Adherence to best practices for preventing perioperative hypothermia

Authors

DOI:

https://doi.org/10.5327/Z1414-44251086

Keywords:

Perioperative period, Hypothermia, Perioperative nursing, Surgery Department, Hospital, Intraoperative complications

Abstract

Objective: To verify the percentage of adherence to best practices for preventing hypothermia in the intraoperative period. Method: This is a cross-sectional, observational study with analysis of secondary data from 310 medical records of patients who underwent surgical procedures. A collection instrument based on the recommendations of national and international associations was used, whose data were analyzed using Microsoft Excel and EPI INFO 7 software. The study was approved by the Research Ethics Committee of the institution under Opinion No. 7.594.439. Results: There was a slight prevalence of men, comprising 50.32% (n=156) of the sample, mean age of 55 years (standard deviation [SD]=16.70), and mean body mass index (BMI) of 26.44. We verified a prevalence of 75.48% (n=234) of general anesthesia and 54.84% (n=170) of open surgeries, with mean anesthetic-surgical time of 210 minutes (SD=138). Thermal blanket was used in 79.68% (n=247) of patients and intraoperative temperature monitoring in 36.45% (n=113), while heated intravenous fluids and thermal mattress were used in 1.61% (n=5) of the sample. Conclusion: We identified adherence to the use of thermal blanket in 79.68% (n=247) of patients and intraoperative core temperature monitoring in 36.45% (n=113), which were the most adopted strategies to prevent perioperative hypothermia. In turn, heated intravenous fluids and thermal mattress were recorded in 1.61% (n=5) of the procedures. The analysis emphasizes normothermia as a quality indicator for best clinical outcomes, in such a way that investigating the rates of adherence to preventive measures becomes essential to support care planning and strengthen good practices in the perioperative period.

Author Biographies

Sabrina Dayane Mazote, Hospital Sírio-Libanês – São Paulo (SP), Brasil.

Especialização em andamento pelo programa de Residência de Enfermagem em Centro Cirúrgico e CME no Hospital Sírio-Libanês (atual). Possui graduação em Enfermagem pelo Centro Universitário FMABC (2020-2023). Membro do grupo de pesquisas Tecnologias e Intervenções na Saúde do Adulto com Enfoque no Paciente Cirúrgico (TINPAC) da Escola de Enfermagem da Universidade de São Paulo (EEUSP) (atual). Realizou estágio extracurricular no Curso de Enfermagem do Centro Universitário FMABC (2022-2023). Presidente fundadora da Liga Acadêmica de Centro Cirúrgico em Enfermagem (LACCE) do Centro Universitário FMABC (2022-2023). Concluiu o projeto de Iniciação Científica pelo Centro Universitário FMABC (2022-2023). Representante Discente do Colegiado do Curso de Enfermagem do Centro Universitário FMABC (2022-2023). Representante Discente da Câmara de Extensão do Centro Universitário FMABC (2022-2023). Monitora da disciplina de Semiotécnica para o Curso de Medicina do Centro Universitário FMABC (2021-2023). Língua Inglesa nível avançado.

Lucas Lourençon, Hospital Sírio-Libanês – São Paulo (SP), Brasil.

Especialização em andamento pelo programa de Residência de Enfermagem em Centro Cirúrgico e CME no Hospital Sírio-Libanês (2025-atual); Membro do grupo de pesquisa cadastrado no CNPq "Tecnologias e intervenções na saúde do adulto, com enfoque no paciente cirúrgico" (TINPAC) da Escola de Enfermagem da Universidade de São Paulo - EEUSP (2024-atual); Graduado em Enfermagem pelo Centro Universitário FMABC (2021-2024) e premiado como Aluno Destaque da turma; Monitor da Associação Brasileira de Enfermagem em Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização - SOBECC (2024); Diretor Científico da Liga Acadêmica de Centro Cirúrgico em Enfermagem (LACCE) do Centro Universitário FMABC (2024); Aprovado em 1 lugar no curso de Enfermagem em Centro Universitário FMABC (2021). Nível avançado em língua inglesa (C1).

References

1. North American Nursing Diagnosis Association (NANDA). Diagnósticos de enfermagem da NANDA Internacional: definições e classificação (2018-2020). 11a. ed. Porto Alegre: Artmed; 2018.

2. Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação e Centro de Material e Esterilização. Diretrizes de Práticas em Enfermagem Perioperatória e processamento de Produtos para Saúde. 8a ed. rev atual. São Paulo: SOBECC; 2021.

3. Chacón Abba R. Hipotermia perioperatoria. Rev Chil Anest. 2021;50(1):56-78. https://doi.org/10.25237/revchilanestv50n01-05 DOI: https://doi.org/10.25237/revchilanestv50n01-05

4. Vanni SMDA, Braz JRC. Hipotermia perioperatória: novos conceitos. Rev Bras Anestesiol. 1999;49(5):360-7.

5. Wittenborn J, Clausen A, Zeppernick F, Stickeler E, Meinhold-Heerlein I. Prevention of Intraoperative Hypothermia in Laparoscopy by the Use of Body-Temperature and Humidified CO2: a Pilot Study. Geburtshilfe Frauenheilkd. 2019;79(9):969-75. https://doi.org/10.1055/a-0903-2638 DOI: https://doi.org/10.1055/a-0903-2638

6. Cunha RGB, Guimarães SM, Schneider DS, Bongiorni GT. Revisão Integrativa: Hipotermia não intencional com a incorporação de evidências na prática clínica. Aletheia. 2020;53(1):13-28.

7. Rauch S, Miller C, Bräuer A, Wallner B, Bock M, Paal P. Perioperative Hypothermia – A Narrative Review. Int J Environ Res Public Health. 2021;18(16):8749. https://doi.org/10.3390/ijerph18168749 DOI: https://doi.org/10.3390/ijerph18168749

8. AORN Recommended Practices Committee. Recommended Practices for the Prevention of Unplanned Perioperative Hypothermia. AORN J. 2007;85(5):972-88. https://doi.org/10.1016/j.aorn.2007.04.015 DOI: https://doi.org/10.1016/j.aorn.2007.04.015

9. American Society of Anesthesiologists. Standards for basic anesthetic monitoring [Internet]. Schaumburg: ASA; 2020 [accessed on July 29, 2025]. Available at: https://www.asahq.org/standards-and-practice-parameters/standards-for-basic-anesthetic-monitoring

10. Ji N, Wang J, Li X, Shang Y. Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review. BMC Surg. 2024;24(1):425. https://doi.org/10.1186/s12893-024-02729-0 DOI: https://doi.org/10.1186/s12893-024-02729-0

11. Oliveira RF, Lima IP, Gabiatti D, Nascimento ASM, Fuganti CCT. Desenvolvimento de protocolo clínico assistencial para prevenção e tratamento da hipotermia perioperatória. Rev Min Enferm. 2022;26. https://doi.org/10.35699/2316-9389.2022.40293 DOI: https://doi.org/10.35699/2316-9389.2022.40293

12. Hernández-Alcázar EJ, Ramírez-Tapia Y, Cuevas-Hernández A, Salas-Palomino I. Perioperative hypothermia: a systematic review. Rev Med Hosp Gen Mex. 2024;87(2):61-71. https://doi.org/10.24875/HGMX.23000071 DOI: https://doi.org/10.24875/HGMX.23000071

13. Tan R, Chen Y, Yang D, Long X, Ma H, Yang C. Risk factors for postoperative hypothermia in non-cardiac surgery patients: a systematic review and meta-analysis. BMC Anesthesiol. 2025;25(1):223. https://doi.org/10.1186/s12871-025-03089-9 DOI: https://doi.org/10.1186/s12871-025-03089-9

14. Ribeiro AF, Pereira E, Matias F, Azenha M, Macedo AL, Órfão MDR. Manutenção da normotermia perioperatória em Portugal ̶ questionário de avaliação. RSPA. 2017;26(1):10-17. https://doi.org/10.25751/RSPA.10127

15. Oliveira TM, Aranha AL, Barbieri BM, Lopes AB, Fiorin BH. Ações de enfermagem no tratamento de hipotermia perioperatória: uma revisão de literatura. Res Soc Dev. 2022;11(8):e39911831193. https://doi.org/10.33448/rsd-v11i8.31193 DOI: https://doi.org/10.33448/rsd-v11i8.31193

16. Ribeiro E, Tabian Navarro N, Armede VCB, Rodrigues HS, Valle JPD, Duran ECM. Frequência de hipotermia não intencional no perioperatório de cirurgias eletivas. Rev SOBECC. 2016;21(2):68-74. DOI: https://doi.org/10.5327/Z1414-442520160002000

17. Chen H-Y, Su L-J, Wu H-Z, Zou H, Yang R, Zhu Y-X. Risk factors for inadvertent intraoperative hypothermia in patients undergoing laparoscopic surgery: A prospective cohort study. PLoS One. 2021;16(9):e0257816. https://doi.org/10.1371/journal.pone.0257816 DOI: https://doi.org/10.1371/journal.pone.0257816

18. Muniz GS, Teles NSB, Leitão IMTA, Almeida PC, Leitão MC. Hipotermia Acidental: Implicações para os cuidados de enfermagem no transoperatório. Rev SOBECC. 2014;19(1):79-86. https://doi.org/10.4322/sobecc.2014.009 DOI: https://doi.org/10.4322/sobecc.2014.009

19. Moysés AM, Trettene ADS, Navarro LHC, Ayres JA. Hypothermia Prevention During Surgery: Comparison Between Thermal Mattress And Thermal Blanket. Rev Esc Enferm USP. 2014;48(2):228-35. https://doi.org/10.1590/s0080-623420140000200005 DOI: https://doi.org/10.1590/S0080-623420140000200005

Downloads

Published

2026-06-23

How to Cite

Mazote, S. D., Lourençon, L., Gonçalves, M. C., Lopes, S. G., Ichikawa, C. R. de F., Kageyama, E. S., & Braga, D. M. (2026). Adherence to best practices for preventing perioperative hypothermia . Revista SOBECC, 31. https://doi.org/10.5327/Z1414-44251086

Issue

Vol. 31 (2026)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2026 Sabrina Dayane Mazote, Lucas Lourençon, Maria Carolina Gonçalves, Simone Garcia Lopes, Carolliny Rossi de Faria Ichikawa, Evelyn Scarpioni Kageyama, Daniela Magalhães Braga

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).

The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.

With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.

In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.