Postoperative complications related to intraoperative hypothermia

Authors

DOI: https://doi.org/10.6018/eglobal.18.3.328791
Keywords: Hypothermia, Postoperative Complications, Perioperative Nursing

Abstract

Introduction: Hypothermia is a common event in the intraoperative period, it triggers consequences in the recovery of the patient, with complications in several systems of the organism, such as cardiac, respiratory, integumentary, digestive, immunological and also the coagulation system.
Objective: To analyze the complications presented by the patient in the postoperative period related to intraoperative hypothermia.
Methods: A retrospective cohort study was carried out in a sample composed of 54 patients' files, from a previous experimental study, in which they were submitted or not to warmed intraoperative intravenous infusion and anesthetic recovery. The variables were analyzed at 4 different times, upon arrival at the hospitalization unit, after 17, 32 and 108 hours postoperative. The model used was the marginal logistics.
Results: The majority of patients 40 (74.07%) were female, mean age of 47.06 years, 42 (77.78%) were normothermic patients from the Post Anesthesia Recovery Room, with a mean temperature of 36.2ºC. Regarding the comparison between variables and groups of normothermic and hypothermic patients, over time, the variables that presented statistical significance were the time of hospitalization, pain, nausea, evacuation and surgical wound with presence of secretion, with a p-value less than 0.05.
Conclusion: In view of the complications found in this study, it is necessary to develop preventive and control actions for intraoperative hypothermia aiming at a better recovery of the patient in the postoperative period.

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Author Biographies

Nathália Haib Costa Pereira, Universidade Federal de Minas Gerais - Escola de Enfermagem

Mestrado em Enfermagem na Área de Cuidar em Saúde pela Universidade Federal de Minas Gerais, concluído em dezembro de 2016; Pós-graduação Lato Senso (Especialização) em Enfermagem em Centro Cirúrgico e Centro de Material pela AVM Faculdade Integrada; Graduação em Enfermagem pela Escola de Enfermagem da Universidade Federal de Minas Gerais (UFMG - 2014); Trabalho de Conclusão de Curso intitulado "'Infusão venosa aquecida relacionada à prevenção das complicações da hipotermia intraoperatória"; Bolsista de Iniciação Científica pela Fundação de Amparo à Pesquisa do Estado de Minas Gerais - FAPEMIG. Estágio curricular hospitalar na Maternidade do Hospital Risoleta Tolentino Neves (2014) e estágio curricular na rede de atenção básica de Belo Horizonte no Centro de Saúde São Paulo (2013).

Ana Lúcia De Mattia, Universidade Federal de Minas Gerais - Escola de Enfermagem

Graduação em Enfermagem pela Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo (1981), Especialização em Administração Hospitalar pela Universidade de Ribeirão Prêto (1983), Especialização em Enfermagem em Centro Cirúrgico pela Universidade de São Paulo (1992), Mestrado em Enfermagem Fundamental  (1999) e Doutorado em Enfermagem (2002),   pela Universidade de São Paulo. Atualmente é  Professora  da Classe D (Associada), no Departamento de Enfermagem Básica, atuando na graduação e pós-graduação, como professora permanente, orientadora de mestrado e doutorado. Experiência profissional  em enfermagem  perioperatória, com ênfase em assistência de enfermagem em sala de operação e recuperação pós-anestésica e Sistematização da Assistência de Enfermagem Periperatória. Pesquisadora do Grupo de estudos e pesquisa em prática baseada em evidências e a segurança do paciente no processo do cuidar, da UFTM. Membro da diretoria da Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização (SOBECC) gestão (2013-2017), editora associada da Revista SOBECC.

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Published
08-06-2019
How to Cite
[1]
Pereira, N.H.C. and De Mattia, A.L. 2019. Postoperative complications related to intraoperative hypothermia. Global Nursing. 18, 3 (Jun. 2019), 270–313. DOI:https://doi.org/10.6018/eglobal.18.3.328791.
Issue
Vol. 18 No. 3 (2019): #55 Julio
Section
ORIGINAL RESEARCH

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