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2020, Number 1

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Acta Med 2020; 18 (1)

Post-surgical hypothermia: incidence at Hospital Ángeles Lomas

de la Cajiga LA, Aguirre ICP, Álvarez RGE, Escobedo BL, Martínez NAR, Labra NA, García EC, Fernández SJR

Language: Spanish
References: 25
Page: 111-115
PDF size: 140.75 Kb.


ABSTRACT

Postoperative hypothermia is a preventable complication with a worldwide incidence of up to 90%. It is cause of severe complications in the perioperative period as well as high morbidity. We investigated the incidence of postoperative hypothermia at the Hospital Ángeles Lomas, with a resulting 55% of patients presenting a temperature below 36 oC when arriving at the post-anesthesia unit. In only 24% of surgeries, temperature is measured with a transesophagueal thermometer, and active warming during surgery is used in 45% of procedures. The main objective of the study was to stress the importance of preventing hypothermia and its complications as well as the constant measurement of temperature as a key vital sign.


REFERENCES

  1. Boet S, Patey A, Baron J, Mohamed K, Pigford A, Bryson G et al. Factors that influence effective perioperative temperature management by anesthesiologists: a qualitative study using the Theoretical Domains Framework. Can J Anesth. 2017; 64 (6): 581-596.

  2. Mehta OH, Barclay KL. Perioperative hypothermia in patients undergoing major colorectal surgery. ANZ J Surg. 2013; 84 (7-8): 550-555.

  3. Fernández-Meré LA, Álvarez-Blanco M. Manejo de la hipotermia perioperatoria. Revista Española de Anestesiología y Reanimación. 2012; 59 (7): 379-389.

  4. Gurunathan U, Stonell C, Fulbrook P. Perioperative hypothermia during hip fracture surgery: an observational study. J Eval Clin Pract. 2017; 23 (4): 762-766.

  5. Young VL, Watson ME. Prevention of perioperative hypothermia in plastic surgery. Aesthetic Surg J. 2006; 26 (5): 551-571.

  6. John M, Ford J, Harper M. Peri-operative warming devices: performance and clinical application. Anaesthesia. 2014; 69 (6): 623-638.

  7. Warttig S, Alderson P, Campbell G, Smith A. Interventions for treating inadvertent postoperative hypothermia. Cochrane Database Syst Rev. 2014; (11): CD009892.

  8. Madrid E, Urrútia G, Roqué I, Figuls M, Pardo-Hernandez H, Campos J, Paniagua P et al. Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia in adults. Cochrane Database Syst Rev. 2016; 4: CD009016.

  9. Roberson MC, Dieckmann LS, Rodriguez RE, Austin PN. A review of the evidence for active preoperative warming of adults undergoing general anesthesia. AANA JL. 2013; 81 (5): 351-355.

  10. Hopf H. Perioperative temperature management. Anesthesiology. 2015; 122 (2): 229-230.

  11. Feinstein L, Miskiewicz M. Perioperative hypothermia: review for the anesthesia provider. The Internet Journal of Anesthesiology. 2009; 27 (2) [On line].

  12. Sessler D. Temperature monitoring: the consequences and prevention of mild perioperative hypothermia. Southern African Journal of Anaesthesia and Analgesia. 2014; 20 (1): 25-31.

  13. SDESEN Coahuila. Norma Oficial Mexicana NOM-006-SSA3-2011 para la práctica de la anestesiología. Diario Oifical de la Federación. México; 2012.

  14. Fulbrook P. Core body temperature measurement: a comparison of axilla, tympanic membrane and pulmonary artery blood temperature. Intensive Crit Care Nurs. 1997; 13 (5): 266-272.

  15. Frank S. Consequences of hypothermia. Current Anaesthesia & Critical Care. 2001; 12 (2): 79-86.

  16. Gerensea H, Murugan R. Is there significant difference between digital and glass mercury thermometer? Advances in Nursing. 2016; 2016: 1-10.

  17. Heier T, Caldwell J. Impact of hypothermia on the response to neuromuscular blocking drugs. Anesthesiology. 2006; 104:1070-1080.

  18. Doufas AG. Consequences of inadvertent perioperative hypothermia. Best Pract Res Clin Anaesthesiol. 2003; 17 (4): 535-549.

  19. Zeba S, Surbatovic M, Marjanovic M, Jevdjic J, Hajdukovic Z, Karkalic R et al. Efficacy of external warming in attenuation of hypothermia in surgical patients. Vojnosanit Pregl. 2016; 73 (6): 566-571.

  20. Bayter-Marín J, Rubio J, Valedón A, Macías Á. Hypothermia in elective surgery: The hidden enemy. Rev Colomb Anesthesiol. 2017; 45 (1): 48-53.

  21. Leslie K, Sessler D, Bjorksten A, Moayeri A. Mild hypothermia alters propofol pharmacokinetics and increases the duration of action of atracurium. Anesth Analg. 1995; 80 (5): 1007-1014.

  22. Crisóstomo-Pineda, M, Hernández-Pérez A, Ordóñez-Espinosa G, Riera-Kinkel C. La hipotermia y sus efectos durante la anestesia en niños. Rev Mex Pediatr. 2011; 78 (4): 131-138.

  23. Rajagopalan S, Mascha E, Na J, Sessler D. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology. 2008; 108 (1): 71-77.

  24. Torossian A, Bräuer A, Höcker J, Bein B, Wulf H, Horn E. Preventing inadvertent perioperative hypothermia. Dtsch Arztebl Int. 2015; 112 (10): 166-172.

  25. Intervenciones Preventivas Para la Seguridad en el Paciente Quirúrgico. México: Secretaría de Salud; 2013.




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