Development of a clinical care protocol for the prevention and treatment of perioperative hypothermia
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) identi...
| Autores: | , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | Brasil |
| Institución: | Universidade Federal de Minas Gerais (UFMG) |
| Repositorio: | Reme (Online) |
| Idioma: | inglés portugués |
| OAI Identifier: | oai:periodicos.ufmg.br:article/40293 |
| Acceso en línea: | https://periodicos.ufmg.br/index.php/reme/article/view/40293 |
| Access Level: | acceso abierto |
| Palabra clave: | Hipotermia Período Perioperatório Enfermagem Perioperatória Periodo Perioperatorio Enfermería Perioperatoria Hypothermia Perioperative Period Perioperative Nursing |
| Sumario: | 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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