Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries

Objective:Intraoperative hypothermia causes increased bleeding, increased transfusion risks, long of intensive care unit stay and subsequently higher medical costs. This study aimed to determine the effects of hypothermia on perioperative bleeding and intensive care unit stay duration in patients un...

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Autores principales:	Meryem Onay, Ebru Karakoç, Nurdan Çobaner, Gizem Kurada, Birgül Yelken
Formato:	article
Lenguaje:	EN TR
Publicado:	Galenos Yayinevi 2021
Materias:	hypothermia heating blanket long of intensive care unit stay duration intraoperative bleeding Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/599b319dac824040ada0e1633471c3a3
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spelling	oai:doaj.org-article:599b319dac824040ada0e1633471c3a32021-11-23T10:33:41ZInvestigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries2146-64162147-267X10.4274/tybd.galenos.2020.57966https://doaj.org/article/599b319dac824040ada0e1633471c3a32021-12-01T00:00:00Z http://www.turkishjic.org/archives/archive-detail/article-preview/nvestigation-of-the-effect-of-heating-blanket-use-/41646 https://doaj.org/toc/2146-6416https://doaj.org/toc/2147-267XObjective:Intraoperative hypothermia causes increased bleeding, increased transfusion risks, long of intensive care unit stay and subsequently higher medical costs. This study aimed to determine the effects of hypothermia on perioperative bleeding and intensive care unit stay duration in patients undergoing major oncological urology surgery.Materials and Methods:Following approval of this study by the ethics committee, demographic characteristics, surgery type, operation time, lowest perioperative body temperature, hemodynamic parameters, the use of heating blanket during surgery, the amount of bleeding and transfusion, postoperative long of intensive care unit stay in patients who underwent open major urological surgery during 2015-2018 were retrospectively evaluated. Esophageal probe was used for temperature monitoring following anesthesia induction and a body temperature of <36 °C was considered to indicate hypothermia.Results:A total of 68 patients without a heating blanket (n=57) and using a heating blanket (n=11) were included in the study. The intraoperative lowest recorded body temperature was 32.1 °C, and hypothermia (<36 °C) developed in 63.6% of patients for whom heating blankets were used and in 94% of patients for whom heating blankets were not used. The amount of intraoperative bleeding was significantly low in patients for whom heating blanket was used (p=0.03).Conclusion:Perioperative hypothermia is a very frequent and preventable clinical condition that increases long of intensive care unit stay, mortality, and morbidity in geriatric patients and in patients undergoing major surgery. Based on our results, less bleeding and decreased need for intensive care unit stay were noted owing to the prevention of intraoperative hypothermia.Meryem OnayEbru KarakoçNurdan ÇobanerGizem KuradaBirgül YelkenGalenos Yayineviarticlehypothermiaheating blanketlong of intensive care unit stay durationintraoperative bleedingMedicineRInternal medicineRC31-1245Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTRTürk Yoğun Bakim Derneği Dergisi, Vol 19, Iss 4, Pp 152-157 (2021)
institution	DOAJ
collection	DOAJ
language	EN TR
topic	hypothermia heating blanket long of intensive care unit stay duration intraoperative bleeding Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	hypothermia heating blanket long of intensive care unit stay duration intraoperative bleeding Medicine R Internal medicine RC31-1245 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Meryem Onay Ebru Karakoç Nurdan Çobaner Gizem Kurada Birgül Yelken Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries
description	Objective:Intraoperative hypothermia causes increased bleeding, increased transfusion risks, long of intensive care unit stay and subsequently higher medical costs. This study aimed to determine the effects of hypothermia on perioperative bleeding and intensive care unit stay duration in patients undergoing major oncological urology surgery.Materials and Methods:Following approval of this study by the ethics committee, demographic characteristics, surgery type, operation time, lowest perioperative body temperature, hemodynamic parameters, the use of heating blanket during surgery, the amount of bleeding and transfusion, postoperative long of intensive care unit stay in patients who underwent open major urological surgery during 2015-2018 were retrospectively evaluated. Esophageal probe was used for temperature monitoring following anesthesia induction and a body temperature of <36 °C was considered to indicate hypothermia.Results:A total of 68 patients without a heating blanket (n=57) and using a heating blanket (n=11) were included in the study. The intraoperative lowest recorded body temperature was 32.1 °C, and hypothermia (<36 °C) developed in 63.6% of patients for whom heating blankets were used and in 94% of patients for whom heating blankets were not used. The amount of intraoperative bleeding was significantly low in patients for whom heating blanket was used (p=0.03).Conclusion:Perioperative hypothermia is a very frequent and preventable clinical condition that increases long of intensive care unit stay, mortality, and morbidity in geriatric patients and in patients undergoing major surgery. Based on our results, less bleeding and decreased need for intensive care unit stay were noted owing to the prevention of intraoperative hypothermia.
format	article
author	Meryem Onay Ebru Karakoç Nurdan Çobaner Gizem Kurada Birgül Yelken
author_facet	Meryem Onay Ebru Karakoç Nurdan Çobaner Gizem Kurada Birgül Yelken
author_sort	Meryem Onay
title	Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries
title_short	Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries
title_full	Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries
title_fullStr	Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries
title_full_unstemmed	Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries
title_sort	investigation of the effect of heating blanket use on bleeding and long of intensive care unit stay after major open urology surgeries
publisher	Galenos Yayinevi
publishDate	2021
url	https://doaj.org/article/599b319dac824040ada0e1633471c3a3
work_keys_str_mv	AT meryemonay investigationoftheeffectofheatingblanketuseonbleedingandlongofintensivecareunitstayaftermajoropenurologysurgeries AT ebrukarakoc investigationoftheeffectofheatingblanketuseonbleedingandlongofintensivecareunitstayaftermajoropenurologysurgeries AT nurdancobaner investigationoftheeffectofheatingblanketuseonbleedingandlongofintensivecareunitstayaftermajoropenurologysurgeries AT gizemkurada investigationoftheeffectofheatingblanketuseonbleedingandlongofintensivecareunitstayaftermajoropenurologysurgeries AT birgulyelken investigationoftheeffectofheatingblanketuseonbleedingandlongofintensivecareunitstayaftermajoropenurologysurgeries
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Investigation of the Effect of Heating Blanket Use on Bleeding and Long of Intensive Care Unit Stay After Major Open Urology Surgeries

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