Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
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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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 |
_version_ |
1797041911759896576 |