Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia

Detalhes bibliográficos
Autor(a) principal: Oliveira, Rafaela Ferreira de
Data de Publicação: 2022
Outros Autores: Lima, Ingridi de Paula, Gabiatti, Daiane, Nascimento, Amanda Salles Margatho do, Fuganti, Cibele Cristina Tramontini
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/40293
Resumo: Objective: to develop a protocol for the prevention and treatment of perioperative hypothermia. Method: research of the technological development in health type, carried out in three stages: i) review of clinical guidelines on risk factors for the development of perioperative hypothermia; ii) identification of the occurrence of perioperative hypothermia and the risk factors associated with its development in a surgical center; and iii) development of a protocol for the prevention of perioperative hypothermia. Results: the risk factors identified in the guidelines were categorized into clinical characteristics (age, Body Mass Index, comorbidities and body temperature) and anesthetic-surgical characteristics (type and duration of anesthesia and surgery and operating room temperature). In the second stage, 90 surgical patients were evaluated. The occurrence of hypothermia was 28.9% at surgical admission, 77.8% at admission to the Post-Anesthesia Care Unit and 45.6% at discharge from the operating room. There was a statistically significant association between the occurrence of hypothermia and ASA index (p = 0.049), age (p = 0.037), comorbidities (p = 0.031) and preoperative hypothermia (p = 0.015). Conclusion: for the elaboration of the protocol, the risk factors described in the literature, the results of a local study and the access to the technologies available in the institution were considered. The actions included the following aspects: assessment of risk factors and triggering situations; monitoring and recording of temperature and other parameters; passive warming for normothermic patients; active warming for hypothermic patients; infusion of warmed intravenous solutions; oxygen support for hypothermic patients.
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spelling Development of a clinical care protocol for the prevention and treatment of perioperative hypothermiaDesarrollo de un protocolo clínico de atención para la prevención y el tratamiento de la hipotermia perioperatoriaDesenvolvimento de protocolo clínico assistencial para prevenção e tratamento da hipotermia perioperatóriaHipotermiaPeríodo PerioperatórioEnfermagem PerioperatóriaHipotermiaPeriodo PerioperatorioEnfermería PerioperatoriaHypothermiaPerioperative PeriodPerioperative NursingObjective: to develop a protocol for the prevention and treatment of perioperative hypothermia. Method: research of the technological development in health type, carried out in three stages: i) review of clinical guidelines on risk factors for the development of perioperative hypothermia; ii) identification of the occurrence of perioperative hypothermia and the risk factors associated with its development in a surgical center; and iii) development of a protocol for the prevention of perioperative hypothermia. Results: the risk factors identified in the guidelines were categorized into clinical characteristics (age, Body Mass Index, comorbidities and body temperature) and anesthetic-surgical characteristics (type and duration of anesthesia and surgery and operating room temperature). In the second stage, 90 surgical patients were evaluated. The occurrence of hypothermia was 28.9% at surgical admission, 77.8% at admission to the Post-Anesthesia Care Unit and 45.6% at discharge from the operating room. There was a statistically significant association between the occurrence of hypothermia and ASA index (p = 0.049), age (p = 0.037), comorbidities (p = 0.031) and preoperative hypothermia (p = 0.015). Conclusion: for the elaboration of the protocol, the risk factors described in the literature, the results of a local study and the access to the technologies available in the institution were considered. The actions included the following aspects: assessment of risk factors and triggering situations; monitoring and recording of temperature and other parameters; passive warming for normothermic patients; active warming for hypothermic patients; infusion of warmed intravenous solutions; oxygen support for hypothermic patients.Objetivo: desarrollar un protocolo para la prevención y el tratamiento de la hipotermia perioperatoria. Método: una investigación de desarrollo tecnológico sanitario, desarrollada en tres etapas: Revisión de las directrices clínicas sobre los factores de riesgo para el desarrollo de la hipotermia perioperatoria; Identificación de la ocurrencia de la hipotermia perioperatoria y de los factores de riesgo asociados a su desarrollo en un centro quirúrgico y Elaboración de un protocolo de prevención de la hipotermia perioperatoria. Resultados: los factores de riesgo identificados en las directrices se clasificaron en características clínicas (edad, Índice de Masa Corporal, comorbilidades, temperatura corporal) y anestésico-quirúrgicas (tipo y duración de la anestesia y la cirugía, temperatura del quirófano). En la segunda etapa, se evaluaron 90 pacientes quirúrgicos. La aparición de hipotermia fue del 28,9% al ingreso quirúrgico, del 77,8% al ingreso en la Sala de Recuperación Postanestésica y del 45,6% al alta del quirófano. Se encontró una asociación estadísticamente significativa entre la aparición de hipotermia y el índice ASA (p = 0,049), la edad (p = 0,037), las comorbilidades (p = 0,031), la hipotermia preoperatoria (p = 0,015). Conclusión: para desarrollar el protocolo, se consideraron los factores de riesgo descritos en el documento, los resultados de un estudio local y el acceso a las tecnologías disponibles en la institución. Las acciones incluían la evaluación de los factores de riesgo y las situaciones desencadenantes, la monitorización y el registro de la temperatura y otros parámetros, el calentamiento pasivo para los pacientes normotérmicos, el calentamiento activo para los pacientes hipotérmicos, la infusión de soluciones intravenosas calentadas y el apoyo de oxígeno para los pacientes hipotérmicos.Objetivo: desenvolver um protocolo de prevenção e tratamento da hipotermia perioperatória. Método: pesquisa do tipo desenvolvimento tecnológico em saúde, desenvolvida em três etapas: Revisão de diretrizes clínicas sobre fatores de risco para desenvolvimento de hipotermia perioperatória; Identificação da ocorrência de hipotermia perioperatória e dos fatores de risco associados ao seu desenvolvimento em um centro cirúrgico e Elaboração do protocolo de prevenção de hipotermia perioperatória. Resultados: os fatores de risco identificados nas diretrizes foram categorizados em características clínicas (idade, Índice de Massa Corporal, comorbidades, temperatura corporal) e anestésico-cirúrgicas (tipo e duração da anestesia e cirurgia, temperatura da sala cirúrgica). Na segunda etapa, 90 pacientes cirúrgicos foram avaliados. A ocorrência de hipotermia foi de 28,9% na admissão cirúrgica, 77,8% na admissão da Sala de Recuperação Pós-Anestésica e 45,6% alta do centro cirúrgico. Houve associação estatisticamente significativa entre ocorrência de hipotermia e índice ASA (p=0,049), idade (p=0,037), comorbidades (p=0,031), hipotermia pré-operatória (p=0,015). Conclusão: para elaboração do protocolo foram considerados os fatores de risco descritos na literatura, os resultados de estudo local e acesso às tecnologias disponíveis na instituição. As ações incluíram avaliação de fatores de risco e de situações desencadeantes, monitorização e registro da temperatura e outros parâmetros, aquecimento passivo para pacientes normotérmicos, aquecimento ativo para pacientes hipotérmicos, infusão de soluções endovenosas aquecidas e suporte de oxigênio para pacientes hipotérmicos.Universidade Federal de Minas Gerais2022-08-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/4029310.35699/2316-9389.2022.40293REME-Revista Mineira de Enfermagem; Vol. 26 (2022)REME-Revista Mineira de Enfermagem; Vol. 26 (2022)REME-Revista Mineira de Enfermagem; v. 26 (2022)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGengporhttps://periodicos.ufmg.br/index.php/reme/article/view/40293/31268https://periodicos.ufmg.br/index.php/reme/article/view/40293/30882Copyright (c) 2022 REME-Revista Mineira de Enfermagemhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveira, Rafaela Ferreira de Lima, Ingridi de Paula Gabiatti, Daiane Nascimento, Amanda Salles Margatho doFuganti, Cibele Cristina Tramontini 2023-03-30T17:09:02Zoai:periodicos.ufmg.br:article/40293Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2023-03-30T17:09:02Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
Desarrollo de un protocolo clínico de atención para la prevención y el tratamiento de la hipotermia perioperatoria
Desenvolvimento de protocolo clínico assistencial para prevenção e tratamento da hipotermia perioperatória
title Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
spellingShingle Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
Oliveira, Rafaela Ferreira de
Hipotermia
Período Perioperatório
Enfermagem Perioperatória
Hipotermia
Periodo Perioperatorio
Enfermería Perioperatoria
Hypothermia
Perioperative Period
Perioperative Nursing
title_short Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
title_full Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
title_fullStr Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
title_full_unstemmed Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
title_sort Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
author Oliveira, Rafaela Ferreira de
author_facet Oliveira, Rafaela Ferreira de
Lima, Ingridi de Paula
Gabiatti, Daiane
Nascimento, Amanda Salles Margatho do
Fuganti, Cibele Cristina Tramontini
author_role author
author2 Lima, Ingridi de Paula
Gabiatti, Daiane
Nascimento, Amanda Salles Margatho do
Fuganti, Cibele Cristina Tramontini
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Oliveira, Rafaela Ferreira de
Lima, Ingridi de Paula
Gabiatti, Daiane
Nascimento, Amanda Salles Margatho do
Fuganti, Cibele Cristina Tramontini
dc.subject.por.fl_str_mv Hipotermia
Período Perioperatório
Enfermagem Perioperatória
Hipotermia
Periodo Perioperatorio
Enfermería Perioperatoria
Hypothermia
Perioperative Period
Perioperative Nursing
topic Hipotermia
Período Perioperatório
Enfermagem Perioperatória
Hipotermia
Periodo Perioperatorio
Enfermería Perioperatoria
Hypothermia
Perioperative Period
Perioperative Nursing
description Objective: to develop a protocol for the prevention and treatment of perioperative hypothermia. Method: research of the technological development in health type, carried out in three stages: i) review of clinical guidelines on risk factors for the development of perioperative hypothermia; ii) identification of the occurrence of perioperative hypothermia and the risk factors associated with its development in a surgical center; and iii) development of a protocol for the prevention of perioperative hypothermia. Results: the risk factors identified in the guidelines were categorized into clinical characteristics (age, Body Mass Index, comorbidities and body temperature) and anesthetic-surgical characteristics (type and duration of anesthesia and surgery and operating room temperature). In the second stage, 90 surgical patients were evaluated. The occurrence of hypothermia was 28.9% at surgical admission, 77.8% at admission to the Post-Anesthesia Care Unit and 45.6% at discharge from the operating room. There was a statistically significant association between the occurrence of hypothermia and ASA index (p = 0.049), age (p = 0.037), comorbidities (p = 0.031) and preoperative hypothermia (p = 0.015). Conclusion: for the elaboration of the protocol, the risk factors described in the literature, the results of a local study and the access to the technologies available in the institution were considered. The actions included the following aspects: assessment of risk factors and triggering situations; monitoring and recording of temperature and other parameters; passive warming for normothermic patients; active warming for hypothermic patients; infusion of warmed intravenous solutions; oxygen support for hypothermic patients.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/40293
10.35699/2316-9389.2022.40293
url https://periodicos.ufmg.br/index.php/reme/article/view/40293
identifier_str_mv 10.35699/2316-9389.2022.40293
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/40293/31268
https://periodicos.ufmg.br/index.php/reme/article/view/40293/30882
dc.rights.driver.fl_str_mv Copyright (c) 2022 REME-Revista Mineira de Enfermagem
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 REME-Revista Mineira de Enfermagem
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 26 (2022)
REME-Revista Mineira de Enfermagem; Vol. 26 (2022)
REME-Revista Mineira de Enfermagem; v. 26 (2022)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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