POST OPERATIVE HYPOTHERMIA: INCIDENCE, RELATION TO AGE AND SURGERY
Abstract
Background: The normothermic status of the patients during anesthesia is disturbed and hypothermia is a potentialproblem. This study was done using Aural thermometry technique to see pattern of post-operative hypothermia.Methods: Patients (n=8Q) core temperature measurements (using aural temperature probes after proper calibration)were obtained in the perioperative period. Results: Sixty-seven patients (83%) had temperature <36°C (mean <35.1°C± 0.1) on admission to the recovery' room. This finding of definitive study was supported by an initial finding of thepreliminary study (n=103) indicating 89% of the patients with temperature <36°C on admission to the recovery room(mean 34°C ± 0.1). Elderly patients (> 65 years) and patients undergoing surgery of longer duration demonstratedhigh percentage and most marked decrease in temperature. A significant decrease in temperature, during leaving thereception area and admission to recovery room was found in all the surgical subgroups but the patients undergoingaortic reconstructive surgery showed marked decrease. Most of the patients were discharged with satisfactoryrewarming while 20% of patients were discharged from the recovery' room despite temperature below 36°C.References
Benizinger, T.H. (1969). Heat regulation: Homeostasis
of central temperature in man. Physiological reviews,
: 671 - 759.
Simon, E., Pierau, F-K, Taylor, D.C.M. (1986). Central
and peripheral thermal control of effectors in
hormeothermic temperature regulation. Physiological
reviews, 66:235-300.
Wong, K.C. (1983). Physiology and pharmacology of
hypothermia. West J. Med., 138: 227.
Vale, R.J. (1973). Normotheria, its place in operative
and post-operative care. Anaesthesia, 28:241-245.
Pickering, G. (1958). Regulation of body temperature
in health and disease. Lancet, 1: 59-64.
Imrie, M.M and Hall, G.M. (1990). Body temperature
and anaesthesia. British Journal of Anaesthesia, 64:
-354.
Goldberg, M.J. & Roe, C.F. (1966). Body temperature
and anaesthesia. British Journal of Anaesthesia, 64:
-354.
Morris, R. (1971). Operating room temperature and the
anaesthetized, paralyzed patient. Archives of Surgery,
: 95- 97.
Holdcraft, A. & Hall, G.M. (1978). Heat loss during
anaesthesia. British Journal of Anaesthesia, 50: 157-
Vaughan, M.S; Vaughan, R.W & Cork, R.C. (1981).
Post-operative hypothermia in adults; Relation of age,
anaesthesia and shivering to rewarming. Anaesth.
Analg. 60: 746-751.
Slotman, G.T., Jet., E.H & Burchard, K.W. (1985).
Adverse effects of hypothermia in post-operative
patients. Am. J. Surg. 149:495-105.
Heymann, AD. (1977). The effect of incidental
hypothermia on elderly surgical patients. J. Gerontol.,
: 146-148.
Bay, J., Nunn, J.F. & Prys-Roberts, C. (1968). Factors
influencing arterial P02 during recovery from
anaesthesia. British Journal of Anaesthesia, 40: 398-
Little, D.M. (1959). Hypothermia review article.
Anaesthesiology, 20-842.
Patton, B.C. (1983). Accidental Hypothermia,
Pharmacol. Ther., 22:331.
Murphy, M.I., Lipton J.M & Gieseck, AH. Post
anaesthesia shivering; effects of localized radiant heat
vs warmed blanket treatment. . Anaesth, Analg. V65,
No.3A Sep. 1986.
Reneck, H. (1969). The elderly patient alters
anaesthesia and surgery. Acta Anaesthesiol. Scand.
Suppl. 34.
Collins, K.J. (1977). Accidental hypothermia and
impaired temperature homeostasis in elderly. British
Medical Journal, 1: 353-356.
Murphy, M.T., Lipton, J.M. & Gieseck, AH. (1986).
Post anaesthetic shivering, incidence and implications
in elderly patients. Anaesthesia and analgesia, 56: S
Tollofsrud, Y., Gunderson and. Andersen (1984). Acta.
Anaesthesiol, Scand., 28: 511-15.
Lewis, D.G. and Mackenzie, A. (1972). Cooling during
major vascular surgery. British Journal of Anaesthesia,
: 859-64.
Newman, B.J. (1971). Control of accidental
hypothermia during vascular surgery. Anaesthesia, 26:
-87.
Workhaven, M.N. (1986). Intravenous fluid
temperature, shivering in the parturient, Anaesth,
Analg., 65: 496-98.
Ozuna, J.M. (1978). A study of patient’s temperatures.
AORN Journal, 28: 240-45.
Benizinger, M. (1969). Tympanic thermometry in
surgery' and anaesthesia. JAMA, 209: 1207-1211.
zPiionen, P. (1963). Effects of exposure to extremely
hot environments on temperatures of tympanic
membrane, the oesophagus and rectum of men. AMRLTDR-63-85. Aerospace Medical Laboratory'.
Cork, R.C., Vaughan, R.W. & Hymphrey, L.S. (1983).
Precision and accuracy of intraoperative temperature
monitoring. Anaesthesia Analgesia, 62: 211-13.
Holdcraft, A (1980). Body temperature control in
anaesthesia, surgery and intensive care. Bailliere
Tindall; Page 51.
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