Management of Shivering in Post-Spinal Anesthesia Using Warming Blankets and Warm Fluid Therapy
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Hypothermia is a common and serious complication of spinal surgery and it is associated with many harmful perioperative outcomes. The aim of this study was to compare the effectiveness of warming blankets and warm fluid therapy to manage shivering. A quasi-experiment with a non-equivalent control group was applied as the research design. There were 60 patients involved in the study. The instrument of this study was a warmer fluid modification, a warming blanket and a cotton blanket. The data was analyzed using an applied paired t-test and independent t-test. After 60 minutes of the intervention, the mean and SD of body temperature of the patients receiving warm fluids was 36.71 ± 0.18, a warming blanket was 36.12 ± 0.35, and the control group was 35.76 ± 0.22. The p values were 0,000. Warm fluid therapy and warming blankets are significant in terms of increasing the body temperature of post-spinal anesthesia patients. Warm fluids are more effective than warming blanket. Warming blankets and warm fluid therapy can be used as a way to increase the body temperature of patients with hypothermia.
A., P. (2017). Control of intraoperative shivering under spinal anaesthesia- A prospective randomized comparative study of butorphanol with tramadol. Journal of Krishna Institute of Medical Sciences University, 6(1), 57–65.
Aksu, C., Kus, A., Gurkan, Y., Solak, M., & Toker, K. (2014). Survey on Postoperative Hypothermia Incidence In Operating Theatres of Kocaeli University. Turkish Journal of Anesthesia and Reanimation, 42(2), 66–70. https://doi.org/10.5152/tjar.2014.15010
De Figueiredo Locks, G. (2012). Incidence of Shivering after Cesarean Section under Spinal Anesthesia with or without Intrathecal Sufentanil: A Randomized Study. Revista Brasileira de Anestesiologia, 62(5), 676–684. https://doi.org/10.1016/S0034-7094(12)70166-6
Harahap, A. M., Kadarsah, R., & Oktaliansah, E. (2014). The Incidence of Hypothermia and Duration of Care in the Recovery Room on Postoperative Geriatric Patients at Dr. Hasan Sadikin Hospital Bandung During October 2011–March 2012. Jurnal Anestesi Perioperatif, 2(1), 36–44.
Ihn, C. H., Joo, J. D., Chung, H. S., Choi, J. W., Kim, D. W., Jeon, Y. S., ... Choi, W. Y. (2008). Comparison of three warming devices for the prevention of core hypothermia and post-anaesthesia shivering. Journal of International Medical Research, 36(5), 923–931. https://doi.org/10.1177/147323000803600508
Jin, F., & Chung, F. (2001). Minimizing perioperative adverse events in the elderly. British Journal of Anaesthesia, Vol. 87, pp. 608–624. https://doi.org/10.1093/bja/87.4.608
Lopez, M. B. (2018). Postanaesthetic shivering – from pathophysiology to prevention. Romanian Journal of Anaesthesia and Intensive Care, 25(1), 73–81. https://doi.org/10.21454/rjaic.7518.251.xum
Mendonça, F. T., Lucena, M. C. de, Quirino, R. S., Govíªia, C. S., & Guimarí£es, G. M. N. (2019). Risk factors for postoperative hypothermia in the post"anesthetic care unit: a prospective prognostic pilot study. Brazilian Journal of Anesthesiology, 69(2), 122–130. https://doi.org/10.1016/j.bjan.2018.10.001
Moysés, A. M., Trettene, A. dos 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, 48(2), 226–232. https://doi.org/10.1590/S0080-623420140000200005
Nayoko. (2016). Perbandingan Efektifitas Pemberian Cairan. Jurnal Keperawatan Muhammadiyah, 1(1), 86–92.
Okeke, L. I. (2007). Effect of warm intravenous and irrigating fluids on body temperature during transurethral resection of the prostate gland. BMC Urology, 7, 5–7. https://doi.org/10.1186/1471-2490-7-15
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. https://doi.org/10.1016/j.jclinane.2017.01.005
Sultan, P., Habib, A. S., Cho, Y., & Carvalho, B. (2015). The Effect of patient warming during Caesarean delivery on maternal and neonatal outcomes: A meta-analysis. British Journal of Anaesthesia, Vol. 115, pp. 500–510. https://doi.org/10.1093/bja/aev325
Tarmey, N., & White, L. A. (2009). Section 3: Shivering. In Risks associated with your anaesthetic (pp. 1–3).
Zaman, S. S., Rahmani, F., Majedi, M. A., Roshani, D., & Valiee, S. (2018). 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. https://doi.org/10.1016/j.jopan.2016.12.010
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