Incidencia de la hipotermia inadvertida en la sala de recuperación post anestésica en pacientes sometidos a cirugía general. Hospital Vicente Corral Moscoso. Cuenca - 2018

Abstract

Introduction: postoperative inadvertent hypothermia is the parameter with the highest incidence. Hypothermia causes myocardial complications, infection, delayed wound healing, coagulopathy, delayed recovery, prolonged hospitalization.

Objective: To determine the incidence and characteristics of inadvertent hypothermia in patients who enter the post anesthetic recovery room of the Vicente Corral Moscoso Hospital.

Materials and methods: A prospective, descriptive-longitudinal study was performed in patients on APRS after general anesthesia on admission, 60 and 120 minutes. The sample was 400 patients calculated with the random type probabilistic sampling formula, a value of p ≤ 0.05 will be considered statistically significant. Data were analyzed in the SPSS version 22 statistical program.

Results: The incidence of hypothermia on admission was 74.5%, average T 35.53 ° C + - 0.67 ° C, at 60 minutes 31.3%, average T 36.1 ° C + - 0, 55 ° C and at 120 minutes 10.5%, average T 36.5 ° C + - 0.46 ° C. There was hypothermia in patients> 60 years (p: 0.000). It was higher in low weight after 60 minutes at 43.8% and remained at 120 minutes at 18.8%. Gynecological surgery presented hypothermia with 83%, 34% and 25%. Patients with ASA III staging plus hypothermia with 84.6%, 53.8% and 19, 2%. Greater hypothermia in surgeries> 3 hours with 93.5%, 63% and 19.6%, (p: 0.000). ASA III patients p: 0.010.

Conclusions: The incidence was higher than the reviewed studies, there is a significant relationship between surgical time, age greater than 60 years and ASA III with hypothermia.