25. INVESTIGATING THE INCIDENCE OF HYPOTHERMIA IN ELDERLY PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE
Main Article Content
Abstract
Objective: To investigate the incidences, severity, and early consequences of hypothermia in elderly patients undergoing transurethral resection of the prostate.
Subject and method: Cross-sectional study. Patients ≥ 65 years old receive spinal anesthesia for transurethral resection of the prostate. Prevention methods of perioperative hypothermia by keeping warm before and after surgery with cotton blankets, using warm intravenous fluids during surgery. Tympanic temperatures were measured at 30 minutes intervals after spinal anesthesia. Intra and post-operative shivering were also assessed.
Results: 80 patients, average age 74 ± 7 years were included in the study. The incidence of hypothermia in elderly patients undergoing transurethral resection of the prostate was 68.8%. Of these, mild hypothermia was 65%, moderate hypothermia was 3.8%, and there were no patients with severe hypothermia. The incidence of intra- and post-operative shivering was 20%.
Conclusion: The incidence of perioperative hypothermia in elderly patients undergoing transurethral resection of the prostate was high. More attention should be paid to temperature monitoring and prevention methods of hypothermia.
Article Details
Keywords
Perioperative hypothermia, transurethral resection of the prostate (TURP), warm intravenous fluids
References
[2] Lotfi FSN, Armat MR, Emami ZA, et al. Inadvertent Perioperative Hypothermia: A Literature Review of an Old Overlooked Problem. Acta Facultatis Medicae Naissensis. 2016;33(1):5-11. doi:10.1515/afmnai-2016-0001.
[3] Reynolds L, Beckmann J, Kurz A. Perioperative complications of hypothermia. Best Practice & Research Clinical Anaesthesiology. 2008;22(4):645-657. doi:10.1016/j.bpa.2008.07.005.
[4] O'Donnell AM, Irwin THF. Anaesthesia for transurethral resection of the prostate. Continuing Education in Anaesthesia Critical Care & Pain. 2009;9(3):92-96. doi:10.1093/bjaceaccp/mkp012.
[5] Pit MJ, Tegelaar RJ, Venema PL. Isothermic irrigation during transurethral resection of the prostate: effects on peri-operative hypothermia, blood loss, resection time and patient satisfaction. Br J Urol. 1996;78(1):99-103. doi:10.1046/j.1464-410x.1996.04819.x.
[6] Okeke LI. Effect of warm intravenous and irrigating fluids on body temperature during transurethral resection of the prostate gland. BMC
Urology. 2007;7(1):15. doi:10.1186/1471-2490-7-15.
[7] Smith CE, Desai R, Glorioso V, et al. Preventing hypothermia: convective and intravenous fluid warming versus convective warming alone. Journal of Clinical Anesthesia. 1998;10(5):380-385. doi:10.1016/s0952-8180(98)00049-x.
[8] Campbell G, Alderson P, Smith AF, et al. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews. 2015;(4)doi:10.1002/14651858.CD009891.pub2.
[9] Ratan A, John A, Jane B, et al. The management of inadvertent perioperative hypothermia in adults. 2016;NICE.
[10] Phan Thị Loan. Khảo sát tỷ lệ hạ thân nhiệt chu phẫu trong phẫu thuật cắt đốt bướu tuyến tiền liệt ở người cao tuổi. Luận văn BSCKII. Đại học Y Dược TP Hồ Chí Minh; 2021.
[11] Jo YY, Chang YJ, Kim YB, et al. Effect of Preoperative Forced-Air Warming on Hypothermia in Elderly Patients Undergoing Transurethral Resection of the Prostate. Urology journal. 2015;12(5):2366-2370. doi:10.22037/uj.v12i5.2991.