Ulus Travma Acil Cerrahi Derg. 2020; 26(5): 719-727 | DOI: 10.14744/tjtes.2020.55237

Ýstenmeyen perioperatif hipotermi için farkýndalýk oluþturmak ve kýlavuz implementasyonu: Tek gruplu “önce ve sonra” çalýþmasý

Serkan Þenkal¹, Umut Kara^2
1Saðlýk Bilimleri Üniversitesi, Gülhane Týp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalý, Ankara
²Saðlýk Bilimleri Üniversitesi, Gülhane Eðitim ve Araþtýrma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniði, Ankara

AMAÇ: Ýstenmeyen perioperatif hipotermi vücut sýcaklýðýnýn 36°C’nin altýna düþmesi olarak tanýmlanýr. Türk Anesteziyoloji ve Reanimasyon Derneði (TARD) 2013 yýlýnda “Ýstenmeyen Perioperatif Hipoterminin Önlenmesi Rehberini” yayýnladý. Amacýmýz rehber önerilerini içeren bir protokol oluþturmak ve hastanemizde perioperatif hipotermi insidansýný azaltmaktýr.
GEREÇ VE YÖNTEM: Cerrahi geçiren hastalarda perioperatif hipotermi insidansýný azaltmaya yönelik oluþturulan protokol ile ileriye yönelik bir kalite iyileþtirme çalýþmasý yaptýk. Hastalarýn perioperatif hipotermi insidansýný; implementasyondan önce (24 Kasým 2015–15 Ocak 2016) ve implementasyondan sonra (6 Nisan 2016–21 Temmuz 2017) ölçtük ve karþýlaþtýrdýk.
BULGULAR: Ýstenmeyen perioperatif hipotermi (<36°C) insidansý preimplementasyon kolunda %35, postimplementasyon kolunda %23.8 olarak bulundu ve bu farkýn istatistik olarak anlamlý olduðu görüldü (p=0.002).
TARTIÞMA: Kanýta dayalý uygulamalar ile yapýlan müdahaleler sonucunda istenmeyen perioperatif hipotermi insidansý belirgin olarak azaltýlabilir.

Anahtar Kelimeler: Hasta güvenliði, ýsýtma; istenmeyen perioperatif hipotermi.

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Guideline implementation and raising awareness for unintended perioperative hypothermia: Single-group “before and after” study

Serkan Þenkal¹, Umut Kara^2
1Department of Anesthesiology and Reanimation, Health Sciences University, Gülhane Faculty of Medicine, Ankara-Turkey
²Department of Anesthesiology and Reanimation, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey

BACKGROUND: Unintended Perioperative Hypothermia (UPH) is defined as a core body temperature less than 36°C. The Turkish Society of Anesthesiology and Reanimation [Türk Anesteziyoloji ve Reanimasyon Derneði (TARD)] published a “Guideline for the Prevention of the Unintended Perioperative Hypothermia” in 2013. This study aims to decrease the incidence of unintended UPH in our hospital using a protocol, which is prepared according to the recommendations in the Guideline for the prevention of unintended perioperative hypothermia.
METHODS: A prospective quality improvement study was conducted with the protocol, which was prepared to decrease the incidence of unintended perioperative hypothermia in patients undergoing surgery. We measured and compared the perioperative hypothermia incidence before the implementation (November 24th, 2015 – January 15th, 2016) and after the implementation (April 6th, 2016 – July 21st, 2017).
RESULTS: The incidence of unintended perioperative hypothermia was 35% and 23.8% in the pre-implementation and postimplementation sections, respectively, and the difference was statistically significant (p=0.002).
CONCLUSION: The incidence of unintended perioperative hypothermia can be significantly decreased with the evidence-based implementations.

Keywords: Patient safety, unintended perioperative hypothermia; warming.

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