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186633

Effect of Three Different Methods in Rewarming Hypothermic Postoperative Patients

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Last updated: 03 Jan 2025

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Abstract

Hypothermia refers to core body temperature less than 36C. It was reported that 60 to 80% of all postoperative patients suffered from hypothermia. Hypothermia has a profound effect on every body system and may result in life threatening problems if not recognised and treated promptly. The nurse has an important role in rewarming surgical patients immediately postoperatively. Many researchers found that there are different methods to warm surgical patients immediately postoperatively as radiation using infrared lamps, forced air warmer, and warmed blanket. Aim: Comparing between three different nursing methods in rewarming patients after major abdominal surgery. Method: The study was carried out in surgical wards and recovery rooms at Alexandria Main University Hospital. A convenient sample of 60 adult patients was selected and assigned randomly to one of three experimental warming methods. Group I was assigned to extra blanket, group II was assigned to radiation, and group III was assigned to forced air warmer. In postoperative period, all patients in the three different groups were assessed every 5 minutes for core body temperature using tympanic thermometer until return to baseline temperature. Results: The study revealed that the patients warmed with forced air warmer returned to baseline temperature in a shorter period than those who were warmed by the use of radiation or extra blanket. Statistically significant difference was found between the three groups. Conclusion: Rewarming is a priority in the immediate care of postoperative surgical patients because hypothermia may augment the risk of adverse outcome. Therefore, the importance of the use of forced air warmer, radiation using infrared heat lamps, or extra blanket should be emphasised in the postoperative period.

DOI

10.21608/jhiph.2004.186633

Keywords

Hypothermic Postoperative Patients, Rewarming

Authors

First Name

Gehan

Last Name

Desokey

MiddleName

M.

Affiliation

Assistant Lecturer, Adult Nursing Department, Faculty of Nursing, Alexandria University, Egypt

Email

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City

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Orcid

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First Name

Laila

Last Name

Abdou

MiddleName

M.

Affiliation

Professor of Adult Nursing Department, Faculty of Nursing, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Nader

Last Name

El-Gamal

MiddleName

AZ.

Affiliation

Professor of Anesthesiology, Faculty of Medicine, Alexandria University, Egypt

Email

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City

-

Orcid

-

First Name

Mervat

Last Name

Mohamed

MiddleName

A.

Affiliation

Lecturer / Adult Nursing Department, Faculty of Nursing, Alexandria University, Egypt

Email

-

City

-

Orcid

-

Volume

34

Article Issue

3

Related Issue

26792

Issue Date

2004-07-01

Receive Date

2021-08-01

Publish Date

2004-07-01

Page Start

549

Page End

564

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_186633.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=186633

Order

5

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Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

Effect of Three Different Methods in Rewarming Hypothermic Postoperative Patients

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Article

Created At

22 Jan 2023