Browse > Article

The Effect of Warming Methods on the Vital Signs and Thermal Discomfort of the Patient with Gastrectomy  

Hong, Sung-Jung (Department of Nursing, Graduate School, Kyungpook National University)
Lee, Ji-Min (Department of Nursing, Daegu Science University)
Kim, Yun-Kyung (Department of Nursing, Kaya University)
Publication Information
Journal of Korean Biological Nursing Science / v.12, no.2, 2010 , pp. 81-88 More about this Journal
Abstract
Purpose: The purpose of this study was to compare effects of intravenous fluid warming and forced-air warming on perioperative body temperature, Blood Pressure, Pulse and thermal discomfort after gastrectomy under general anesthesia. Methods: Data collection was performed from October, 2009 to February, 2010. The intravenous fluid warming group (27) was warmed through an IV line by an Animec set to $37^{\circ}C$. The forced-air warming group (27) was warmed by Bair Hugger System. The warming continued from induction of general anesthesia to two hours after completion of surgery. The data was analyzed by t-test, $X^2$, repeated measures ANOVA using SPSS/WIN 17.0. Results: There was a significant difference of body temperature and thermal discomfort between the intravenous fluid warming group and the forced-air warming group. Conclusion: We need to explore the effects combination of the intravenous fluid warming and the forced-air warming, and other warming therapy and the efficiency of modalities with regards to cost benefit is also needed.
Keywords
Warming; Vital signs; Thermal discomfort;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Smith, M. D., & Charles, E. (1998). Preventing hypothermia: Convective and intravenous fluid warming venous convective warming alone. Journal of Clinical Anesthesia, 10, 380-385.   DOI   ScienceOn
2 Vander, A. J., Shermar, J. H., & Luciano, D. S. (2004). Human physiology: The mechanisms of body fuction (8th ed.). New York, NY: McGraw-Hill.
3 Wagner, D., Byrne, M., & Kolcaba, K. (2006). Effects of comfort warming on preoperative patients. Association of periOperative Registered Nurses Journal, 84, 427-448.
4 Min, S. H. (2001). The effects of warming therapy and anesthesia body temperature, thermal discomfort, shivering of surgical patients. Unpublished master's thesis, Chungnam University, Daejeon.
5 Park, H., & Yoon, H. (2007). A comparison of the effects of intravenous fluid warming and skin surface warming on peri-operative body temperature and acid base balance of elderly patients with abdominal surgery. Journal of Korean Academy of Nursing, 40, 317-325.   과학기술학회마을
6 Stwart, B. T., Stitz Tuch, N. M., & Lumly, J. W. (1999). Hypothermia in open and laparoscopic colorectal surgery. Disease of the Colon & Rectum, 42, 1292-1295.   DOI   ScienceOn
7 Park, O. B., & Choi, H. (2010). The effect of pre-warming for patients under abdominal surgery on body remperature, activity, pain thermal comfort. Journal of Korean Academy of Nursing, 40, 317-325.   과학기술학회마을   DOI   ScienceOn
8 Park, Y. W. (1999). The effect of pre and intrawarming on tympanic temperature and thermal-discomfort of the patient with gastrectomy. Unpublished master's thesis, Yonsei University, Seoul.
9 Sessler, D. I. (2008). Temperature monitoring and perioperative thermoregulation. Anesthesiology, 109, 318-338.   DOI   ScienceOn
10 Kongsayreepong, S., Chaibundit, C., Chadpaibool, J., Komoltri, C., Suraseranivongse, S., Suwannanonda, P., et al. (2003). Predictor of core hypothermia and the surgical intensive care unit. Anesthesia & Analgesia, 96, 826-833.
11 Miller, R. D. (2005). Anesthesia (6th ed.). New York, NY; Churchill Livingstone.
12 Leslie, K., & Sessler, D. I. (2003). Perioperative hypothermia in the high-risk surgical patient. Best Practice & Research Clinical, 17, 485-498.   DOI   ScienceOn
13 Macario, A., & Dexter, F. (2002). What are the most important risk factors for a patient's developing intraoperative hypothermia? Anesthesia & Analgesia, 94, 215-220.
14 Mahoney, C. B., & Odom, J. (1999). Maintaining intraoperative normothermia: A meta-analysis of outcomes with costs. American Association of Nurse Thetists Journal, 67, 155-164.
15 Hynson, J. M., & Sessler, D. I. (1992). Intraoperative warming therapies: A comparison of three devices. Journal of Clinical Anesthesia, 4, 194-199.   DOI   ScienceOn
16 Kim, E. H. (2000). The effect of warming therapy to the changes in tympanic temperatures of surgical patients. Unpublished master's thesis, Keimyung University, Daegu.
17 Insler, S. R., & Sessler, D. I. (2006). Perioperative thermoregulation and temperature monitoring. Anesthesiology Clinics, 24, 823-837.   DOI
18 Just, B., Trevien, V., Delva, E., & Lienhart, A. (1993). Prevention of intraoperative hypothermia by preoperative skin-surface warming. Anesthesiology, 79, 214-218.   DOI   ScienceOn
19 Kabbara, A., Goldlust, S. A., Smith, C. E., Hagen, J. F., & Pinchak, A. C. (2002). Randomized prospective comparision of forced air warming using hospital blankets versus commercial blankets in surgical patients. Anesthesiology, 97, 338-344.   DOI   ScienceOn
20 Kim, N. H., & Kim, Y. K. (2007). The effects of warming therapy on body temperature and discomfort for patients with surgery. Clinical Nursing Research, 13(3), 55-67.
21 Choi, K. H. (2007). Comparision of the effects of warming methods on body temperature change, shivering, and post-anesthesia recovery in a recovery room. Unpublished master's thesis, Dong Eui University, Busan.
22 Collins, V. J. (1996). Temperature regulation and heat problem. In V. J. Collins (Ed.), Physiologic and Pharmacologic Bases of Anesthesia (pp. 316-344). NJ; Williams & Wilkins.
23 Horn, E. P., Schroeder, F., Gottcshalk, A., Sessler, D. I., Hiltmeyer, N., Stanol, T., et al. (2002). Active warming during cesatioan deliver. Anesthesia and Analgesia, 94, 409-414.
24 Cooper, S. (2006). The effect of preoperative warming op patients' post operative temperature. AORN Journal, 83, 1074-1076, 1079-1084.
25 Danzl, D. F., & Pozos, R. S. (1994). Accidental hypothermia. The New England Journal of Medicine, 331, 1756-1760.   DOI   ScienceOn
26 Eberhart, L. H. J., Doderlein, F., Eisenhardt, G., Kranke, P., Sessler, D. I., Torossian, A., et al. (2005). Independent risk factors for postoperative shivering. Anesthesia &Analgesia, 101, 1849-1857.
27 Abelha, F. J., Castro, M. A., Neves, A. M., Landeiro, N. M., & Santos, C. C. (2005). Hypothermia in surgical intensive care unit. BMC Anesthesiology, 5(7), 1-10.
28 Cereda, M., & Maccioli, G. (2004). Intraoperative temperature monitoring. International Anesthesiology Clinics, 42, 41-54.   DOI   ScienceOn
29 Campos-Suzbrrez, J. M., & Casas-Vila, J. I. (1997). Air-convection heater for abdominal urgery. Rev Esp Anesthesiol Reanim, 44(2), 47-51.
30 Camus, Y., Delva, E., Bossard, A. E., Chandon, M., & Lienhart, A. (1997). Prevention of hypothermia by cutaneous warming with new electric blankets during abdominal surgery. British Journal of Anaesthesia, 79, 796-797.   DOI   ScienceOn