PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL
Introduction Perioperative hypothermia have a wide range of detrimental effects. These include increased rates of wound infection, morbid cardiac events, blood loss, and length of stay in both recovery and hospital. Inadvertent hypothermia is a condition prevalent within the perioperative setting, s...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2012
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| author | , BETTY JULIASTUTI SOEHARSONO , dr. Calcarina Fitriani Retno Wisudarti, SpAn, KIC, |
| author_facet | , BETTY JULIASTUTI SOEHARSONO , dr. Calcarina Fitriani Retno Wisudarti, SpAn, KIC, |
| author_sort | , BETTY JULIASTUTI SOEHARSONO |
| collection | UGM |
| description | Introduction
Perioperative hypothermia have a wide range of detrimental effects. These include increased
rates of wound infection, morbid cardiac events, blood loss, and length of stay in both recovery
and hospital. Inadvertent hypothermia is a condition prevalent within the perioperative setting,
since it has heen estimated that as many as 70% of surgical patients suffer some degree of
hypothermia. Perioperative hypothermia is caused by environment temperature, fluid,
evaporated, inhalation, etc. The mechanism of heat loss can with conduction, convection,
radiation, and evaporation. The effects of spinal anesthesia on temperature homeostasis have
been well studied, and there are three main mechanisms causing core hypothermia. The first is
redistribution of central heat to the periphery caused by vasodilation from sympathetic block.
The second mechanism is loss of thermoregulation characterized by reduced shivering and
vasoconstriction thresholds. Finally, with loss of thermoregulatory vasoconstriction below the
level of the sympathetic block, there is increased heat loss from vasodilation. Warm blanket as a
conduction device is thought to be effective to prevent from hypothermia during surgery.
Method
This research has been done in Sardjito General Hospital, male or female patients, age
between 20-50 years old, ASA I-II, scheduled for elective surgery with spinal anesthesia. The
subjects were classified into 2 groups, consist of 77 patients in each group. Group A was a
group with warm blanket (Gaymar Medtherm II) and group B was without warm blanket as
control group. The measurement of the core temperature were obtained using digital infrared
thermometer (ri-thermo®N) from tympanic membrane, while peripheral temperature were
obtainded using mercury thermometer from axilla. Blood pressure, heart rate, and respiration
rate were measured start from 30 minutes before spinal anesthesia, and then 5 minutes until 120
minutes after spinal anesthesia. The quantitative data was analyzed using t-test and the
qualitative data was analyzed using chi-square at the significance level of 95%, and it was
considered to be significant when p<0,05 and very significant with p<0,01.
Result
The decrease of body temperature were occurred in both group, but it was greater in control
group. The decrease of core temperature was difference start in 30 minutes after spinal
anesthesia (36,89+0,170C VS 36,48+0,150C) (p<0,05), and the decrease of peripheral
temperature was difference start in 75 minutes after spinal anesthesia (35,70+0,230C VS
36,20+0,170C) (p<0,05).
Conclusion
Warm blanket is effective to prevent the decrease of intraoperative core body temperature in
patients under spinal anesthesia |
| first_indexed | 2024-03-13T22:32:58Z |
| format | Thesis |
| id | oai:generic.eprints.org:97479 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:32:58Z |
| publishDate | 2012 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:974792016-03-04T08:45:48Z https://repository.ugm.ac.id/97479/ PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL , BETTY JULIASTUTI SOEHARSONO , dr. Calcarina Fitriani Retno Wisudarti, SpAn, KIC, ETD Introduction Perioperative hypothermia have a wide range of detrimental effects. These include increased rates of wound infection, morbid cardiac events, blood loss, and length of stay in both recovery and hospital. Inadvertent hypothermia is a condition prevalent within the perioperative setting, since it has heen estimated that as many as 70% of surgical patients suffer some degree of hypothermia. Perioperative hypothermia is caused by environment temperature, fluid, evaporated, inhalation, etc. The mechanism of heat loss can with conduction, convection, radiation, and evaporation. The effects of spinal anesthesia on temperature homeostasis have been well studied, and there are three main mechanisms causing core hypothermia. The first is redistribution of central heat to the periphery caused by vasodilation from sympathetic block. The second mechanism is loss of thermoregulation characterized by reduced shivering and vasoconstriction thresholds. Finally, with loss of thermoregulatory vasoconstriction below the level of the sympathetic block, there is increased heat loss from vasodilation. Warm blanket as a conduction device is thought to be effective to prevent from hypothermia during surgery. Method This research has been done in Sardjito General Hospital, male or female patients, age between 20-50 years old, ASA I-II, scheduled for elective surgery with spinal anesthesia. The subjects were classified into 2 groups, consist of 77 patients in each group. Group A was a group with warm blanket (Gaymar Medtherm II) and group B was without warm blanket as control group. The measurement of the core temperature were obtained using digital infrared thermometer (ri-thermo®N) from tympanic membrane, while peripheral temperature were obtainded using mercury thermometer from axilla. Blood pressure, heart rate, and respiration rate were measured start from 30 minutes before spinal anesthesia, and then 5 minutes until 120 minutes after spinal anesthesia. The quantitative data was analyzed using t-test and the qualitative data was analyzed using chi-square at the significance level of 95%, and it was considered to be significant when p<0,05 and very significant with p<0,01. Result The decrease of body temperature were occurred in both group, but it was greater in control group. The decrease of core temperature was difference start in 30 minutes after spinal anesthesia (36,89+0,170C VS 36,48+0,150C) (p<0,05), and the decrease of peripheral temperature was difference start in 75 minutes after spinal anesthesia (35,70+0,230C VS 36,20+0,170C) (p<0,05). Conclusion Warm blanket is effective to prevent the decrease of intraoperative core body temperature in patients under spinal anesthesia [Yogyakarta] : Universitas Gadjah Mada 2012 Thesis NonPeerReviewed , BETTY JULIASTUTI SOEHARSONO and , dr. Calcarina Fitriani Retno Wisudarti, SpAn, KIC, (2012) PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=54466 |
| spellingShingle | ETD , BETTY JULIASTUTI SOEHARSONO , dr. Calcarina Fitriani Retno Wisudarti, SpAn, KIC, PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL |
| title | PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL |
| title_full | PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL |
| title_fullStr | PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL |
| title_full_unstemmed | PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL |
| title_short | PENGGUNAAN ALAS PENGHANGAT UNTUK MENCEGAH PENURUNAN SUHU INTRAOPERATIF PADA PASIEN-PASIEN DENGAN ANESTESI SPINAL |
| title_sort | penggunaan alas penghangat untuk mencegah penurunan suhu intraoperatif pada pasien pasien dengan anestesi spinal |
| topic | ETD |
| work_keys_str_mv | AT bettyjuliastutisoeharsono penggunaanalaspenghangatuntukmencegahpenurunansuhuintraoperatifpadapasienpasiendengananestesispinal AT drcalcarinafitrianiretnowisudartispankic penggunaanalaspenghangatuntukmencegahpenurunansuhuintraoperatifpadapasienpasiendengananestesispinal |