The effect of preoperative warming on perioperative hypothermia in transurethral prostatectomies
Journal Title: Gulhane Medical Journal - Year 2020, Vol 62, Issue 2
Abstract
Aims: The aim of this study was to assess the effectiveness of warming in perioperative hypothermia, hemodynamic variables, post-anesthesia care unit discharge time, shivering, patient comfort and patient satisfaction in elderly patients undergoing transurethral resection of prostate (TURP) surgery under general anesthesia. Methods: Patients aged between 50 and 85 years, scheduled for TURP surgery of 30-90 min under general anesthesia, were enrolled into the study. Patients were randomly allocated to either the warming (Group P) or standard care (Group C) group. Core body temperatures and hemodynamic parameters were assessed. Additionally, patient satisfaction, thermal comfort, and shivering were compared using scales. Results: Overall, 33 patients (Group P; n=16, Group C; n=17) completed the study. Core body temperature was higher in Group P after anesthesia induction than in Group C (37.01±0.29 vs 36.61±0.21) (p=0.001). In addition, at the end of surgery, the core temperature was significantly higher in Group P (36.03±0.33) than in Group C (35.31±0.45) (p=0.001). Hypothermia was observed in four warmed and 17 unwarmed patients at the end of surgery (p=0.001). Following anesthesia induction, one warmed patient and nine unwarmed patients developed hypotension (p=0.004). Thermal comfort and patient satisfaction scores were significantly higher in warmed patients than in unwarmed patients (p<0.05), but shivering scores displayed a similar pattern between the groups (p>0.05). Conclusions: This study demonstrated that perioperative forced-air warming helped preserve perioperative core body temperature, reduced the incidence of hypotension during the induction period, increased thermal comfort, improved patient satisfaction, but did not affect shivering in patients undergoing TURP surgery.
Authors and Affiliations
Fatma Kavak Akelma, Jülide Ergil, Derya Özkan, Emine Arık, İlkay Baran Akkuş, Gözde Bumin Aydın
Keywords
Related Articles
- EP ID EP684406
- DOI 10.4274/gulhane.galenos.2020.956
- Views 156
- Downloads 0
Evaluation of the efficacy of bite wafer chewing in pain reduction in fixed orthodontic appliance treatment
Aim: The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, which is a highly complex and subjective phenomenon by assessing the substance P level in the gingival crevicular flui...
A rare cause of acute malnutrition: Non-germinoma
Energy needs of children are high, hence, malnutrition adversely affects body functions of children. Supportive therapy must be starter early in order to prevent weight loss, morbidity and mortality. Malignancies are fre...
Erratum-
No summary
Endovascular extraction of a disconnected port-A catheter from inferior vena cava in a patient with chronic bilateral occlusion of femoroiliac veins: A case report
Catheter detachment from a port may be seen due to various reasons, including operator errors, subsequent catheter manipulation during endovascular procedures, and trauma. For catheter removal, various tools including lo...
Osteoradionecrosis - a review of clinical features and management
Radiotherapy is an important part of oral cancer management. A significant complication of radiotherapy to the head and neck is osteoradionecrosis (ORN). The present report reviews the risk factors, clinical features, an...