Incidence of Perioperative Hypothermia and a Comparison of Intraoperative Body Temperature Between Pre-warming and Non-prewarming Group in Elective Gynecologic Surgical Patients
Keywords:
perioperative hypothermia, prewarming, elective gynecologic surgeryAbstract
Objective: Primary objective was to examine the incidence of perioperative hypothermia and secondary objective was to compare an intraoperative body temperature between pre-warming and non - prewarming groups in elective gynecologic surgical patients. Research design: A retrospective cohort analytic study was conducted on 103 medical records, age more than 18 years old patients undergoing elective gynecological surgery under general anesthesia at Ratchaburi Hospital during November 2016 to December 2016. The data were analyzed by using numbers, percentage, mean, standard deviation and compared between two groups with chi square test or independent t-test depended on data characteristic. Results: The incidence of perioperative hypothermia were 5.8-17.5% (8.7, 13.6, 16.5, 11.7, 5.8 and 17.5% at 30, 60, 90, 120, 150 minutes and at the end of surgery, respectively). The maximal incidence was at the end of surgery, i.e.; 1.9% and 34% in pre-warming and non - prewarming group, respectively (p<0.001). As same as the other perioperative periods, the incidence in
non-prewarming group was higher than the incidence in pre-warming group (p<0.01).
The intraoperative body temperature was higher in pre-warming than non-prewarming group ; 36.5°C versus 36.18°C , 36.52°C versus 36.17°C, 36.50°C versus 36.29°C and 36.60°C versus 36.22 °C at 90, 120, 150 minutes and at the end of surgery, respectively (p<0.001). Conclusion: Pre-warming can reduce the incidence of perioperative hypothermia in elective gynecologic surgical patients. Pre-warming guideline should be developed and presented to the anesthesiologists, surgeons, nurse anesthetists and surgical nurses for a good cooperation in caring for the patients.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
