The Effectiveness of Blanket Warmer, Warm Intravenous Fluids, and Operating Room Temperature Modification in Preventing Perioperative Hypothermia

Authors

  • I Kadek Purwadadi Institut Teknologi dan Kesehatan Bali, Denpasar, Indonesia
  • Ni Luh Putu Inca Buntari Agustini Institut Teknologi dan Kesehatan Bali, Denpasar, Indonesia
  • Kadek Nuryanto Institut Teknologi dan Kesehatan Bali, Denpasar, Indonesia
  • Ni Made Manik Elisa Putri Institut Teknologi dan Kesehatan Bali, Denpasar, Indonesia

DOI:

https://doi.org/10.26630/jk.v15i1.4043

Keywords:

blanket warmer, warm intravenous fluids, operating room temperature, hypothermia

Abstract

Background: Hypothermia is a dangerous condition where the body temperature drops drastically (<36°C). If not promptly addressed, it can be life-threatening, with a mortality rate of approximately 21% for moderate hypothermia and 40% for severe hypothermia. The objective of this literature review is to identify the most effective preventive measures to be implemented in the operating room to prevent perioperative hypothermia. Methods: This study utilized a literature review method, analyzing articles sourced from two databases, namely PubMed and Science Direct. After applying relevant keywords, a total of 401 articles were obtained. These articles were then identified, screened, and examined for eligibility, resulting in 12 included articles. Results: Nine articles reported that warm intravenous fluids, warm irrigation fluids, electric warming blankets, warming mattresses, and operating room temperature modifications were significantly beneficial in preventing perioperative hypothermia, while two articles found no significant benefit in prevention. Conclusion: There is no consensus among the reviewed articles regarding the most effective preventive measures for perioperative hypothermia. Additionally, none of the articles examined the combined use of all three interventions to prevent hypothermia in perioperative patients.

References

Becerra, Ã., Valencia, L., Saavedra, P., Rodríguez-Pérez, A., & Villar, J. (2021). Effect of prewarming on body temperature in short-term bladder or prostatic transurethral resection under general anesthesia: A randomized, double-blind, controlled trial. Scientific Reports, 11(1), 20762. https://doi.org/10.1038/s41598-021-00350-2

Chebbout, R., Newton, R. S., Walters, M., Wrench, I. J., & Woolnough, M. (2017). Does the addition of active body warming to in-line intravenous fluid warming prevent maternal hypothermia during elective caesarean section? A randomised controlled trial. International Journal of Obstetric Anesthesia, 31, 37–44. https://doi.org/10.1016/j.ijoa.2017.04.008

Choi, J.-W., Kim, D.-K., Lee, S.-W., Park, J.-B., & Lee, G.-H. (2016). Efficacy of intravenous fluid warming during goal-directed fluid therapy in patients undergoing laparoscopic colorectal surgery: a randomized controlled trial. Journal of International Medical Research, 44(3), 605–612. https://doi.org/10.1177/0300060516638991

Giuliano, K. K., & Hendricks, J. (2017). Inadvertent Perioperative Hypothermia: Current Nursing Knowledge. AORN Journal, 105(5), 453–463. https://doi.org/10.1016/j.aorn.2017.03.003

Gulia, A., Gupta, N., Kumar, V., Bhoriwal, S., Malhotra, R. K., Bharti, S. J., … Bhatnagar, S. (2022). Comparison of two forced air warming systems for prevention of intraoperative hypothermia in carcinoma colon patients: a prospective randomized study. Journal of Clinical Monitoring and Computing, 36(1), 215–220. https://doi.org/10.1007/s10877-020-00639-z

Kim, G., Kim, M. H., Lee, S. M., Choi, S. J., Shin, Y. H., & Jeong, H. J. (2014). Effect of pre-warmed intravenous fluids on perioperative hypothermia and shivering after ambulatory surgery under monitored anesthesia care. Journal of Anesthesia, 28(6), 880–885. https://doi.org/10.1007/s00540-014-1820-z

Lauronen, S.-L., Kalliomäki, M.-L., Aho, A. J., Kalliovalkama, J., Riikonen, J. M., Mäkinen, M.-T., … Yli-Hankala, A. M. (2017). Thermal suit in preventing unintentional intraoperative hypothermia during general anaesthesia: a randomized controlled trial. Acta Anaesthesiologica Scandinavica, 61(9), 1133–1141. https://doi.org/10.1111/aas.12945

Lotfi Fatemi, S. N., Armat, M. R., Emami Zeydi, A., Soleimani, A., & Hasanzadeh Kiabi, F. (2016). Inadvertent Perioperative Hypothermia: A Literature Review of an Old Overlooked Problem. Acta Facultatis Medicae Naissensis, 33(1), 5–11. https://doi.org/10.1515/afmnai-2016-0001

Ma, H., Lai, B., Dong, S., Li, X., Cui, Y., Sun, Q., … Pan, Z. (2017). Warming infusion improves perioperative outcomes of elderly patients who underwent bilateral hip replacement. Medicine, 96(13), e6490. https://doi.org/10.1097/MD.0000000000006490

Moheb, M., Rezaei, M., Azizi-Fini, I., Atoof, F., & Saadati, M. A. (2022). Comparison of the Effect of Forced-air Warming and Warmed Intravenous Fluid on the Comfort and Prevention of Shivering After Spinal Anesthesia in Patients Undergoing Orthopedic Surgery. Journal of PeriAnesthesia Nursing, 37(6), 865–871. https://doi.org/10.1016/j.jopan.2022.01.010

Ni, T., Zhou, Z., He, B., & Zhou, Q. (2020). Effects of combined warmed preoperative forced-air and warmed perioperative intravenous fluids on maternal temperature during cesarean section: a prospective, randomized, controlled clinical trial. BMC Anesthesiology, 20(1), 48. https://doi.org/10.1186/s12871-020-00970-7

Oh, J. H., Kim, J. Y., Chung, S. W., Park, J. S., Kim, D. H., Kim, S. H., & Yun, M. J. (2014). Warmed Irrigation Fluid Does Not Decrease Perioperative Hypothermia During Arthroscopic Shoulder Surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 30(2), 159–164. https://doi.org/10.1016/j.arthro.2013.11.017

Rauch, S., Miller, C., Bräuer, A., Wallner, B., Bock, M., & Paal, P. (2021). Perioperative Hypothermia—A Narrative Review. International Journal of Environmental Research and Public Health, 18(16), 8749. https://doi.org/10.3390/ijerph18168749

Shaydakov, M. E., & Tuma, F. (2023). Operative Risk. In StatPearls. Treasure Island: StatPearls Publishing. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11982478

Shin, K. M., Ahn, J. H., Kim, I. S., Lee, J. Y., Kang, S. S., Hong, S. J., … Lee, H. J. (2015). The efficacy of pre-warming on reducing intraprocedural hypothermia in endovascular coiling of cerebral aneurysms. BMC Anesthesiology, 15(1), 8. https://doi.org/10.1186/1471-2253-15-8

Simegn, G. D., Bayable, S. D., & Fetene, M. B. (2021). Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review. Annals of Medicine and Surgery, 72, 103059. https://doi.org/10.1016/j.amsu.2021.103059

Tyvold, S. S. (2019). Preventing hypothermia in outpatient plastic surgery by self-warming or forced-air-warming blanket. European Journal of Anaesthesiology, 36(11), 843–850. https://doi.org/10.1097/EJA.0000000000001087

Watson, J. (2018). Inadvertent postoperative hypothermia prevention: Passive versus active warming methods. Journal of Perioperative Nursing, 31(1). https://doi.org/10.26550/2209-1092.1025

Zhang, R., Chen, X., & Xiao, Y. (2018). The effects of a forced-air warming system plus electric blanket for elderly patients undergoing transurethral resection of the prostate. Medicine, 97(45), e13119. https://doi.org/10.1097/MD.0000000000013119

Published

2024-04-25

Issue

Vol. 15 No. 1 (2024): Jurnal Kesehatan

Section

Articles

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