Unintentional hypothermia frequency in the perioperative period of elective surgeries.
DOI:
https://doi.org/10.5327/Z1414-442520160002000Keywords:
Hypothermia, Surgicenters, Perioperative periodAbstract
Objective: To analyze the frequency of unintended hypothermia in patients undergoing elective surgery in the perioperative period, scoring its relationship with the type of anesthesia. Method: Cross-sectional, descriptive, and quantitative approach study with a sample of 53 patients aged between 18 and 90 years, developed in a surgical center of a private hospital in the Midwest region of the São Paulo State. Results: The female gender appeared as a major variable (79.3%), and 96.3% of the assessed patients presented hypothermia, ranging from mild to moderate. The number of hypothermic patients undergoing spinal anesthesia was higher when compared to those undergoing general anesthesia, both in the operation room (93.5%) and in the postanesthetic room (96.8%). Conclusion: Hypothermia is a common event that affects a large portion of patients undergoing surgical procedures, so it is essential that nurses early identify the occurrence of this phenomenon to provide a qualified and safe care to these patients.References
Craven RF, Hirlen CJ. Fundamentos de enfermagem: saúde e função humanas. 4a ed. Rio de Janeiro: Guanabara Koogan; 2006.
Souza vP, Costa JRR. Hipotermia: evidências científicas. Medicina perioperatória. [acesso em 20 jul. 2015]. Disponível em: http://www. saj.med.br/uploaded/File/artigos/hipotermia.pdf
association of periOperative Registered Nurses (aORN). Recommended practices for the prevention of unplan ned perioperative hypothermia. aORN J. 2007;85(5):972-88.
Mendoza IYQ, Peniche aCG. Intervenção educativa sobre hipotermia uma estratégia de ensino para aprendizagem de enfermagem. Rev esc enferm uSP. 2012;46(4):851-7.
Biazzotto CB, BrudniewskI M, Schimidt aP, auler Júnior JOC. Hipotermia no período perioperatório. Rev Bras anestesiol. 2006;56(1):89-106.
gotardo, Jm, silveira rccp, galvão cm. avaliação da hipotermia no pós-operatório imediato. Rev Rene. 2009;10(2):113-21.
Santana RF, Delphino TM, Henriques NM, Souza Pa, Soares TS, Pereira SK. Diagnóstico de enfermagem recuperação cirúrgica retardada. Rev Rene. 2014;15(3):533-42.
american Society of Perinesthesia Nurses (aSPaN). Clinical guideline for the prevention of unplanned perioperative hypothermia. J Perianesth Nurs. 2001;16(5):305-14.
Silva DC, alvim NaT. ambiente do centro cirúrgico e os elementos que o integram: implicações para os cuidados de enfermagem. Rev Bras enf. 2010;63(3):427-34.
muniz, gs, teles nsB, leitão imta, almeida pc, leitão mc. Hipotermia acidental: implicações para os cuidados de enfermagem no transoperatório. Rev SOBeCC. 2014;19(1):79-86.
Gotardo JM, Silveira RCCP, Galvão CM. Hipotermia no perioperatório: análise da produção científica nacional de enfermagem. Rev SOBeCC. 2008;13(2):40-8.
de mattia al, maia lF, silva ss, oliveira tc. diagnósticos de enfermería de complicaciones en la sala de recuperación anestésica. enferm Global. 2010;9(1):1-11. [acesso em 08 nov. 2015]. Disponível em: http://revistas.um.es/eglobal/article/view/93601
Mattia al, Barbosa MH, Rocha aM, Farias Hl, Santos Ca, Santos dm. hipotermia em pacientes no período perioperatório. rev esc enferm uSP. 2012;46(1):60-6.
Castro FSF, Peniche aCG, Mendoza IYQ, Couto aT. Temperatura corporal, índice aldrete e Kroulik e alta do paciente da unidade de recuperação pós-anestésica. Rev esc enferm uSP. 2012;46(4):872-6.
luís C, Moreno C, Silva a, Páscoa R, abelha F. Inadvertent postoperative hypothermia at post-anesthesia care unit: incidence, predictors and outcome. Open J anesthesiol. 2012;2(5):205-13.
Guyton aC, Hall Je. Tratado de fisiologia medica. 11a ed. Rio de Janeiro: Guanabara Koogan; 2006. 1115 p.
Hart SR, Bordes B, Hart J, Corsino D, Harmon D. unintended perioperative hypothermia. Ochsner J. 2011;11(3):259-70.
Zappelini CeM, Sakae TM, Bianchini N, Brum SPB. avaliação de hipotermia na sala de recuperação pós-anestésica em pacientes submetidos a cirurgias abdominais com duração maior de duas horas. aCM arq Catarin Med. 2008;37(2):25-31.
Sessler DI. Temperature monitoring: the consequences and prevention of mild perioperative hypothermia. South afr J anaesth anal. 2014;20(1):25-31.
Mulry D, Mooney B. Perioperative hypothermia prevention. World Ir Nurs, 2012;20(2):26-7.
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.