MANAJEMEN HIPOTERMIA DALAM KEPERAWATAN PERIOPERATIF PADA PASIEN YANG MENJALANI PEMBEDAHAN ABDOMEN: A LITERATURE REVIEW
Abstract
Perioperative hypothermia defined as core body temperature lower than 36°C, that occurs in response to induction of anesthesia and surgery procedures. The patients who undergoing abdominal surgery are one of the population that have a high risk for the occurrence perioperative hypothermia. Nurses have a primary role in giving an interventions of hypothermia management in perioperative setting, so that can prevent the other complications. This study aims to know the types of hypothermia management interventions and descriptions of their application in perioperative nursing on patients undergoing abdominal surgery. The writing design used is literature review which include 10 literatures that searched using PubMed, ProQuest, Science Direct and Google scholar databases and have been selected based on inclusion-exclusion criteria with PRISMA flowchart. The results showed that the types of hypothermia management interventions are active warming and passive warming methods. Active warming methods such as maintaining operating room temperature, giving warm fluids, the use of forced air warming, circulating-water mattresses, resistive warming systems, self-warming blanket, and humidification warming systems. Passive warming methods includes using cotton blanket, surgical drapes, and garments that made of reflective composite fabric. The operating room nurses specializing in abdominal surgery have an important role in the active and passive management of hypothermia by preparing the equipment at the preoperative stage and monitoring the effectiveness of the intervention during intraoperative and postoperative.
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References
Ackermann, W., Fan, Q., Parekh, A. J., Stoicea, N., Ryan, J., & Bergese, S. D. (2018). Forced-air warming and resistive heating devices: Updated perspectives on safety and surgical site infections. Frontiers in Surgery, 5(64). doi: https://doi.org/10.3389/fsurg.2018.00064
Alparslan, V., Kus, A., Hosten, T., Ertargin, M., Ozdamar, D., Toker, K., & Solak, M. (2017). Comparison of forced-air warming systems in prevention of intraoperative hypothermia. Journal of Clinical Monitoring and Computing, 32(3), 343-349. doi: 10.1007/s10877-017-0017-z
Association of periOperative Registered Nurses. (2016). Guideline summary: prevention of unplanned patient hypothermia. AORN Journal, doi: https://doi.org/10.1016/j.aorn.2016.01.006
Burger, L., & Fitzpatrick, J. (2009). Prevention of inadvertent perioperative hypothermia. British Journal of Nursing, 18(18). doi: 10.12968/bjon.2009.18.18.44553
Braurer, A., Perl, T., Uyanik, Z., English, M. J. M., Weyland, W., & Braun, U. (2004). Perioperative thermal insulation: Minimal clinically important differences? British Journal of Anaesthesia, 92 (6). doi: 10.1093/bja/aeh156
Fadzlina, W., Nazaruddin, W., & Hardy, M. (2016). Passive warming using a heat-band versus a resistive heating blanket for the prevention of inadvertent perioperative hypothermia during laparotomy for gynaecological surgery. The Malaysian Journal of Medical Science, 23(2) 28-37. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976711/
Frey, J. M., Janson, M., Svanfeldt, M., Svenarud, P. K., & Van-der-Linden, J. A. (2012). Local insufflation of warm humidified CO2 increases open wound and core temperature during open colon surgery. Anesthesia & Analgesia, 115(5), 1204-1211. doi: 10.1213/ANE.0b013e31826ac49f
Giuliano, K.K., & Hendricks, J. (2017). Inadvertent perioperative hypothermia: Current nursing knowledge. AORN journal, 105(5), 453-463. doi: https://doi.org/10.1016/j.aorn.2017.03.003
Goyal, P., Kundra, S., Sharma, S., Grewal, A., Kaul, T. K., & Singh, M. R. (2011). Efficacy of intravenous fluid warming for maintenance of core temperature during lower segment cesarean section under spinal anesthesia. Journal of Obstetric Anaesthesia and Critical Care, 1(2), 73-77. doi: 10.4103/2249-4472.93990
Hart, S. R., Bordes, B., Hart, J., Corsino, D., & Harmon, D. (2011). Unintended perioperative hypothermia. The Ochsner Journal, 11(3), 259–270. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179201/
Hegarty, J., Walsh, E., Burton, A., Murphy, S., O’Gorman, F., & McPolin, G. (2009). Nurses knowledge of inadvertent hypothermia. AORN Journal, 89(4), 701-704, 707-713. doi: 10.1016/j.aorn.2008.09.003
Horn, E.P., Bein, B., Broch, O., Iden, T., Böhm, R., Latz, S.K., & Höcker, J. (2016). Warming before and after epidural block before general anaesthesia for major abdominal surgery prevents perioperative hypothermia: A randomised controlled trial. European Journal of Anaesthesiology, 33(5), 334-40. doi: 10.1097/EJA.0000000000000369.
Horosz, B., & Malec, M. M. (2013). Inadvertent intraoperative hypothermia. Anaesthesiol Intensive Therapy, 45(1), 38-43. doi: 10.5603/AIT.2013.0009
Knaepel, A. (2012). Inadvertent perioperative hypothermia: A literature review. Journal Perioperative Practice, 22(3), 86-90. doi: 10.1177/175045891202200302
Lee, Y., & Kim, K. (2021). Optimal application of forced air warming to prevent peri-operative hypothermia during abdominal surgery: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(5), doi: 10.3390/ijerph18052517
Moysés, A. M., Trettene, Armando. D. S., Navarro, L. H. C., & Ayres, J. A. (2014). Hypothermia prevention during surgery: Comparison between thermal mattress and thermal blanket. Revista da Escola de Enfermagem da USP, 48(2), 228-235. doi:https://dx.doi.org/10.1590/S0080-623420140000200005
National Institute for Health and Care Excellence. (2016). Clinical guideline of hypothermia: Prevention and management in adults having surgery. Retrieved from https://www.nice.org.uk/guidance/cg65/resources/hypothermia-prevention-and-management-in-adults-having-surgery-pdf-975569636293
Oshvandi, K., Shiri, F.H., Fazel, M.R., Safari, M., & Ravari, A. (2014). The effect of pre-warmed intravenous fluids on prevention of intraoperative hypothermia in cesarean section. Iranian Journal of Nursing and Midwifery Research, 19(1), 64-9. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3917187/
Pearce, B., Mattheyse, L., Ellard, L., Desmond, F., Pillai, P., & Weinberg, L. (2018). Comparison of the warmcloud and bair hugger warming devices for the prevention of intraoperative hypothermia in patients undergoing orthotopic liver transplantation: A randomized clinical trial. Transplantation Direct, 4(4). doi: 10.1097/TXD.0000000000000775
Prado, C.B.C., Barichello, E., Pires, P.S., Haas, V.J., & Barbosa, M.H. (2015). Occurrence and factors associated with hypothermia during elective abdominal surgery. Acta Paulista de Enfermagem, 28(5), 475–481. doi: https://doi.org/10.1590/1982-0194201500079
Santos, R. M. S. F., Boin, I. F. S. F., Caruy, C. A. A., Cintra, E. A., Torres, N. A., & Duarte, H. N. (2019). Randomized clinical study comparing active heating methods for prevention of intraoperative hypothermia in gastroenterology. Revista Latino-Americana De Enfermagem, 27. doi: http://dx.doi. org/10.1590/1518-8345.2589.3103
Seyed, N. L. F., Mohammad, R. A., Amir, E. Z., Aria, S., & Farshad, H. K. (2016) Inadvertent perioperative hypothermia: A literature review of an old overlooked problem. Acta Facultatis Medicae Naissensis, 33(1), 5-11. doi: 10.1515/afmnai-2016-0001
Shaw, C. A., Steelman, V. M., DeBerg, J., & Schweizer, M. L. (2017). Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: A systematic review and meta-analysis of randomized controlled trials. Journal of clinical anesthesia, 38, 93–104. doi: https://doi.org/10.1016/j.jclinane.2017.01.005
Shenoy, L., Krishna, H. M., Kalyan, N., & Prasad, K. H. (2019). A prospective comparative study between prewarming and cowarming to prevent intraoperative hypothermia. Journal of Anaesthesiology Clinical Pharmacology, 35(2), 231-235. doi: 10.4103/joacp.JOACP_353_17
Soysal, G. E., Ilce, A., & Erkol, M. H. (2018). Effect of ‘‘an innovative technology’’ active warming and passive warming on unplanned hypothermia during perioperative period: A clinical trial. Therapeutic Hypothermia and Temperature Management, 8(4), 216-224. doi: 10.1089/ther.2017.0048
Thapa, H. P., Kerton, A. J., & Peyton, P. J. (2019). Comparison of the easywarm® self-heating blanket with the cocoon forced-air warming blanket in preventing intraoperative hypothermia. Anaesthesia and Intensive Care, 47(2), 169-174. doi: 10.1177/0310057X19840264
Torossian, A., Van-Gerven, E., Geertsen, K., Horn, B., Van-deVelde, M., & Raeder, J. (2016). Active perioperative patient warming using a self-warming blanket (BARRIER® EasyWarm®) is superior to passive thermal insulation: A multinational, multicenter, randomized trial. Journal of Clinical Anesthesia, 34, 547–554. doi: https://doi.org/10.1016/j.jclinane.2016.06.030
Weinberg, L., Huang, A., Alban, D., Jones, R., Story, D., McNicol, L., & Pearce, B. (2017). Prevention of hypothermia in patients undergoing orthotopic liver transplantation using the humigard® open surgery humidification system: A prospective randomized pilot and feasibility clinical trial. BMC surgery, 17(1). doi: https://doi.org/10.1186/s12893-017-0208-z
Wittenborn, J., Clausen, A., Zeppernick, F., Stickeler, E., & Heerlein, I. V. (2019). Prevention of intraoperative hypothermia in laparoscopy by the use of body-temperature and humidified CO2: A pilot study. Geburtshilfe und Frauenheilkunde 79(9). doi: https://doi.org/10.1055/a-0903-2638
Yasar, P.O., Uzumcugil, F., Pamuk, A.G., & Kanbak, M. (2021). Comparison of combined forced-air warming and circulating-water-mattress and forced-air warming alone in patients undergoing open abdominal surgery in lithotomy position: A randomized controlled trial. Indian Journal of Surgery. doi: https://doi.org/10.1007/s12262-021-02829-8
Zaman, S. S., Rahmani, F., Majedi, M. A., Roshani, D., & Valiee, S. (2017). A clinical trial of the effect of warm intravenous fluids on core temperature and shivering in patients undergoing abdominal surgery. Journal of PeriAnesthesia Nursing, 33(5), 616-625. doi:http://dx.doi.org/10.1016/j.jopan.2016.12.010
Alparslan, V., Kus, A., Hosten, T., Ertargin, M., Ozdamar, D., Toker, K., & Solak, M. (2017). Comparison of forced-air warming systems in prevention of intraoperative hypothermia. Journal of Clinical Monitoring and Computing, 32(3), 343-349. doi: 10.1007/s10877-017-0017-z
Association of periOperative Registered Nurses. (2016). Guideline summary: prevention of unplanned patient hypothermia. AORN Journal, doi: https://doi.org/10.1016/j.aorn.2016.01.006
Burger, L., & Fitzpatrick, J. (2009). Prevention of inadvertent perioperative hypothermia. British Journal of Nursing, 18(18). doi: 10.12968/bjon.2009.18.18.44553
Braurer, A., Perl, T., Uyanik, Z., English, M. J. M., Weyland, W., & Braun, U. (2004). Perioperative thermal insulation: Minimal clinically important differences? British Journal of Anaesthesia, 92 (6). doi: 10.1093/bja/aeh156
Fadzlina, W., Nazaruddin, W., & Hardy, M. (2016). Passive warming using a heat-band versus a resistive heating blanket for the prevention of inadvertent perioperative hypothermia during laparotomy for gynaecological surgery. The Malaysian Journal of Medical Science, 23(2) 28-37. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976711/
Frey, J. M., Janson, M., Svanfeldt, M., Svenarud, P. K., & Van-der-Linden, J. A. (2012). Local insufflation of warm humidified CO2 increases open wound and core temperature during open colon surgery. Anesthesia & Analgesia, 115(5), 1204-1211. doi: 10.1213/ANE.0b013e31826ac49f
Giuliano, K.K., & Hendricks, J. (2017). Inadvertent perioperative hypothermia: Current nursing knowledge. AORN journal, 105(5), 453-463. doi: https://doi.org/10.1016/j.aorn.2017.03.003
Goyal, P., Kundra, S., Sharma, S., Grewal, A., Kaul, T. K., & Singh, M. R. (2011). Efficacy of intravenous fluid warming for maintenance of core temperature during lower segment cesarean section under spinal anesthesia. Journal of Obstetric Anaesthesia and Critical Care, 1(2), 73-77. doi: 10.4103/2249-4472.93990
Hart, S. R., Bordes, B., Hart, J., Corsino, D., & Harmon, D. (2011). Unintended perioperative hypothermia. The Ochsner Journal, 11(3), 259–270. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179201/
Hegarty, J., Walsh, E., Burton, A., Murphy, S., O’Gorman, F., & McPolin, G. (2009). Nurses knowledge of inadvertent hypothermia. AORN Journal, 89(4), 701-704, 707-713. doi: 10.1016/j.aorn.2008.09.003
Horn, E.P., Bein, B., Broch, O., Iden, T., Böhm, R., Latz, S.K., & Höcker, J. (2016). Warming before and after epidural block before general anaesthesia for major abdominal surgery prevents perioperative hypothermia: A randomised controlled trial. European Journal of Anaesthesiology, 33(5), 334-40. doi: 10.1097/EJA.0000000000000369.
Horosz, B., & Malec, M. M. (2013). Inadvertent intraoperative hypothermia. Anaesthesiol Intensive Therapy, 45(1), 38-43. doi: 10.5603/AIT.2013.0009
Knaepel, A. (2012). Inadvertent perioperative hypothermia: A literature review. Journal Perioperative Practice, 22(3), 86-90. doi: 10.1177/175045891202200302
Lee, Y., & Kim, K. (2021). Optimal application of forced air warming to prevent peri-operative hypothermia during abdominal surgery: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(5), doi: 10.3390/ijerph18052517
Moysés, A. M., Trettene, Armando. D. S., Navarro, L. H. C., & Ayres, J. A. (2014). Hypothermia prevention during surgery: Comparison between thermal mattress and thermal blanket. Revista da Escola de Enfermagem da USP, 48(2), 228-235. doi:https://dx.doi.org/10.1590/S0080-623420140000200005
National Institute for Health and Care Excellence. (2016). Clinical guideline of hypothermia: Prevention and management in adults having surgery. Retrieved from https://www.nice.org.uk/guidance/cg65/resources/hypothermia-prevention-and-management-in-adults-having-surgery-pdf-975569636293
Oshvandi, K., Shiri, F.H., Fazel, M.R., Safari, M., & Ravari, A. (2014). The effect of pre-warmed intravenous fluids on prevention of intraoperative hypothermia in cesarean section. Iranian Journal of Nursing and Midwifery Research, 19(1), 64-9. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3917187/
Pearce, B., Mattheyse, L., Ellard, L., Desmond, F., Pillai, P., & Weinberg, L. (2018). Comparison of the warmcloud and bair hugger warming devices for the prevention of intraoperative hypothermia in patients undergoing orthotopic liver transplantation: A randomized clinical trial. Transplantation Direct, 4(4). doi: 10.1097/TXD.0000000000000775
Prado, C.B.C., Barichello, E., Pires, P.S., Haas, V.J., & Barbosa, M.H. (2015). Occurrence and factors associated with hypothermia during elective abdominal surgery. Acta Paulista de Enfermagem, 28(5), 475–481. doi: https://doi.org/10.1590/1982-0194201500079
Santos, R. M. S. F., Boin, I. F. S. F., Caruy, C. A. A., Cintra, E. A., Torres, N. A., & Duarte, H. N. (2019). Randomized clinical study comparing active heating methods for prevention of intraoperative hypothermia in gastroenterology. Revista Latino-Americana De Enfermagem, 27. doi: http://dx.doi. org/10.1590/1518-8345.2589.3103
Seyed, N. L. F., Mohammad, R. A., Amir, E. Z., Aria, S., & Farshad, H. K. (2016) Inadvertent perioperative hypothermia: A literature review of an old overlooked problem. Acta Facultatis Medicae Naissensis, 33(1), 5-11. doi: 10.1515/afmnai-2016-0001
Shaw, C. A., Steelman, V. M., DeBerg, J., & Schweizer, M. L. (2017). Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: A systematic review and meta-analysis of randomized controlled trials. Journal of clinical anesthesia, 38, 93–104. doi: https://doi.org/10.1016/j.jclinane.2017.01.005
Shenoy, L., Krishna, H. M., Kalyan, N., & Prasad, K. H. (2019). A prospective comparative study between prewarming and cowarming to prevent intraoperative hypothermia. Journal of Anaesthesiology Clinical Pharmacology, 35(2), 231-235. doi: 10.4103/joacp.JOACP_353_17
Soysal, G. E., Ilce, A., & Erkol, M. H. (2018). Effect of ‘‘an innovative technology’’ active warming and passive warming on unplanned hypothermia during perioperative period: A clinical trial. Therapeutic Hypothermia and Temperature Management, 8(4), 216-224. doi: 10.1089/ther.2017.0048
Thapa, H. P., Kerton, A. J., & Peyton, P. J. (2019). Comparison of the easywarm® self-heating blanket with the cocoon forced-air warming blanket in preventing intraoperative hypothermia. Anaesthesia and Intensive Care, 47(2), 169-174. doi: 10.1177/0310057X19840264
Torossian, A., Van-Gerven, E., Geertsen, K., Horn, B., Van-deVelde, M., & Raeder, J. (2016). Active perioperative patient warming using a self-warming blanket (BARRIER® EasyWarm®) is superior to passive thermal insulation: A multinational, multicenter, randomized trial. Journal of Clinical Anesthesia, 34, 547–554. doi: https://doi.org/10.1016/j.jclinane.2016.06.030
Weinberg, L., Huang, A., Alban, D., Jones, R., Story, D., McNicol, L., & Pearce, B. (2017). Prevention of hypothermia in patients undergoing orthotopic liver transplantation using the humigard® open surgery humidification system: A prospective randomized pilot and feasibility clinical trial. BMC surgery, 17(1). doi: https://doi.org/10.1186/s12893-017-0208-z
Wittenborn, J., Clausen, A., Zeppernick, F., Stickeler, E., & Heerlein, I. V. (2019). Prevention of intraoperative hypothermia in laparoscopy by the use of body-temperature and humidified CO2: A pilot study. Geburtshilfe und Frauenheilkunde 79(9). doi: https://doi.org/10.1055/a-0903-2638
Yasar, P.O., Uzumcugil, F., Pamuk, A.G., & Kanbak, M. (2021). Comparison of combined forced-air warming and circulating-water-mattress and forced-air warming alone in patients undergoing open abdominal surgery in lithotomy position: A randomized controlled trial. Indian Journal of Surgery. doi: https://doi.org/10.1007/s12262-021-02829-8
Zaman, S. S., Rahmani, F., Majedi, M. A., Roshani, D., & Valiee, S. (2017). A clinical trial of the effect of warm intravenous fluids on core temperature and shivering in patients undergoing abdominal surgery. Journal of PeriAnesthesia Nursing, 33(5), 616-625. doi:http://dx.doi.org/10.1016/j.jopan.2016.12.010
Published
2021-10-30
How to Cite
PRATIWI, Ni Komang Dewi Trisia; RAYA, Nyoman Agus Jagat; PUSPITA, Luh Mira.
MANAJEMEN HIPOTERMIA DALAM KEPERAWATAN PERIOPERATIF PADA PASIEN YANG MENJALANI PEMBEDAHAN ABDOMEN: A LITERATURE REVIEW.
Coping: Community of Publishing in Nursing, [S.l.], v. 9, n. 5, p. 497-506, oct. 2021.
ISSN 2715-1980.
Available at: <https://ojs.unud.ac.id/index.php/coping/article/view/74560>. Date accessed: 30 apr. 2024.
doi: https://doi.org/10.24843/coping.2021.v09.i05.p02.
Section
Articles
