Meta‐analysis: effectiveness of forced‐air warming for prevention of perioperative hypothermia in surgical patients

Nieh, Hsiao-Chi; Su, Shu‐Fen

doi:10.1111/jan.13010

Cited by 52 publications

(42 citation statements)

References 90 publications

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“…Assim, é essencial o uso de isolamento e dispositivos de aquecimento no perioperatório. Na prática clínica, o isolamento passivo e a ativação de sistemas de aquecimento têm sido frequentemente usados para prevenir a hipotermia durante o procedimento anestésico-cirúrgico 15 .…”

Section: Discussionunclassified

Conhecimento dos profissionais de enfermagem de centro cirúrgico sobre hipotermia em pacientes cirúrgicos oncológicos

2017

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Objetivo: Este estudo teve como objetivo analisar o conhecimento dos profissionais de enfermagem de centro cirúrgico sobre hipotermia em pacientescirúrgicos oncológicos, antes e após intervenção educativa. Método: Trata-se de um estudo descritivo de caráter exploratório, transversal, de campo e comabordagem quantitativa. Foram entrevistados 21 profissionais de enfermagem, e os dados foram coletados antes e após a intervenção educativa. Resultados:O resultado após a aplicação do teste mostrou maior aprovação, e a intervenção educativa evidenciou melhor aproveitamento em comparação ao teste deconhecimento prévio dos profissionais de enfermagem. Conclusão: Diante desse fato, compete ao enfermeiro o planejamento de intervenções e o estabelecimentode prioridades para que metas sejam alcançadas, diminuindo complicações relacionadas à hipotermia. Por fim, é fundamental que o enfermeiro decentro cirúrgico norteie sua equipe e seja o elo do conhecimento técnico-científico para melhorar a qualidade da assistência ao paciente cirúrgico.

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Section: Discussionunclassified

Conhecimento dos profissionais de enfermagem de centro cirúrgico sobre hipotermia em pacientes cirúrgicos oncológicos

2017

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“…Forced-air warming has been proven to be the most effective method to maintain normothermia among children undergoing surgery. [24,25] Although the cost of a forced-air warming system is more than that of a regular blanket or an electric blanket, it is often worthwhile shortening the patient's stay in the PACU and reducing the risk of the increased costs of treating complications associated with postoperative hypothermia.…”

Section: Discussionmentioning

confidence: 99%

Effect of an electric blanket plus a forced-air warming system for children with postoperative hypothermia

Shi²,

Ren³

et al. 2017

Medicine

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Background:Postoperative hypothermia in children in postanesthesia care unit (PACU) is a well-known serious complication as it increases the risk of blood loss, wound infections, and cardiac arrhythmias. We conducted this prospective randomized controlled trial to evaluate the effect of an electric blanket plus a forced-air warming system on rewarming in children with postoperative hypothermia.Methods:We recruited 346 children (aged < 3 years) who were admitted to a PACU after surgery and diagnosed with hypothermia between March and August 2016. They were randomly divided into 3 groups: group C (n = 108, rewarmed with only a regular blanket), group E (n = 123, rewarmed with a regular blanket plus an electric blanket), and group EF (n = 115, rewarmed with an electric blanket plus a forced-air warming system). From the beginning of rewarming, the rectal temperature was recorded every 5 minutes for the first half hour, then every 10 minutes up to when the patient left the PACU. The primary outcome was the rewarming time of children (from the beginning of rewarming to recovery of normothermia). The rewarming rate, increase in temperature (compared with the beginning of rewarming), hemodynamics, recovery time, and incidences of adverse effects were recorded.Results:There were no significant differences among the 3 groups in terms of the baseline clinical characteristics, use of narcotic drugs, intraoperative temperature, and hemodynamics (P > .05). Compared with the children in groups C and E, both the heart rate and mean arterial pressure of those in group EF were significantly increased after 10 minutes of arriving at the PACU (P < .05). Children in the EF group had the shortest rewarming time (35.61 ± 16.45 minutes, P < .001) and highest rewarming efficiency (0.028 ± 0.001 °C/min, P < .001), while there was no evidence of a difference in increased rectal temperature among the 3 groups. Children in the EF group had lower incidences of arrhythmia, shivering, nausea, and vomiting (P < .05).Conclusion:The combination of an electric blanket and a forced-air warming system was shown to be an effective rewarming method for children with postoperative hypothermia.

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“…The hypothalamus is the most important thermoregulatory center in the body (Nieh & Su, 2016;. Under normal conditions, drops in core temperature of only a few tenths of a degree activate vasoconstriction to counteract this change.…”

Section: Effects Of Anesthesiamentioning

confidence: 99%

Comparing Forced-Air to Resistive-Polymer Warming for Perioperative Temperature Management: A Retrospective Study

Lupo

Collins

Hewer

et al. 2020

Journal of PeriAnesthesia Nursing

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Meta‐analysis: effectiveness of forced‐air warming for prevention of perioperative hypothermia in surgical patients

Cited by 52 publications

References 90 publications

Conhecimento dos profissionais de enfermagem de centro cirúrgico sobre hipotermia em pacientes cirúrgicos oncológicos

Conhecimento dos profissionais de enfermagem de centro cirúrgico sobre hipotermia em pacientes cirúrgicos oncológicos

Effect of an electric blanket plus a forced-air warming system for children with postoperative hypothermia

Comparing Forced-Air to Resistive-Polymer Warming for Perioperative Temperature Management: A Retrospective Study

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