Accidental Hypothermia: Implications for nursing care during surgery

Authors

  • Gisele Santana Muniz Enfermeira. Pós-Graduada em Enfermagem em Terapia Intensiva. Universidade Estadual do Ceará.
  • Naracelia Sousa Barbosa Teles Professora. Curso de Graduação em Enfermagem. Faculdade Metropolitana de Fortaleza. Mestre em Farmacologia. Faculdade Federal do Ceará.
  • Ilse Maria Tigre de Arruda Leitão Professora Assistente. Universidade Estadual do Ceará. Mestre em Políticas de Saúde. Universidade Estadual do Ceará.
  • Paulo Cesar de Almeida Professor Adjunto. Universidade Estadual do Ceará. Doutor em Saúde Pública. Faculdade de Saúde Pública da USP.
  • Marcelo Chagas Leitão Médico Anestesiologista Especialista em Medicina do Trabalho.

Keywords:

Hypothermia. Nursery. Perioperative.

Abstract

Objective: to describe the nursing interventions in surgical anesthetic procedures in the intraoperative period for the prevention and/or treatment of accidental hypothermia. Method: a descriptive research with quantitative methodological approach carried out in a surgery center of a public hospital in Fortaleza, Ceara state. The study sample comprises 12 nursing interventions conducted by the nurses, auxiliaries, or technicians who assisted patients undergoing surgery in 120 surgical procedures, between January and March 2011. Results: it was possible to verify that the temperatures of the admission room, heating oven, storage container for heated fluids, and operating room were not in compliance with the recommended standards. Conclusion: results showed that there is a need to implement effective interventions to prevent hypothermia and that the nursing staff plays an important role in this context, because patient safety and decreased complications owing to surgical anesthetic procedures are nursing care goals.

References

Santos ST, Caregnato RCA. Hipotermia acidental perioperatória: proposta de protocolo de assistência de enfermagem. Rev SOBECC. 2010;15(2):45-5.

Zappelini CEM, Sakae CEM, Mamôru T, Bianchini N, Brum SPB. Avaliação de hipotermia na sala de recuperação pós-anestésica em pacientes submetidos a cirurgias abdominais com duração maior de duas horas. ACM Arq Catarin Med. 2008;37(2):25-31.

Bernardis RCG, Silva MP, Gozzani JL, Pagnocca ML, Mathias LAST. Uso da manta térmica na prevenção da hipotermia intraoperatória. Rev Assoc Med Bras. 2009;55(4):421-6. PMid:19750309. http://dx.doi.org/10.1590/S0104-42302009000400017

Pagnocca ML, Tai EJ, Dwan JL. Controle de temperatura em intervenção cirúrgica abdominal convencional: comparação entre os métodos de aquecimento por condução e condução associada à convecção. Rev. Bras. Anestesiol 2009;59(1):56-66. PMid:19374216.

Golin V, Sprovieri SRS, Bedrikow R, Pereira AC, Melhado VER, Salles MJC, et al. Hipotermia acidental em um país tropical. Rev Assoc Med Bras. 2003;49(3):261-5. PMid:14666349. http://dx.doi.org/10.1590/S0104-42302003000300028

Biazzotto CB, Brudniewski M, Schmidt AP, Auler JOC Jr. Hipotermia no período peri-operatório. Rev Bras Anestesiol. 2006;56(1):89-106. PMid:19468555. http://dx.doi.org/10.1590/S0034-70942006000100012

Poveda VB, Piccoli M, Galvão CM, Sawada NO. Métodos de prevenção e reaquecimento do paciente para o perioperatório. Rev Eletr Enf. 2005;7(3):266-72.

Poveda VB, Galvao CM, Santos CB. Fatores relacionados ao desenvolvimento de hipotermia no período intra-operatório. Rev Latino-Am Enferm. 2009;17(2):228-33.

Tramontini CC, Graziano KU. Controle da hipotermia de pacientes cirúrgicos idosos no intraoperatório: avaliação de duas intervenções de enfermagem. Rev Latino-Am Enferm. 2009;15(4):626-31. http://dx.doi.org/10.1590/S0104-11692007000400016

Association of Operating Room Nurses - AORN. Recommend practices for the prevention of unplanned perioperative hypothermia. AORN J. 2007;85(5):972-88.

Bitner, Hilde L, Hall K, Duvendack T. A Team Approach to the Prevention of Unplanned Postoperative Hypothermia. AORN J. 2007;85(5):921-9. PMid:17499055. http://dx.doi.org/10.1016/j.aorn.2007.04.009

Kasai, Hirose M, Yaegashi K, Matsukawa T, Takamata A, Tanaka Y. Preoperative Risk Factors of Intraoperative Hypothermia in Major Surgery Under General Anesthesia. Anesth Analg. 2002;95(5):1381-3. http://dx.doi.org/10.1097/00000539-200211000-00051

American Society of Perinesthesia Nurses – ASPAN. Clinical guiadeline for the prevention of unplanned perioperative hypothermia. J Perianesth Nurs. 2001;16(5):305-14. http://dx.doi.org/10.1053/jpan.2001.28060

Silva DC, Alvim NAT. Ambiente do centro cirúrgico e os elementos que o integram: implicações para os cuidados de enfermagem. Rev Bras Enf. 2010;63(3):427-34. http://dx.doi.org/10.1590/S0034-71672010000300013

Hasankhani H. The effects of intravenous fluids temperature on perioperative hemodynamic situation, post-operative shivering, and recovery in orthopaedic surgery. Can Oper Room Nurs J. 2005;6(2):7-11.

Pisani IS. Prevenção da hipotermia Per-Operatória e a utilidade do forno de microondas. Rev Bras Anestesiol. 1999;49(6):399-402.

Gotardo JM, Galvão, CM. Avaliação da Hipotermia no pósoperatório imediato. Rev REME. 2009;10(2):113-21.

Weirich TL. Hypothermia/Warming Protocols: Why Are They Not Widely Used in the OR?. AORN J. 2008;87(2):333-4. PMid:18262000. http://dx.doi.org/10.1016/j.aorn.2007.08.021

Downloads

Published

2015-11-02

How to Cite

Muniz, G. S., Teles, N. S. B., Leitão, I. M. T. de A., Almeida, P. C. de, & Leitão, M. C. (2015). Accidental Hypothermia: Implications for nursing care during surgery. Revista SOBECC, 19(2), 79–86. Retrieved from https://revista.sobecc.org.br/sobecc/article/view/62

Issue

Vol. 19 No. 2 (2014)

Section

ORIGINAL ARTICLES

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.