Risk factors of post-operative hypothermia

Akshay S. Dudhe; Avinash H. Salunke; Jyoti A. Salukhe; Satish V. Kakade

doi:10.53730/ijhs.v6nS8.12483

Authors

Akshay S. Dudhe M.S.c, DMLS, Ph.D scholar, M.Sc. Nursing, KIMSDU, Karad
Avinash H. Salunke M.S.c, Ph.D, Prof, Ph.D Guide, KIMSDU, KINS, Karad
Jyoti A. Salukhe Professor, M.Sc. Nursing, Ph.D, KINS, Karad
Satish V. Kakade Asso. Professor, M.S.c Statistics, Ph.D, KIMSDU, Karad

Keywords:

hypothermia, temperature, peri-operative, recovery room, ICU

Abstract

The core body temperature less than 36ºC or 96.8ºF at the post operative period, is called hypothermia. In the postoperative phase, there are various reasons are developing the hypothermia. This may include surgical site infections, blood transfusions during or after surgery, recovery room or Intensive care unit stay etc. this factors may be modifiable through the nursing practice. Objective: objective of this study was to identify the risk factors of post operative hypothermia. Method: a hospital based case-control study was undertaken. All the postoperative patients (N=250) that underwent anaesthesia were included. The body temperature was measured after immediately after surgery at the arrival of recovery room in post operative period. Analysis was done using the software SPSS version 20.00. Results: the incidence of post operative hypothermia immediately at recovery room was 185 (74%) were having hypothermia and 65 (26%) were having no hypothermia. ‘t’ value of Duration of surgery was 0.816 and ‘p’ value was 0.015, ‘t’ value of Duration of anaesthesia was 0.758 and ‘p’ value was 0.007, ‘t’ value of Post operative room temperature was -2.489 and ‘p’ value was 0.00, Chi-square value of Magnitude of procedure was 32.674 and ‘p’ value was 0.01.

Downloads

Download data is not yet available.

References

American Society of Anesthesiologists: (2011) Standards for basic anesthetic monitoring. The web site: http://www.asahq. org/For-Members/Standards-Guidelines-and-Statements.aspx

Biazzotto CB, Brudniewski M, Schmidt AP, Auler Júnior JOC. Perioperative hypothermia. Rev Bras Anestesiol 2006 Feb;56(1):89e106.

Burger L, Fitzpatrick J. Prevention of inadvertent perioperative hypothermia. Br J Nurs 2009;18(1114):1116e9.

Burns SM, Piotrowski K, Caraffa G, Wojnakowski M. Incidence of post- operative hypothermia and the relationship to clinical variables. J Perianesth Nurs 2010 Oct;25(5):286e9.

Chue AL, Moore RL, Cavey A, Ashley EA, Stepniewska K, Nosten F, et al. Comparability of tympanic and oral mercury thermometers at high ambient temperatures. BMC Res Notes 2012 Jul 16;5:356.

Farooq, S., Rishi, S., Dewani, S., Bashir, L., & Mahnoor, M. (2022). Drug resistant bacterial contamination of inanimate surfaces, equipment and health care workers in ICU of a tertiary care Hospital in North India. International Journal of Health Sciences, 6(S4), 4214–4220. https://doi.org/10.53730/ijhs.v6nS4.9227

Fekede MS, Sahile WA. Magnitude and associated factors of perioperative hypothermia in patients who underwent elective surgery at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia. Int J Med Sci Clin Invent 2019 Feb 28;6(2):4332e6.

Frank SM, El-Rahmany HK, Cattaneo CG, Barnes RA. Predictors of hypothermia during spinal anesthesia. Anesthesiology 2000 May;92(5):1330e4.

Jessica Watson,Inadvertent postoperative hypothermia prevention: Passive versus Inadvertent postoperative hypothermia prevention: Passive versus active warming methods active warming methods, Journal of Perioperative Nursing,Volume 31 Number 1 Autumn 2018, acorn.org.au/ https://www.journal.acorn.org.au/jpn

Mengesha Dessie Allene, Postoperative hypothermia and associate factors at Debre Berhan comprehensive specialized hospital 2019: A cross sectional study; International Journal of Surgery Open 24 (2020) 112e116.

National Institute for Health and Care Excellence: (2008) Clinical Guideline 65. Inadvertent Perioperative Hypothermia: The Management of Inadvertent Perioperative Hypothermia in Adults. The web site: http://www.nice.org.uk/CG65.

Ning Bu, Enfa Zhao, Yuan Gao, Sha Zhao, Wang Bo, Zhidong Kong, Qiang Wang, Wei Gao,on association between perioperative hypothermia and surgical site infection: a meta analysis, Bu et al. Medicine (2019) 98:6 www.md-journal.com.

Norris EJ, Beattie C, Perler BA, Martinez EA, Meinert CL, Anderson GF, et al. Double-masked randomized trial comparing alternate combinations of intraoperative anesthesia and postoperative analgesia in abdominal aortic surgery. Anesthesiology 2001 Nov;95(5):1054e67.

Poveda VB, Galvao CM, Dantas RAS. Hipotermia no período intra- operatório em pacientes submetidos a cirurgias eletivas. Acta Paul Enferm. 2009;22:361---6.

Ratnawati, I. G. A. A., Sutapa, G. N., & Ratini, N. N. (2018). The concentration of radon gas in air-conditioned indoor: Air quality can increase the potential of lung cancer. International Journal of Physical Sciences and Engineering, 2(2), 111–119. https://doi.org/10.29332/ijpse.v2n2.169

Scott EM, Leaper DJ, Clark M, Kelly PJ. Effects of warming therapy on pressure ulcers–a randomized trial. AORN J 2001 May;73(5):921e7. 929e33, 936e8.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864

Vaughan MS, Vaughan RW, Cork RC. Postoperative hypother- mia in adults: relationship of age, anesthesia, and shivering to rewarming. Anesth Analg. 1981;60:746---51.