Risk of perioperative hypothermia: An integrative review
DOI:
https://doi.org/10.5327/Z1414-4425202100010009Abstract
Objective: To identify the occurrence and the risk factors that determine the development of the nursing diagnosis ‘risk for perioperative hypothermia’.
Method: Integrative review, using the acronym PIO (patients, intervention, outcomes), in which P=adult and older adults; I=elective surgeries;
O=risk factors associated with perioperative hypothermia. The review was conducted and reported based on the Check-list Preferred Reporting Items for
Systematic Reviews and Meta-Analyzes (PRISMA), following the seven steps proposed by the PRISMA method. Results: The search generated 854 articles,
excluding duplicates and non-relevant titles. After applying the exclusion criteria, 13 articles were submitted to the final analysis. Low body mass index, advanced
age and prolonged surgical time were the factors most related to the development of hypothermia in surgical patients. The management of hypothermia
helps to reduce the risk of adverse cardiac events, infectious complications, and bleeding, besides bringing greater comfort to patients. Conclusion: Nurses
need to act before the hypothermic condition sets in, recognizing the risk factors inherent to each patient and identifying which care technologies to apply.
References
Organização Mundial da Saúde. Segundo desafio global para a segurança do paciente: Manual cirurgias seguras salvam vidas. Rio de Janeiro. 2009
Sociedade Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Práticas recomendadas: centro cirúrgico, recuperação pós-anestésica e centro de material e esterilização. 7 ed. São Paulo. 2017.
Herdman TH, Kamitsuru S. Diagnósticos de enfermagem da NANDA Internacional: definições e classificação (2018-2020). Artmed. 2018. 11 ed. Porto Alegre
Akers JL, Dupnick AC, Hillman EL, et al. Inadvertent Perioperative Hypothermia Risks and Postoperative Complications: A Retrospective Study. Aorn Journal. 2019 Jun; 109(6):741-747.
Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Med. 2009 Jul; 6(7): e1000100.
Li Y, Liang H, Feng Y. Prevalence and multivariable factors associated with inadvertent intraoperative hypothermia in video-assisted thoracoscopic surgery: a single-center retrospective study. BMC Anesthesiol. 2020.
Kleimeyer JP, Harris AHS, Sanford J, et al. Incidence and Risk Factors for Postoperative Hypothermia After Orthopaedic Surgery. Journal of the American Academy of Orthopaedic Surgeons. 2018 Dec; e497-e503.
Emmert A, Gries G, Wand S, et al. Association between perioperative hypothermia and patient outcomes after thoracic surgery: A single center retrospective analysis. Medicine. 2018. Apr; 97(17):e0528.
Mendonça FT, De Lucena MC, Quirino RS, et al. Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study. Rev Bras Anestesiol. 2019. Mar/Apr; 1806-907X.
Chalari E, Intas G, Zyga S, et al. Perioperative inadvertent hypothermia among urology patients who underwent transurethral resection with either TURis or transurethral resection of the prostate method. Urologia Journal. 2019. May; 86(2), 69–73.
Bayir H, Yildiz FE, Tekelioglu UY, et al. Effect of perioperative inadvertent hypothermia on the ECG parameters in patients undergoing transurethral resection. Eur Rev Med Pharmacol Sci. 2016. Mar; 20 (8): 1445-1449
Pascal A, Samir B, Philippe A. Prevalence of hypothermia on admission to recovery room remains high despite a large use of forced-air warming devices: Findings of a non-randomized observational multicenter and pragmatic study on perioperative hypothermia prevalence in France. Plos One. 2019. Dec.
Muniz GS, Teles NSB, Leitão IMTA, et al. Hipotermia Acidental: Implicações para os cuidados de enfermagem no transoperatório. Rev SOBECC. 2014. Jan/Mar; 19(1): 79-86.
Becerra Á, Valencia L, Ferrando C, et al. Prospective observational study of the effectiveness of prewarming on perioperative hypothermia in surgical patients submitted to spinal anesthesia. Sci Rep. 2019. Nov; 16477.
Horn EP, Bein B, Broch O, et al. Warming before and after epidural block before general anaesthesia for major abdominal surgery prevents perioperative hypothermia. European Journal of Anaesthesiology. 2016. May; 33 (5).
Benjamin Z, Kenngott T, Fischer S, et al. Early hypothermia as risk factor in severely burned patients: A retrospective outcome study. Elsevier. 2019; 45 (8).
Ziolkowski N, Rogers AD, Xiong W, et al. The impact of operative time and hypothermia in acute burn surgery. Elsevier. 2017; 43 (8).
Desgranges FP, Bapteste L, Riffard C, et al. Predictive Factors of Maternal Hypothermia During Cesarean Delivery: A Prospective Cohort Study. Obstetric Anesthesia Digest. 2017. Jun; 64(9):919–927.
Luke ABSN, Amanda C, Dupnick BSN, et al. Inadvertent Perioperative Hypothermia Risks and Postoperative Complications: A Retrospective Study. AORN Journal. 2019. May.
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