ABSTRACT
Objective To analyze and analyze the causes of hypothermia after operation in patients with anesthesia recovery room and the nursing measures. Methods 68 cases of abdominal anesthesia surgery patients were divided into two groups randomly. The control group was given routine nursing measures, the experimental group was given nursing intervention measures, pay attention to the environmental factors, a reasonable adjustment of environmental temperature, hot water bag can be given when necessary, good oxygen nursing, prevention of shiver, warm. A comparative analysis of the experimental group and the control group of patients after rewarming time, temperature and shivering times index. Results After the corresponding nursing measures, the rewarming time of the experimental group was (30.90±2.32) min, significantly shorter than that of the control group (48.90±4.78) min, with statistical difference (P<0.05). The control group ran 19 times, the experimental group ran 6 times, with significant differences between the two groups (P<0.05). The stay time of the control group was (62.30±3.89) min, significantly longer than that of the experimental group, and the residence time was (38.90±5.78) min, with statistical difference (P<0.05). Conclusion Nursing measures for patients in anesthesia recovery room corresponding preventive care, shivering and heating nursing measures, can significantly reduce the number of warm, chills, shorten the thawing time.
ABSTRACT
Objective To analyze and analyze the causes of hypothermia after operation in patients with anesthesia recovery room and the nursing measures. Methods 68 cases of abdominal anesthesia surgery patients were divided into two groups randomly. The control group was given routine nursing measures, the experimental group was given nursing intervention measures, pay attention to the environmental factors, a reasonable adjustment of environmental temperature, hot water bag can be given when necessary, good oxygen nursing, prevention of shiver, warm. A comparative analysis of the experimental group and the control group of patients after rewarming time, temperature and shivering times index. Results After the corresponding nursing measures, the rewarming time of the experimental group was (30.90±2.32) min, significantly shorter than that of the control group (48.90±4.78) min, with statistical difference (P<0.05). The control group ran 19 times, the experimental group ran 6 times, with significant differences between the two groups (P<0.05). The stay time of the control group was (62.30±3.89) min, significantly longer than that of the experimental group, and the residence time was (38.90±5.78) min, with statistical difference (P<0.05). Conclusion Nursing measures for patients in anesthesia recovery room corresponding preventive care, shivering and heating nursing measures, can significantly reduce the number of warm, chills, shorten the thawing time.
ABSTRACT
Background and purpose:Perioperative hypothermia will affect the prognosis of cancer patients. Amino acid infusion can increase the core temperature by endogenous thermogenesis. And the forced-air warming system has gained high acceptance as a measure for rewarming. This study aimed to find out whether amino acid infusion was effective to treat postoperative hypothermia and how well the treatment effect was when compared with the forced-air warming system.Methods:Fifty-seven ASAⅠ orⅡ patients aged 18-60 years undergoing elective esophageal or gastric cancer operation under epidural-general anesthesia and whose core temperature were below 36℃. When admitted to the recovery room wererandomly divided into 3 groups (n=19): GroupⅠ received intravenous infusion of mixed amino acid at a rate of 2 mL·kg-1·h-1 (A); GroupⅡ received a forced-air system (B); groupⅢreceived no therapy (C). Rectal temperature and thermal comfort were recorded per 5 min during the ifrst 1 h and oral temperature and thermal comfort were recorded at the 2, 6 and 24 h. ABG was recorded when patients were admitted to the recovery room and at the ifrst hour.Results:At the ifrst hour, the rectal temperature and thermal comfort of groups A and B were higher when compared with group C (P0.05). At the second and sixthhour, the temperature and thermal comfort of group A were higher when compared with group B and C (P0.05). At the 24th hour, there were no statistically signiifcant differences in the temperature and thermal comfort among the three groups (P>0.05). Conclusion:The rewarming effect of infusion of mixed amino acid is better than that of the forced-air warming system. It is the more effective and convenient method to rewarm the postoperative hypothermia.
ABSTRACT
La Hipotermia inadvertida se asocia con un aumento de la morbimortalidad potsoperatoria. El objetivo de este estudio descriptivo retrospectivo es determinar la incidencia de hipotermia postoperatoria y su caracterización en base a factores predictores conocidos. Se estudiaron 313 pacientes operados de coordinación para determinar la incidencia de hipotermia postoperatoria (temperatura central (Tc) < 36ºC) y su relación con factores predictores como edad, tipo y grado de invasividad del procedimiento quirúrgico, técnica anestésica y duración de la estadía en sala de operaciones (SO). La incidencia de hipotermia al ingreso a Sala de Recuperación Post Anestésica (SRPA) fue de 67%. Un 20% presentó Tc < o = 35ºC . Al alta un 24% se mantenía en hipotermia. Estos valores son similares a los encontrados, en la literatura internacional en pacientes anestesiados sin la aplicación de medidas activas de calefaccionamiento. No se encontraron diferencias significativas en la incidencia de hipotermia entre las categorías estudiadas con excepción de una incidencia mayor para la Anestesia Regional (AR) con respecto a la Anestesia General (AG) (p = 0.042). Los pacientes > 65 años, los sometidos a AG y/o con estadía en SO > 3 horas, tuvieron períodos de hipotermia más prolongados. Concluimos que la incidencia de hipotermia postoperatoria inadvertida es un problema frecuente en nuestro Servicio. Dado que es difícil predecir qué pacientes desarrollarán hipotermia y en qué magnitud, se hace imprescindible la adopción de medidas de calefaccionamiento y monitorización de la Tc durante el período perioperatorio en todos los pacientes.
Summary Unintentional hypothermia is associated with high postoperative morbidity and mortality. The aim of this study is to evaluate the incidence of postoperative hypothermia (core temperature (Tc) <36ºC) and to identity predictor factors to categorized it. We analyzed 313 elective surgical patients and factors such as: age, nature of surgical procedure, anesthetic technique and stay in the operating room (SO). At admission in Post Anesthetic Recovery Room (SRPA) , the hypothermia incidence was 67%. Twenty percent had Tc less than 35ºC, 24% were still with hypothermia when they left the recovery room. These outcomes are the same as in the international studies in anesthetized patients without active warning equipment. There were no statistical differences between several groups, except for higher degree of hypothermia in Regional Anesthesia (AR) Vs General Anesthesia (AG) (p=0.042) Prolonged hypothermia was seen in patients older then 65 years, those whom stayed greater than 3 hours in the operating room and those who had general anesthesia. Unadvertised postoperative hypothermia has a great incidence in our Department. It is difficult to predict whose patient will develop hypothermia and its different degree of severity, so it is essential for us to adopt active warning techniques and Tc monitoring during the preoperative period.