Hypothermia in a surgical intensive care unit

Abelha, Fernando; Castro, M.; Neves, Aida; Landeiro, Nuno; Costa-Santos, Cristina

doi:10.1186/1471-2253-5-7

Cited by 69 publications

(91 citation statements)

References 59 publications

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“…Hypothermia is thought to be a common and important physiological abnormality in surgical patients admitted to intensive care units (ICUs). Previous studies of postoperative hypothermia in ICU patients have used a single temperature observation (often on admission) and examined small patient groups, usually from one centre [1][2][3][4][5][6]. Despite these limitations, in studies of heterogeneous cohorts of postoperative patients, hypothermia was independently associated with complications and increased mortality [2,6].…”

Section: Discussionmentioning

confidence: 99%

Postoperative hypothermia and patient outcomes after elective cardiac surgery

Karalapillai¹,

Story

Hart

et al. 2011

Anaesthesia

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Summary Hypothermia after elective cardiac surgery is an important physiological abnormality and is associated with increased morbidity and mortality. The Australian and New Zealand intensive care adult patient database was studied to obtain the lowest and highest temperature in the first 24 h after surgery. Hypothermia was defined as core temperature < 36 °C; transient hypothermia as temperature < 36 °C that was corrected within 24 h; and persistent hypothermia as hypothermia that was not corrected within 24 h. Hypothermia occurred in 28 587 out of a total of 43 158 consecutive patients (66%) and was persistent in 111 (0.3%). Transient hypothermia was not independently associated with increased hospital mortality (OR = 0.9, 95% CI 0.8–1.1), whereas persistent hypothermia was associated with markedly increased risk of death (OR = 6.3, 95% CI = 3.3–12.0). Hypothermia is common in postoperative cardiac surgery patients during the first 24 h after ICU admission but, if transient, is not independently associated with an increased risk of death.

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Section: Discussionmentioning

confidence: 99%

Postoperative hypothermia and patient outcomes after elective cardiac surgery

Karalapillai¹,

Story

Hart

et al. 2011

Anaesthesia

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“…It was reported that 43.8% of the patients (n=81) were heated perioperatively. Hypothermia was observed in 55 of the heated patients [11]. It has been observed in our study that 7 patients received perioperative heating and none of them had postoperative hypothermia.…”

Section: Discussionmentioning

confidence: 74%

“…In the postoperative period, in 7,9% of the patients (13/165) hypothermia was detected; and deep hypothermia was detected in 1,8% (3/165) of them. In similar studies, it was reported that postoperative hypothermia was observed at much higher temperatures [10][11][12].…”

Section: Discussionmentioning

confidence: 76%

Hypothermia Frequency of Patients in the Postoperative Period

Babayiğit¹,

Tutal²,

Güleç³

et al. 2016

Med-Science

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“…Several authors found high incidences of hypothermia ( < 36 ° C) ranging from 41 % to more than 60 % in postoperative surgical patients on arrival in the intensive care unit (ICU) [1,58,59,93] .…”

Section: Incidence Of Perioperative Hypothermiamentioning

confidence: 99%

Diagnosis, prevention and treatment of accidental and perioperative hypothermia

Brandt¹,

Mühlsteff

Imhoff³

2012

Biomedizinische Technik/Biomedical Engineering

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Accidental hypothermia and its variant, perioperative hypothermia, is a rather common clinical phenomenon in patients. This is surprising because the negative effects on clinical outcomes are well described and effective patient-warming devices are available today. The aim of this paper is to describe the physiologic background of accidental and perioperative hypothermia, the clinical relevance and existing prophylaxis and treatment options. Patient warming techniques will be discussed in detail. Remaining technical and clinical challenges and the need for further research will be addressed. We will present existing guidelines and standards and analyse the impact of accidental and perioperative hypothermia on cost effectiveness.

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Hypothermia in a surgical intensive care unit

Cited by 69 publications

References 59 publications

Postoperative hypothermia and patient outcomes after elective cardiac surgery

Postoperative hypothermia and patient outcomes after elective cardiac surgery

Hypothermia Frequency of Patients in the Postoperative Period

Diagnosis, prevention and treatment of accidental and perioperative hypothermia

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