The Effect of Using Forced-air Warming Blanket Combined with Intravenous Fluid Tube Warming on Core Temperature and Shivering in Patients Undergoing Transurethral surgery
Keywords:
Transurethral surgery, core temperature shivering, hypothermia, forced warm air blankets, intravascular tubular warmingAbstract
This study is a quasi-experimental research with Two group pretest and posttest design. This study aimed to investigate the effect of force warm air blankets combined with intravenous fluid tube warming on core temperature and shivering in patients undergoing transurethral surgery at the operating room of Thabo Crown Prince Hospital. A total of 58 patients were enrolled in the study: We included 29 patients per group assigned to receive forced-air warming blankets combined with intravenous fluid tube warming or warming blankets only. Subjects in each group were simple random Sampling. The instruments used for data collection were data record forms: general data, surgical data, core temperature data, and shivering score. The statistical analysis was used and presented with frequency, percentage, and standard deviation. independent t-test And Mann-Whitney U-test.
The results revealed that the personal characteristics in both two groups were not different. Per and Postoperative, the mean core temperature in the experimental group by using forced-air warming blanket combined with intravenous fluid tube warming were statistically significantly higher than the control. Moreover, the shivering score was significantly lower in the experimental group than in the control group (p < .001).
These findings suggest that nurses should appropriately manange plan to reduce lover core temperature complication and shivering amoung patients undergoing transurethral surgery in high risk group. Moverover, keep warm material should enoughly prepare.
References
Akelma, K. F, Ergil, J., Ozkan, D., Arık, E., Akkuş, I. B., & Aydın, B. D. (2020). The effect of preoperative warming on perioperative hypothermia in transurethral prostatectomies. Gulhane Med J, 62(1), 114-120.
Cao, J., Sheng, X., Ding, Y., Zhang, L., & Lu, X. (2019). Effect of warm bladder irrigation fluid for benign prostatic hyperplasia patients on perioperative hypothermia, blood loss and shiver: A meta-analysis. Asian Journal of Urology, 6(2), 183-191.
Cobb, B., Cho, Y., Hilton, G., Ting, V., & Carvalho, B. (2016). Active warming utilizing combined IV fluid and forced-air warming decreases hypothermia and improves maternal comfort during cesarean delivery: A randomized control trial. Anesth Analg, 122(5), 1490-1497. doi: 10.1213/ANE.0000000000001181
Faul, F., Erdfelder, E., Buchner, A., Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods, 41(4), 1149-1160. doi: 10.3758/BRM.41.4.1149
Jareonrattanadaechakul, N., Sukhupragarn, W., & Nusupa, W. (2016). Comparison of effectiveness for intravenous warming devices at different flow rates in Maharaj Nakorn Chiang Mai hospital. Thai Journal of Anesthesiology, 42(3), 167-77. (in Thai)
Jo, Y. Y., Chang, Y. J., Kim, Y. B., Lee, S., & Kwak, H. J. (2015). Effect of preoperative forced-air warming on hypothermia in elderly patients undergoing transurethral resection of the prostate. Urol J, 12(5), 2366-2370.
John, M., Crook, D., Dasari, K., Eljelani, F., El-Haboby, A., & Harper, C. M. (2016). Comparison of resistive heating and forced-air warming to prevent inadvertent perioperative hypothermia. British Journal of Anaesthesia, 116(2), 249-254.
Lopez, B. M. (2018). Postanaesthetic shivering - from pathophysiology to prevention. Romanian. Journal of Anaesthesia and Intensive Care, 25(1), 73-81.
Madrid, E., Urrútia, G., Roqué i Figuls, M., Pardo-Hernandez, H., Campos, J. M., Paniagua, P., Maestre, L., & Alonso-Coello, P. (2018). Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia in adults. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8687605/pdf/CD009016.pdf
Moawad, H. EI. S., & Elawdy, M. M. (2015). Efficacy of intrathecal dexmedetomidine in the prevention of shivering in patients undergoing transurethral prostatectomy: A randomized controlled trial. Egyptian Journal of Anaesthesia, 31, 181-187.
Plicharoenpon, P. (2015). Randomized prospective comparison of forced air warming using custom-made blankets from disposable surgical gown versus commercial blankets in patients undergoing intra-abdominal surgery: Non-inferiority trial. Region 4-5 Medical Journal, 34(4), 281-96. (in Thai)
Prajannual, C., Satitkanmanee, T., Treeputtarat, S., Teerapongpakdde, S., Nonlaopol, D. & Tincheelong, V. (2013). Factors affecting hypothermia during surgery in standard prophylaxis adult patients: Study case-control. Thai Journal of Anesthesiology, 39(3), 183-191. (in Thai)
Punyasawat, S. (2015). The incidence and factors related to shivering of patients after surgery in Nong Khai hospital in 2015. Nakhon Phanom Hospital Journal, 3(1), 10-16. (in Thai)
Thabo Crown Prince Hospital, Information Center. (2020). Registration statistics and anesthetic complication Thabo Crown Prince hospital. Retrieved from the HOS-XP reporting system.
Xu, H., Xu, G., Ren, C., Liu, L., & Wei, L. (2019). Effect of forced-air warming system in prevention of postoperative hypothermia in elderly patients: A prospective controlled trial. Medicine (Baltimore), 98(22), 1-6. doi: 10.1097/MD.0000000000015895
Zhang, R., Chen, X., & Xiao, Y. (2018). The effects of a forced-air warming system plus an electric blanket for elderly patients undergoing transurethral resection of the prostate: A randomized controlled trial. Medicine (Baltimore), 97(45), 1-7. doi: 10.1097/MD.0000000000013119
Downloads
Published
How to Cite
Issue
Section
License

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

