Añorve I, De Los SF, García M, Mikolajkczuc J, Seguí P, Revilla F, López S, García JL, Hernández C

Idioma: Español
Referencias bibliográficas: 34
Paginas: 14-19
Archivo PDF: 263.36 Kb.

RESUMEN

La hipotermia es el trastorno más frecuente durante la anestesia y la intervención quirúrgica. La combinación de la inducción anestésica, la exposición a bajas temperaturas en el quirófano, la ventilación con gases fríos, los procedimientos y tiempos quirúrgicos prolongados predisponen al paciente a presentar hipotermia. Se han utilizado diversos dispositivos y medidas para la prevención de la hipotermia en pacientes quirúrgicos. Objetivo: Determinar cuál de los tres dispositivos para prevenir la hipotermia es el que produce menos cambios en la temperatura central en pacientes sometidos a cirugía plástica. Material y métodos: Se estudiaron en total 68 pacientes divididos en cuatro grupos: Grupo control, con nariz artificial, con calentador de fluidos intravenosos y con sábana térmica. Resultados: Se obtuvo la temperatura media de cada grupo con su desviación estándar y la disminución de la temperatura con respecto a la basal a través del tiempo, siendo estadísticamente significativa para T1NA (p = 0.03), T1H (p = 0.007) y T1ST (p = 0.02); T2NA (p = 0.02), T2H (p = 0.001) y T2ST (p = 0.01); T3ST (p = 0.03). Conclusiones: Nuestro estudio confirma la utilidad de cualquiera de los tres dispositivos. La sábana térmica fue el dispositivo que menor disminución tuvo sobre la temperatura basal.

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