Hypothermia Following Anesthesia Clinical Trial
Official title:
Incidence of Postoperative Hypothermia and Associated Factors in Adult Patients Undergoing Surgery in Siriraj Hospital
Inadvertent postanesthetic hypothermia is unintentional drop in core body temperature <36C (96.8F) immediately following an operation, caused by multiple factors, and had lead to negative outcomes. In our institute, a study in 2011 reported an incidence of postoperative hypothermia in PACU of 45.4% (95% CI 39.61%- 51.23%). After that, various interventions aimed to prevent perioperative hypothermia were implemented. This study is initiated to determine the incidence of postoperative hypothermia and associated factors of postoperative hypothermia in adult patients underwent surgery at Siriraj hospital.
Inadvertent postanesthetic hypothermia is unintentional drop in core body temperature <36C (96.8F) immediately following an operation, which is a common problem in post anesthesia care unit (PACU). It has been implicated in negative outcomes in surgical patients, including prolonged effects of intraoperative anesthetic medication, increased insulin resistance, postoperative morbidity, delayed surgical wound healing; and prolonged stay in the recovery room and hospital1-7. In the operating room (OR), patients have to expose to a low ambient temperature with little or no clothing, evaporation from the surgical area, an irrigated fluid in surgical area; and an administration of intravenous fluids. Moreover, many anesthetic agents have an influence on the autonomic thermoregulatory mechanism which causes vasodilatation. All these factors promote patients' unintentional loss of heat and cause hypothermia. Even of a lot of efforts to keep patients warm intraoperatively and minimize hypothermia including optimizing ambient OR temperature and using of various warming devices, the incidences of postoperative hypothermia in PACU are still high with the reported magnitude ranges from 50%- 90%7. In Siriraj hospital, a study in 2011 reported an incidence of postoperative hypothermia in PACU of 45.4% (95% CI 39.61%- 51.23%)8. After that, various interventions aimed to prevent perioperative hypothermia were implemented such as maintaining the ambient room temperature of an OR; warming intravenous fluids, blood products, and irrigants; heated, humidified anesthetic gases; and using warming blankets, forced-air warming, layering drapes and head wraps. This study is initiated to determine the incidence of postoperative hypothermia and associated factors of postoperative hypothermia in adult patients underwent surgery at Siriraj hospital. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT05292937 -
Incidence of Perioperative Hypothermia in Pediatric Patients
|
||
| Not yet recruiting |
NCT05063292 -
Effect of Prewarming On Skin Temperature Changes
|
N/A | |
| Completed |
NCT04601636 -
Comparison of Active Prewarming Versus Standard Care to Prevent Perioperative Hyporthermia in Short Outpatient Surgery Under General Anesthesia
|
N/A | |
| Completed |
NCT03193905 -
Preventing Inadvertent Hypothermia in Patients Undergoing Major Spinal Surgery
|
N/A | |
| Completed |
NCT03157609 -
Can the SpotOn™ Zero-Heat-Flux-Thermometry Sensor Accurately Measure Core Temperature in Children?
|
N/A | |
| Completed |
NCT02518815 -
Preoperative Warming Prevents Postoperative Hypothermia in Laparoscopic Gynecologic Surgery. A Randomized Control Trial
|
N/A | |
| Not yet recruiting |
NCT03191214 -
Impact of Forced Air Warming on Perioperative Thermodynamics
|
N/A | |
| Completed |
NCT05213377 -
Preoperative Warming, Hypothermia and Functional Recovery in Total Hip Arthroplasty
|
N/A | |
| Terminated |
NCT03790683 -
Intraoperative Warming During Major Surgical Procedures Using the Esophageal Temperature Management System
|
N/A | |
| Completed |
NCT04033900 -
Effects of Active Prewarming in Perioperative Hypothermia in Adults
|
N/A | |
| Completed |
NCT05151237 -
Incidence of Perioperative Hypothermia in Adults
|
||
| Withdrawn |
NCT03351036 -
Evaluation of the S3 Guideline on Avoidance of Perioperative Hypothermia - Already a Standard or Wishful Thinking?
|
N/A |