Moysés Ariane Marques, dos Santos Trettene Armando, Navarro Laís Helena Camacho, Ayres Jairo Aparecido
Paulista State University, Botucatu, SP, Brazil,
Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru, SP, Brazil.
Rev Esc Enferm USP. 2014 Apr;48(2):228-35. doi: 10.1590/s0080-623420140000200005.
This study aimed to compare the efficiency of the thermal blanket and thermal mattress in the prevention of hypothermia during surgery. Thirty-eight randomized patients were divided into two groups (G1 - thermal blanket and G2 - thermal mattress). The variables studied were: length of surgery, length of stay in the post-anesthetic care unit, period without using the device after thermal induction, transport time from the operating room to post-anesthetic care unit, intraoperative fluid infusion, surgery size, anesthetic technique, age, body mass index, esophageal, axillary and operating room temperature. In G2, length of surgery and starch infusion longer was higher (both p=0.03), but no hypothermia occurred. During the surgical anesthetic procedure, the axillary temperature was higher at 120 minutes (p=0.04), and esophageal temperature was higher at 120 (p=0.002) and 180 minutes (p=0.03) and at the end of the procedure (p=0.002). The thermal mattress was more effective in preventing hypothermia during surgery.
本研究旨在比较手术期间使用保温毯和保温床垫预防体温过低的效果。38例随机分组的患者被分为两组(G1组——保温毯组和G2组——保温床垫组)。所研究的变量包括:手术时长、在麻醉后护理单元的停留时间、热诱导后不使用该设备的时长、从手术室到麻醉后护理单元的转运时间、术中输液量、手术规模、麻醉技术、年龄、体重指数、食管温度、腋窝温度及手术室温度。在G2组中,手术时长和淀粉输注量更高(p值均为0.03),但未发生体温过低情况。在手术麻醉过程中,腋窝温度在120分钟时更高(p=0.04),食管温度在120分钟(p=0.002)、180分钟(p=0.03)及手术结束时(p=0.002)更高。保温床垫在预防手术期间体温过低方面更有效。