Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft
Yıl: 2020 Cilt: 28 Sayı: 1 Sayfa Aralığı: 33 - 40 Metin Dili: İngilizce DOI: 10.5152/FNJN.2020.18026 İndeks Tarihi: 20-10-2020
Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft
Öz: Aim: This study aimed to compare the body temperature, normothermia, and extubation times of patients heated with forced air warming method based on whether they underwent on-pump or off-pump coronary artery bypass graft.Method: This quasi-experimental study comprised 109 patients who underwent coronary artery bypass graft operation in the cardiovascular surgery department of a university hospital and a private hospital in Afyonkarahisar. Patients were divided into the following two groups: group 1 comprised 65 patients who underwent on-pump coronary artery bypass graft and group 2 comprised 44 patients who underwent off-pump coronary artery bypass graft. All patients included in the study were heated with forced air warming method. Preoperative and postoperative data were collected using the Patient Identification Form and the Patient Tracking Form, consisting of 16 items in total. Data were analyzed using the Statistical Package for the Social Sciences 18.0 software. Results: Even though the preoperative body temperature, postoperative first body temperature, second hour body temperature, and extubation time did not exhibit a significant difference depending on the operating method, a significant difference was observed regarding the first, third, fourth, and fifth hour body temperatures and time to reach normothermia based on the operating method (p<0.05). Notably, the off-pump group’s body temperatures in the first, third, fourth, and fifth hours were higher compared with the on-pump group. Furthermore, the off-pump group reached normothermia (145.22±72.54 minutes) earlier or faster compared with the on-pump group (206.84±89.30 minutes). The body temperatures, extubation times, and normothermia were not observed to exhibit significant differences based on the gender (p>0.05). A statistically significant relation was not observed between the patient’s body temperature and their age (p>0.05). However, a low but positive and significant (p<0.05) correlation was observed between the extubation times (r=0.197) and age, as well as time to reach normothermia (r=0.237) and age.Conclusion: This study concluded that forced air warming method is an effective technique to minimize the time to regain normothermia among patients who underwent the on- and off-pump coronary artery bypass graft
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Aksu, C., Kuş, A., Gürkan, Y., Solak, M., & Toker, K. (2014). Survey on postoperative hypothermia incidence in operating theatres of Kocaeli University. Turk J Anaesthesiol Reanim,42(2), 66-70. [CrossRef]
- Aktay-İnal, M., Ural, S. G., Şenol-Çakmak, H., Arslan, M., & Polat, R. (2017). Approach to perioperative hypothermia by anaesthesiology and reanimation specialist in Turkey: A sur-vey ınvestigation. Turk J Anaesthesiol Reanim, 45(3), 139-145. [CrossRef]
- Bansal, S., Thai, H. M., Hsu, C. H., Sai-Sudhakar, C. B., Gold-man, S., & Rhenman, B. E. (2013). Fast track extubation post coronary artery bypass graft: A retrospective review of pre-dictors of clinical outcomes. World Journal of Cardiovascular Surgery, 3(2), 81-86. [CrossRef]
- Benson, E. E., McMillan, D.E., & Ong, B. (2012). The effects of active warming on patient temperature and pain after total knee arthroplasty. Am J Nurs, 112(5), 26-33. [CrossRef]
- Berry, D., Wick, C., & Magons, P. (2008). A clinical evaluation of the cost and time effectiveness of the ASPAN hypothermia guideline. J Perianesth Nurs, 23(1), 24-35. [CrossRef]
- Bilgin, H. (2017). Inadverdent perioperative hypothermia. Turk J Anaesthesiol Reanim, 45, 124-126. [CrossRef]
- Burns, S. M., Wojnakowski, M., Piotrowski, K., & Caraffa G. (2009). Unintentional hypothermia: Implications for perian-esthesia nurses. J Perianesth Nur, 24(3), 167-176. [CrossRef]
- Campbell, G., Alderson, P., Smith, A.F., & Warttig, S. (2012). Interventions for treating inadvertent postoperative hypo-thermia (Protocol). Cochrane Database Syst Rev, 6, 1-18. [CrossRef]
- Chambers, D. J., & Allan, M.W.B. (2017). Anaesthesia in the elderly. Anaesthesia and Intensive Care Medicine, 18(1), 22-26. [CrossRef]
- de Brito Poveda, V., Clark, A.M., & Galvao, C.M. (2013). A systematic review on the effectiveness of prewarming to prevent perioperative hypothermia. J Clin Nurs, 22(7-8), 906-918. [CrossRef]
- Demirarslan, E. (2015). Evaluation of Use of Woolen Blan-ket Together with Electric Blanket for Controlling Postoper-ative Hypothermia; Surgical Nursing Programme. (Doctorate Thesis). Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, An-kara.
- Galvao, C. M., Marck, P. B., Sawada, N. O., & Clark, A. M. (2009). A systematic review of the effectiveness of cutane-ous warming systems to prevent hypothermia. J Clin Nurs, 18(5), 627-636. [CrossRef]
- Guvakov, D. V., Cheung, A. T., Weiss, S. J., Kalinin, N. B., Fe-dorenko, N. O., Shunkin, A.V., et al. (2000). Effectiveness of forced air warming after pediatric cardiac surgery employing hypothermic circulatory arrest without cardiopulmonary by-pass. J Clin Anesth, 12(7), 519-524. [CrossRef]
- Güneri, S., & Özpelit, E. (2010). Coronary invasive proce-dures in women. Arch Turk Soc Cardiol, 38(1), 50-56.
- Güzelay, N. Ö. (2013). Cerrahi hastada vücut sıcaklığının korunması ameliyat dönemi. In Yavuz, M., Kaymakçı, Ş., Dön-mez, Y. C., & Dolgun, E. (Eds.), 8. Ulusal Cerrahi ve Ameli-yathane Hemşireliği Kongre Kitabı (pp. 37-41).
- İzmir, Türkiye: Meta Basım Matbaacılık Hizmetleri.Hooper, V. D., Chard, R., Clifford, T., Fetzer, S., Fossum, S., Godden, B., et al. (2010). ASPAN’s evidence-based clinical practice guideline for the promotion of perioperative normo-thermia: second edition. J Perianesth Nur, 25(6), 346-365. [CrossRef]
- Jardeleza, A., Fleig, D., Davis, N., & Spreen-Parker, R. (2011). The effectiveness and cost of passive warming in adult ambu-latory surgery patients. AORN J,94(4), 363-369. [CrossRef]
- Kaya, M., İyigün, T., İyigün, M., Bakır, İ., & Yeniterzi, M. (2013). The results of coronary artery surgery in women and men un-der the age of 45. Turkish Journal of Thoracic and Cardiovas-cular Surgery,21(3), 581-587. [CrossRef]
- Kimberger, O., & Kurz, A. (2008). Thermoregulatory man-agement for mild therapeutic hypothermia. Best Pract Res Clin Anaesthesio, 22(4), 729-744. [CrossRef]
- Koyuncu, A., Yava, A., Kürklüoğlu, M., Güler, A., & Demirkılıç, U. (2011). Weaning from mechanical ventilation and nursing. Turkish Journal of Thoracic and Cardiovascular Surgery, 19(4), 671-681. [CrossRef]
- Kurşun, Ş., & Dramalı, A. (2011). Effect of warming with electrical blanket on the rewarming time of the patients un-dergoing abdominal surgery in the postoperative period. Genel Tıp Dergisi, 21(1), 1-4.
- Lynch, S., Dixon, J., & Leary, D. (2010) Reducing the risk of unplanned perioperative hypothermia. AORN J, 92(5), 553-565. [CrossRef]
- Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Bla-ha, M. J., Cushman, M., et al. (2015). Heart Disease and Stroke Statistics-2015 Update a report from the american heart as-sociation. Circulation, 131(4), e29-322. [CrossRef]
- Okutan, H., & Kutsal, A. (2001). Intensive postoperative care after open heart surgery in elderly patients. Turkish Jour-nal of Geriatrics, 4(3), 120-126.
- Onat, A., Karakoyun, S., Akbaş, T., Karadeniz, F. Ö., Karad-eniz, Y., Çakır, H., et al. (2015). Turkish adult risk factor survey 2014: Overall mortality and coronary disease incidence in Tur-key’s geographic regions. Arch Turk Soc Cardiol, 43(4), 326-332. [CrossRef]
- Saad, H., & Aladawy, M. (2013). Temperature management in cardiac surgery. Global Cardiology Science and Practice, 7, 45-62. [CrossRef]
- Sajid, M. S., Shakir, A. J., Khatri, K., & Baig, M. K. (2009). The role of perioperative warming in surgery: a systematic review. Sao Paulo Med J, 127(4), 231-237. [CrossRef]
- Toraman, F., Karabulut, E. H., & Alhan, C. (2000). Deter-minants of ICU stay in fast track recovery. Turkish Journal of Thoracic and Cardiovascular Surgery, 8(2), 605-609.
- Uncu, H., Çağlı, K., Göksel, S., Ulaş, M. M., Yıldız, Ü., Korkmaz, K., et al. (2004). Early extubation after open heart surgery; Can it be routine procedure?. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 57(4), 223-231.
- Uysalel, A. (1997). Treatment methods for primary and metastatic lever tumors. Journal of Ankara Universty Faculty of Medicine, 50(3),141-147.
- Villamaria, F. J., Baisden, C. E., Hillis, A., Rajab, H., & Rinal-di, P.A. (1997). Forced-air warming is no more effective than conventional methods for raising postoperative core tem-perature after cardiac surgery. J Cardiothorac Vasc Anesth, 11(6), 708-711. [CrossRef]
- Winslow, E. H., Susan, K. C., Dianne, M. H., Julie, P. B., Car-ol, M. J., Elizabeth, H. W., et al. (2012). Unplanned perioper-ative hypothermia and agreement between oral, temporal artery, and bladder temperatures in adult major surgery pa-tients. Journal of PeriAnesthesia Nursing,27(3), 165-180. [CrossRef]
| APA | CİĞERCİ Y, GİERSBERGEN M, AYVA E, KILIÇ İ (2020). Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. , 33 - 40. 10.5152/FNJN.2020.18026 |
| Chicago | CİĞERCİ YELİZ,GİERSBERGEN Meryem Yavuz van,AYVA Ercüment,KILIÇ İBRAHİM Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. (2020): 33 - 40. 10.5152/FNJN.2020.18026 |
| MLA | CİĞERCİ YELİZ,GİERSBERGEN Meryem Yavuz van,AYVA Ercüment,KILIÇ İBRAHİM Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. , 2020, ss.33 - 40. 10.5152/FNJN.2020.18026 |
| AMA | CİĞERCİ Y,GİERSBERGEN M,AYVA E,KILIÇ İ Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. . 2020; 33 - 40. 10.5152/FNJN.2020.18026 |
| Vancouver | CİĞERCİ Y,GİERSBERGEN M,AYVA E,KILIÇ İ Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. . 2020; 33 - 40. 10.5152/FNJN.2020.18026 |
| IEEE | CİĞERCİ Y,GİERSBERGEN M,AYVA E,KILIÇ İ "Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft." , ss.33 - 40, 2020. 10.5152/FNJN.2020.18026 |
| ISNAD | CİĞERCİ, YELİZ vd. "Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft". (2020), 33-40. https://doi.org/10.5152/FNJN.2020.18026 |
| APA | CİĞERCİ Y, GİERSBERGEN M, AYVA E, KILIÇ İ (2020). Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. Florence Nightingale journal of nursing (Online), 28(1), 33 - 40. 10.5152/FNJN.2020.18026 |
| Chicago | CİĞERCİ YELİZ,GİERSBERGEN Meryem Yavuz van,AYVA Ercüment,KILIÇ İBRAHİM Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. Florence Nightingale journal of nursing (Online) 28, no.1 (2020): 33 - 40. 10.5152/FNJN.2020.18026 |
| MLA | CİĞERCİ YELİZ,GİERSBERGEN Meryem Yavuz van,AYVA Ercüment,KILIÇ İBRAHİM Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. Florence Nightingale journal of nursing (Online), vol.28, no.1, 2020, ss.33 - 40. 10.5152/FNJN.2020.18026 |
| AMA | CİĞERCİ Y,GİERSBERGEN M,AYVA E,KILIÇ İ Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. Florence Nightingale journal of nursing (Online). 2020; 28(1): 33 - 40. 10.5152/FNJN.2020.18026 |
| Vancouver | CİĞERCİ Y,GİERSBERGEN M,AYVA E,KILIÇ İ Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft. Florence Nightingale journal of nursing (Online). 2020; 28(1): 33 - 40. 10.5152/FNJN.2020.18026 |
| IEEE | CİĞERCİ Y,GİERSBERGEN M,AYVA E,KILIÇ İ "Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft." Florence Nightingale journal of nursing (Online), 28, ss.33 - 40, 2020. 10.5152/FNJN.2020.18026 |
| ISNAD | CİĞERCİ, YELİZ vd. "Comparison of Body Temperature, Normothermia, and Extubation Times of Patients Heated with Forced Air Warming Method Based on Whether Patients Underwent On-Pump or Off-Pump Coronary Artery Bypass Graft". Florence Nightingale journal of nursing (Online) 28/1 (2020), 33-40. https://doi.org/10.5152/FNJN.2020.18026 |
