Unplanned postoperative hypothermia in patients undergoing major operations essay
This study aimed to identify the risk factors and incidence of postoperative hypothermia in patients undergoing robot-assisted gynecological surgery. Overall, postoperative hypothermia is common in adult patients undergoing orthopedic surgery under BPB. The risk factors identified in this study should be taken into account to prevent postoperative hypothermia. Women undergoing breast surgery appear to be at risk of central body temperature hypothermia of lt 36, due to the uncertainty caused by the preoperative preparation time and its variety. AORN Journal is a perioperative nursing journal that provides evidence-based practice information to help meet the physiological, behavioral and safety needs of patients. Summary Inadvertent hypothermia in the surgical patient has been associated with numerous postoperative complications, including increased surgical site risk. Concern for the development of intraoperative hypothermia should be especially great in patients undergoing major operations, requiring long periods of anesthesia and unheated . Exclusion criteria were patients who underwent cardiac surgery because they had been induced into intentional hypothermia during the surgical procedure, and patients who had submitted to diagnostic procedures. The parameters were adopted for the sample calculation: incidence of hypothermia. 0. confidence interval, because unintentional hypothermia is common in the early postoperative phase. Current evidence, including small randomized trials, suggests that a reduction in tympanic membrane temperature -3 C is associated with physiological disturbances and complications that can be reduced by active -13. This evidence has led many anesthetists to define postoperative hypothermia. or lower body temperature at the end of surgery, and multivariate logistic regression analysis was performed to identify the risk factors for postoperative hypothermia. Among patients, the incidence of postoperative hypothermia is high. 1, patients. Temperature regulation measures in the PACU. The American Society of PeriAnesthesia Nurses recommends that any patient undergoing surgery be considered at risk for unplanned hypothermia and be assessed upon admission to phase I PACU. the patient's temperature is within the normothermic range, i.e. 36 C, C 96.8 F. To reduce perioperative hypothermia, the patient should be active before surgery and the ambient temperature in the operating room should be at C. Transfusion rates must be higher. be warmed up first and intraoperative irrigation fluids should be prewarmed to -40 C 11.