Yıl: 2021 Cilt: 61 Sayı: 4 Sayfa Aralığı: 417 - 421 Metin Dili: İngilizce DOI: 10.14744/hnhj.2021.70037 İndeks Tarihi: 04-06-2022

Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery

Öz:
Introduction: Perioperative hypothermia (POH) emerges as an important problem in increasing the morbidity and mortality rates of geriatric patients. The purpose of this study was to determine the incidence of POH in geriatric patients undergoing elective surgery. In addition, to determine the risk factors associated with POH in geriatric patients, to contribute to the improvement of temperature monitoring awareness and body temperatures. Methods: Patients over 65 years of age who would undergo elective surgery under sedoanalgesia, general and regional anesthesia were included in the study. Demographic and operative data of the patients, body temperatures at the time of entering the waiting room and exiting the waiting room in the pre-operative period, at the 0th min (min), 60th min, 120th min, 180th min, and 240th min in the intraoperative period and in the post-operative period, and body temperatures at the time of entry and exit from the recovery unit were measured from the tympanic membrane and recorded. Body temperatures below 36°C were accepted as hypothermia. Results: A total of 178 patients, including 75 females (42.1%) and 103 males (57.8%), were included in the study. The mean age of the patients was 73±7.44 years. While the pre-operative mean body temperature of the patients was 36.8±0.46°C, the mean body temperature at the entrance and exit of the postoperative recovery unit was 35.61±0.89°C and 36.11±0.63°C, respectively. In the intraoperative period, the mean value of body temperature at the 0th min was found to be higher than the 60th, 120th, and 180th min, which was statistically significant (p<0.01). A statistically significant difference was found in all time frame comparisons of prolonged operation time and decrease in body temperature (p<0.01). Discussion and Conclusion: In our study, POH emerges as an important problem in geriatric patients. We suggest that routine monitoring of body temperature and warming of patients are necessary to prevent hypothermia in geriatric patients. Especially in operations that are planned to take a long time; improvements should be implemented quickly to avoid hypothermia.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
0
0
0
  • 1. TÜİK. İstatistiklerle Yaşlılar. 2020. Available at: https:// www.data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle- Yaslilar-2020-37227. Accessed Apr 11, 2021.
  • 2. Jo YY, Chang YJ, Kim YB, Lee S, Kwak HJ. Effect of preoperative forced-air warming on hypothermia in elderly patients undergoing transurethral resection of the prostate. Urol J 2015;12:2366–70.
  • 3. Hong S, Yoo BH, Kim KM, Kim MC, Yon JH, Lee S. The efficacy of warming blanket on reducing intraoperative hypothermia in patients undergoing transurethral resection of bladder tumor under general anesthesia. Anesth Pain Med 2016;11:404–9.
  • 4. Seo H, Kim K, Oh EA, Moon YJ, Kim YK, Hwang JH. Effect of electrically heated humidifier on intraoperative core body temperature decrease in elderly patients: A prospective observational study. Anesth Pain Med 2016;11:211–6.
  • 5. Chun EH, Lee GY, Kim CH. Postoperative hypothermia in geriatric patients undergoing arthroscopic shoulder surgery. Anesthesia Pain Med 2019;14:112–6.
  • 6. Sajid MS, Shakir AJ, Khatri K, Baig MK. The role of perioperative warming in surgery: A systematic review. Sao Paulo Med J 2009;127:231–7.
  • 7. Moola S, Lockwood C. Effectiveness of strategies for the management and/or prevention of hypothermia within the adult perioperative environment. Int J Evid Based Health 2011;94:337–45.
  • 8. Schmied H, Kurz A, Sessler DI, Kozek S, Reiter A. Mild hypothermia increases blood loss and transfusion require-ments during total hip arthroplasty. Lancet 1996;347:289–92.
  • 9. El Gamal N, El Kassabany N, Frank SM, Amar R, Khabar HA, El- Rahmany HK, et al. Age-related thermoregulatory differences in a warm operating room environment (approximately 26 degrees C). Anesth Analg 2000;90:694–8.
  • 10. Bush HL Jr., Hydo LJ, Fischer E, Fantini GA, Silane MF, Barie PS. Hypothermia during elective abdominal aortic aneurysm repair: The high price of avoidable morbidity. J Vasc Surg 1995;21:392–400.
  • 11. Sessler DI. Complications and treatment of mild hypothermia. Anesthesiology 2001;95:531–43.
  • 12. Sessler DI, Rubinstein EH, Moayeri A. Physiologic responses to mild perianesthetic hypothermia in humans. Anesthesiology 1991;75:594–610.
  • 13. Kurz A, Sessler DI, Lenhardt RA. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of wound infections and temperature group. N Engl J Med 1996;334:1209–15.
  • 14. Melling AC, Ali B, Scott EM, Leaper J. Effects of preoperative warming on the incidence of wound infection after clean surgery: A randomised controlled trial. Lancet 2001;358:876– 80.
  • 15. Heier T, Caldwell JE, Sessler DI, Miller RD. Mild intraoperative hypothermia increases duration of action and spontaneous recovery of vecuronium blockade during nitrous oxide-isoflurane anesthesia in humans. Anesthesiology 1991;74:815–9.
  • 16. Heier T, Caldwell JE. Impact of hypothermia on the response to neuromuscular blocking drugs. Anesthesiology 2006;104:1070–80.
  • 17. Leslie K, Sessler DI, Bjorksten AR, Moayeri A. Mild hypothermia alters propofol pharmacokinetics and increases the duration of action of atracurium. Anesth Analg 1995;80:1007–14.
  • 18. Torossian A, TEMMP (Thermoregulation in Europe Monitoring and Managing Patient Temperature) Study Group. Survey on intraoperative temperature management in Europe. Eur J Anaesthesiol 2007;24:668–75.
  • 19. Aksu C, Kuş A, Gürkan Y, Solak M, Toker K. Survey on postoperative hypothermia incidence in operating theatres of Kocaeli university. Turk J Anaesthesiol Reanim 2014;42:66–70.
  • 20. Zhang R, Chen X, Xiao Y. The effects of a forced-air warming system plus electric blanket for elderly patients undergoing transurethral resection of the prostate: A randomized controlled trial. Medicine (Baltimore) 2018;97:e13119.
  • 21. De Witte J, Sessler DI. Perioperative shivering: Physiology and pharmacology. Anesthesiology 2002;96:467–84.
  • 22. Mahajan RP, Grover VK, Sharma SL, Singh H. Intraocular pressure changes during muscular hyperactivity after general anesthesia. Anesthesiology 1987;66:419–21.
APA BATCIK S, Kazancioglu L (2021). Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. , 417 - 421. 10.14744/hnhj.2021.70037
Chicago BATCIK SULE,Kazancioglu Leyla Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. (2021): 417 - 421. 10.14744/hnhj.2021.70037
MLA BATCIK SULE,Kazancioglu Leyla Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. , 2021, ss.417 - 421. 10.14744/hnhj.2021.70037
AMA BATCIK S,Kazancioglu L Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. . 2021; 417 - 421. 10.14744/hnhj.2021.70037
Vancouver BATCIK S,Kazancioglu L Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. . 2021; 417 - 421. 10.14744/hnhj.2021.70037
IEEE BATCIK S,Kazancioglu L "Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery." , ss.417 - 421, 2021. 10.14744/hnhj.2021.70037
ISNAD BATCIK, SULE - Kazancioglu, Leyla. "Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery". (2021), 417-421. https://doi.org/10.14744/hnhj.2021.70037
APA BATCIK S, Kazancioglu L (2021). Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. Haydarpaşa Numune Medical Journal, 61(4), 417 - 421. 10.14744/hnhj.2021.70037
Chicago BATCIK SULE,Kazancioglu Leyla Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. Haydarpaşa Numune Medical Journal 61, no.4 (2021): 417 - 421. 10.14744/hnhj.2021.70037
MLA BATCIK SULE,Kazancioglu Leyla Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. Haydarpaşa Numune Medical Journal, vol.61, no.4, 2021, ss.417 - 421. 10.14744/hnhj.2021.70037
AMA BATCIK S,Kazancioglu L Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. Haydarpaşa Numune Medical Journal. 2021; 61(4): 417 - 421. 10.14744/hnhj.2021.70037
Vancouver BATCIK S,Kazancioglu L Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery. Haydarpaşa Numune Medical Journal. 2021; 61(4): 417 - 421. 10.14744/hnhj.2021.70037
IEEE BATCIK S,Kazancioglu L "Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery." Haydarpaşa Numune Medical Journal, 61, ss.417 - 421, 2021. 10.14744/hnhj.2021.70037
ISNAD BATCIK, SULE - Kazancioglu, Leyla. "Incidence of Perioperative Hypothermia in Geriatric Patients Undergoing Elective Surgery". Haydarpaşa Numune Medical Journal 61/4 (2021), 417-421. https://doi.org/10.14744/hnhj.2021.70037