Inadverdent Perioperative Hypothermia

Bilgin, Hülya

doi:10.5152/tjar.2017.200501

Cited by 16 publications

(19 citation statements)

References 27 publications

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“…Perioperative hypothermia may contribute to delayed recovery and increased postoperative complications such as surgical site infection, major cardiac events, and blood loss[27]. Prevalence of intraoperative and postoperative hypothermia in emergency surgery could be as high as 60% - especially in patients undergoing major abdominal surgery and those receiving the large amount of intravenous crystalloids.…”

Section: Application Of Eras Items In Emergency Colorectal Surgery Anmentioning

confidence: 99%

“…However, there is no significant relationship between perioperative hypothermia and length of hospital stay in critically ill surgical patients[28]. Similar to an elective setting, use of warming techniques such as forced air warming in emergency could reverse or protect against intraoperative hypothermia[27].…”

Section: Application Of Eras Items In Emergency Colorectal Surgery Anmentioning

confidence: 99%

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Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices

Lohsiriwat

Jitmungngan

2019

WJGS

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Enhanced recovery after surgery (ERAS), a multidisciplinary program designed to minimize stress response to surgery and promote the recovery of organ function, has become a standard of perioperative care for elective colorectal surgery. In an elective setting, ERAS program has consistently been shown to decrease postoperative complication, reduce length of hospital stay, shorten convalescence, and lower healthcare cost. Recently, there is emerging evidence that ERAS program can be safely and effectively applied to patients with emergency colorectal conditions such as acute colonic obstruction and intraabdominal infection. This review comprehensively covers the concept and application of ERAS program for emergency colorectal surgery. The outcomes of ERAS program for this emergency surgery are summarized as follows: (1) The ERAS program was associated with a lower rate of overall complication and shorter length of hospital stay – without increased risks of readmission, reoperation and death after emergency colorectal surgery; and (2) Compliance with an ERAS program in emergency setting appeared to be lower than that in an elective basis. Moreover, scientific evidence of each ERAS item used in emergency colorectal operation is shown. Perspectives of ERAS pathway in emergency colorectal surgery are addressed. Finally, evidence-based ERAS protocol for emergency colorectal surgery is presented.

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Section: Application Of Eras Items In Emergency Colorectal Surgery Anmentioning

confidence: 99%

Section: Application Of Eras Items In Emergency Colorectal Surgery Anmentioning

confidence: 99%

Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices

Lohsiriwat

Jitmungngan

2019

WJGS

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“…In our study, which included 60 patients with total hip replacement surgery, we aimed to evaluate the effect of warming intravenous fluids on hypothermia (‹36⁰C), amount of bleeding, preoperative and postoperative hemoglobinhematocrit changes and amount of blood transfusion. The risk of inadvertent intraoperative hypothermia has been reported in a wide range (50-90%) [8]. Despite the necessary precautions, unpreventable heat loss is a common condition in patients undergoing anesthesia, regardless of the type of anesthesia selected [9].…”

Section: Discussionmentioning

confidence: 99%

“…Even in moderate hypothermia (<35ºC), physiological coagulation mechanisms are impaired, affecting platelet functions and inducing modifications in enzymatic functions. The decrease in platelet activity increases the bleeding and stimulates the need for transfusion [8]. Rajagopalan et al [13] analyzed 14 studies and reported that moderate hypothermia (34ºC -36ºC) increased blood loss by 16% and increased blood replacement rate by 22%.…”

Section: Discussionmentioning

confidence: 99%

The effects of warming fluid on hypothermia, blood transfusion in hip replacement

Yoldaş,

Aksun

2021

Ann Clin Anal Med

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Aim: Inadvertent intraoperative hypothermia is a common problem but it can be avoided. Passive isolation and active heating methods are used to prevent inadvertent intraoperative hypothermia. The aim of this study was to investigate the effect of warming intravenous fluids on hypothermia, blood loss, and transfusion in total hip replacement surgery. Material and Methods: After the approval of the ethics committee was obtained, the files of 69 patients who underwent total hip replacement operation between December2014 and July2015 as well as the hospital's data system were analyzed retrospectively. Nine patients with missing data were excluded. We included in the study 60 patients aged 30-90 years, with ASA1-3,weighing 50-100kg, normal coagulation tests normal and spinal anesthesia. The patients were divided into two groups as Group1(n=28), in which the intraoperative intravenous fluids were warmed and Group2(n=32),in which liquids were not warmed. Groups were analyzed with regard to hypothermia, amount of bleeding, transfused blood, amount of fluid injected intraoperatively, and pre-postoperative hemoglobin-hematocrit changes. Results: Hypothermia was observed in both groups. In Group 1, body temperature was significantly higher than Group 2. The amount of fluid given(lt) and the amount of blood loss(ml) were both significantly lower while postoperative hemoglobin-hematocrit values were significantly higher in Group 1(p <0.05). No significant difference was found between the two groups in terms of blood transfusion. Discussion: Hypothermia is a problem in hip replacement surgery. Although we have used the convective air warming system and heated intravenous fluids, we observed intraoperative hypothermia in both groups. Therefore, we suggest that temperature monitoring and patient warming should be a routine procedure in the pre-intra-postoperative phase.

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“…For this purpose, active heating methods including forced-air warming (FAW), using electric blankets and radiant heaters, are preferable to passive heating using blankets and drapes. [ 2 5 12 14 15 ]…”

mentioning

confidence: 99%

The effects of active warming on perioperative inadvertent hypothermia in patients undergoing vitreoretinal surgery under local anesthesia

Urfalıoğlu

Urfalioglu

Öksüz

et al. 2021

Indian Journal of Ophthalmology

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Purpose: Perioperative inadvertent hypothermia (PIH) is the decrease in core temperature below 36°C. We aimed to assess whether PIH develops in patients operated under local anesthesia (ULA) for vitreoretinal surgery in the operating room and investigate active warming efficacy. Methods: Seventy-two patients were divided into two groups: Group 1 contained unwarmed patients ( n = 36), and Group 2, warmed patients ( n = 36). The core temperatures, heart rate (HR), and mean arterial pressure (MAP) of the patients were measured at the beginning of surgery, after 20 min, 40 min, 1 h, at the end of the operation, and during the postoperative period. Results: PIH incidence was 44.6% in Group 1, whereas no hypothermia was observed in Group 2. Patient temperatures at 20 min ( P = 0.001), 40 min ( P < 0.001), 1 h ( P < 0.001), the end of the operation ( P < 0.001), and the postoperative period ( P < 0.001) were significantly higher in Group 2 than in Group 1. Patient HRs at the end of the operation and during the postoperative period were significantly lower in Group 2 ( P = 0.005) than in Group 1 ( P < 0.001). The intraoperative 40 th ( P = 0.044) and 60 th ( P < 0.001) minutes, end of operation ( P < 0.001), and postoperative MAP ( P < 0.001) values of Group 1 were significantly higher than those of Group 2. Conclusion: PIH may develop in patients operated ULA, especially with a low ambient temperature. Actively warming may help prevent the harmful effects of PIH.

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Inadverdent Perioperative Hypothermia

Cited by 16 publications

References 27 publications

Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices

Enhanced recovery after surgery in emergency colorectal surgery: Review of literature and current practices

The effects of warming fluid on hypothermia, blood transfusion in hip replacement

The effects of active warming on perioperative inadvertent hypothermia in patients undergoing vitreoretinal surgery under local anesthesia

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