition to its routine usage.

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“…Penggunaan teknik anestesi memiliki berbagai efek samping. Salah satu diantaranya yang terjadi pada pembedahan dengan anestesi umum maupun regional yaitu menggigil (Renaningtyastutik et al, 2022). Post Anaesthetic Shivering (PAS) merupakan kondisi fasikulasi terdapat pada otot rangka dengan durasi lebih dari 15 detik yang disebabkan hipotermia perioperatif pasien (Donsu et al, 2022).…”

Section: Pendahuluanunclassified

Faktor Faktor yang Mempengaruhi Terjadinya Shivering pada Pasien Pasca Spinal Anestesi

Christanto,

Nani,

Kaamaludin

2023

JOTING

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This study aims to determine the factors that influence the incidence of shivering in patients after spinal anesthesia. The method used was a systematic review of the incidence of shivering after spinal anesthesia. The results of this study show that spinal anesthesia causes shivering, which is influenced by the height of the spinal block, age, gender, length of operation, and body mass index (BMI). In conclusion, there is a relationship between age, gender, duration of surgery, body mass index (BMI), and the incidence of shivering in post-spinal anesthesia patients. All of these factors are related to each other. Keywords: Shivering, Spinal Anesthesia

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The relationship between operation duration and shivering in post-spinal anaesthesia patients

Cited by 4 publications

References 15 publications

Interventions of warm blanket compresses and aromatherapy on blood pressure of post-surgery patients

Interventions of warm blanket compresses and aromatherapy on blood pressure of post-surgery patients

Efficacy of intravenous acetaminophen on postoperative shivering: A meta-analysis of randomized controlled trials

Faktor Faktor yang Mempengaruhi Terjadinya Shivering pada Pasien Pasca Spinal Anestesi

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