Warmed intravenous infusion for controlling intraoperative hypothermia

Mattia, Ana Lúcia De; Barbosa, María Helena; Filho, João Paulo Aché de Freitas; Rocha, Adelaide De Mattia; Pereira, Nathália Haib Costa

doi:10.1590/s0104-11692013000300021

Cited by 14 publications

(14 citation statements)

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“…In other investigations, the highest incidence was ASA II. [18][19] Research that specifically analyzed the factors related to the loss of body heat in the intraoperative period did not include the ASA as a variable in the study. 8 In a study in Spain with adults undergoing some kind of elective surgery, the association between ASA classification and hypothermia was also rejected.…”

Section: Discussionmentioning

confidence: 99%

“…Room temperature significantly influences the occurrence of hypothermia and should be controlled, because every 1°C increase in room temperature lowers the chance of hypotermia. 18 In the international scenario, a mean temperature of 20°C in the operating room was identified, with a minimum of 18.3 o C and a maximum of 23.3 o C. Based on the findings, it is stated that the ambient temperature below 20°C constitutes a risk factor for hypothermia. 13 The air humidity did not always follow the reference of values between 30 and 60%.…”

mentioning

confidence: 99%

“…Further investigations corroborated that room humidity did not interfere with hypothermia. 8,18 A study evaluating the variations of temperature and humidity of the operating room showed a statistically significant association between both. Thus, the lower the temperature of the room, the lower the humidity.…”

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confidence: 99%

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Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Danczuk

Nascimento

Hermida

et al. 2016

Texto contexto - enferm.

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Objective: to analyze the association between sociodemographic, clinical, operative and environmental characteristics with hypothermia events, measured intraoperatively by tympanic and temporal thermometers in adult patients undergoing elective abdominal surgery with visceral exposure. Method: prospective quantitative, correlational, observational study. Data were collected by means of structured instrument containing the variables: age, Body Mass Index; American Society of Anesthesiologists class; type of anesthesia; time of surgery; tympanic and temporal temperature; temperature and relative humidity of the surgical room. Temperatures were assessed by methods of tympanic and temporal measurement in 63 patients. The data analysis sought an association between hypothermia and patient characteristics, type of anesthesia, surgical environment, according to the method of measurement and surgical time. Results: Among the 63 patients, 15 (23.8%) had hypothermia. Of the total (n=15; 100%) number of hypothermic patients, 13 (80%) had mild hypothermia. Moderate hypothermia was identified only by temporal thermometry in three (20%) patients. Severe hypothermia was not identified, and in two (13.3%) patients the hypothermia was identified only by temporal thermometry. Hypothermia had a statistically significant association only with age (p=0.0027) and sex (p=0.015), when measuring tympanic temperature. Conclusion: Only sex and age showed correlation with hypothermia during surgery measured by tympanic thermometry; no variable influenced hypothermia measured by temporal thermometry.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Danczuk

Nascimento

Hermida

et al. 2016

Texto contexto - enferm.

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“…This donor may offer simultaneously for transplantation, heart, lungs, liver, pancreas, intestines and kidney as well as cornea, sclera, bone, cartilage, tendon, meniscus, fascia, heart valve and amniotic membrane (4) . Studies conducted in Brazil show that the main causes of non-effectiveness of the donation and transplantation of organs and tissues with the deceased donor are due to ignorance of the BD concept, both by population and by health professionals, inadequate structure of hospitals to perform the BD diagnosis and assistance to potential donor (PD), refusal of the family to authorize the donation, underreporting of PDs, logistical difficulties and medical contraindication (2,5) . In addition to this problem, the precarious structure of the Brazilian health system, characterized by overcrowded emergency rooms, with bedridden patients in corridors, long waiting time for care, tensions among health care team members, great pressure for new appointments, as well the lack of ICU beds, equipment, materials and trained human resources.…”

Section: Introductionmentioning

confidence: 99%

Estrutura, processo e resultado da doação de órgãos e tecidos para transplante

et al. 2015

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Objective: to analyze the factors related to the structure, process and outcomes of organ and tissue donation for transplantation. Method: analytic, longitudinal and quantitative study, conducted in six hospitals in Natal/RN, between August 2010 and February 2011, with 65 potential donors (PD), by means of no participant observation structured script. Results: regarding the donation structure, there was defi ciencies of physical resources (temperature control), materials (mobile radiology) human resources (nurse technicians) and lack of adequate records and care protocols. In the process of donation, the biggest problems were related to the evaluation stages, brain death diagnosis, maintenance and documentation, with greater proportion of care for the non-donor. Conclusion: the structure and process possibly determined the result of 72.3% no donation implementation of potential donors, indices compatible with the national data, but contradictory to those of Spain, which manages to transplant organs of 86.7% of its donors. Key words: Nursing; Tissue and Organ Procurement; Brain Death. RESUMO Objetivo: analisar os fatores relacionados à estrutura, ao processo e resultados da doação de órgãos e tecidos para transplantes. Método: estudo analítico, longitudinal e quantitativo, realizado em seis hospitais de Natal (RN), entre agosto de 2010 a fevereiro de 2011, com 65 potenciais doadores (PD), mediante roteiro estruturado de observação não participante. Resultados: quanto à estrutura para a doação havia defi ciências de recursos físicos (climatização), materiais (radiologia móvel), humanos (técnicos em enfermagem) e falta de registros adequados e protocolos assistenciais. No processo de doação, os problemas relacionaram-se às etapas de avaliação, diagnóstico de morte encefálica, manutenção e documentação, com maior proporção na assistência do não doador. Conclusão: possivelmente, a estrutura e o processo determinaram o resultado de que 72,3% dos potenciais doadores não efetivaram a doação, índices compatíveis com os nacionais, mas contraditórios com os da Espanha, que consegue transplantar os órgãos de 86,7% dos seus doadores. Descritores: Enfermagem; Obtenção de Tecidos e Órgãos; Morte Encefálica. RESUMENObjetivo: analizar los factores relacionados con la estructura, el proceso y los resultados de la donación de órganos y tejidos para trasplante. Método: estudio analitico, longitudinal y cuantitativo realizado em seis hospitales de Natal/RN entre agosto de 2010 y febrero de 2011, con 65 donantes potenciales (PD), a través guión estructurado de observación no participante. Resultados: Cuánto la estructura de la donación tuvo defi ciencias de los recursos físicos (condiciones de visión PD), materiales (ropa de cama), humanos (enfermeras y médicos) y la falta de registros adecuados y protocolos de atención. En el proceso de donación, los mayores problemas relacionados con las etapas de evaluación, diagnóstico de muerte encefálica, el mantenimiento y la documentación, con la mayor proporción de la asistencia no ...

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“…(4) However, the reasons that lead to family refusal to donate, as well as the cardiac arrest reasons and medical contraindications are unknown. (4)(5)(6)(7) Brazil does not have a quality program in organ donation and transplantation that can determine the causes of losses by underreporting, maintenance and family refusal, as a result of the care process. (4)(5)(6) The need to increase the number of donors is a worldwide problem.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural translation of quality instruments in the organ donation process

2014

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Objective: To carry out the cross-cultural translation of quality instruments in the organ donation process from the National Transplantation Organization of Spain. Methods: Methodological research with quantitative approach conducted in three Neurology reference hospitals in the South of the country. The instruments validation was carried out by mean of the steps of translation, backtranslation, synthesis and expert committee. The reliability was conducted by means of interobserver equivalence and test and retest stability. Results: There was a 100% match among all the judges in 89% of the items in the cross-cultural translation (11% of the items were not equivalent). In the reliability analysis, the Kappa coefficients corresponded to 0.86 and 0.95. Conclusion: The versions of the instruments were considered valid and reliable for use by institutions that carry out the organ donation process in Brazil. ResumoObjetivo: Realizar a tradução transcultural dos instrumentos de qualidade do processo de doação de órgãos da Organização Nacional de Transplantes da Espanha. Métodos: Pesquisa metodológica de abordagem quantitativa, realizada junto a três hospitais de referência em Neurocirurgia na Região Sul do país. A validade dos intrumentos foi desenvolvida por meio das etapas de tradução, backtranslation, síntese e comitê de juízes. A fidedignidade foi realizada por meio da equivalência interobservadores e da estabilidade teste e reteste. Resultados: Houve 100% de equivalência, por todos os juízes, em 89% dos itens na tradução transcultural (11% dos itens foram não equivalentes). Os valores de Kappa, na fidedignidade, foram 0,86 e 0,95. Conclusão: As versões dos instrumentos foram consideradas válidas e confiáveis para serem utilizadas pelas instituições que realizam o processo de doação de órgãos no Brasil.

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Warmed intravenous infusion for controlling intraoperative hypothermia

Abstract: the planning and implementation of nursing interventions carried out by baccalaureate nurses are essential for preventing hypothermia and maintaining perioperative normothermia.

Cited by 14 publications

References 11 publications

Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Tympanic and Temporal Thermometry in Hypothermia Assessment for Adult in Intraoperative Abdominal Surgery

Estrutura, processo e resultado da doação de órgãos e tecidos para transplante

Cross-cultural translation of quality instruments in the organ donation process

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