Effect of Prewarming on Skin Temperature Changes After Spinal Anesthesia in Transurethral Resection of the Bladder.

Autor: Nayebi N; Department of Anesthesiology and Reanimation, University of Health Sciences, İzmir Bozyaka Training and Research Hospital, İzmir, Turkiye., Tekgül ZT; Department of Anesthesiology and Reanimation, University of Health Sciences, İzmir Bozyaka Training and Research Hospital, İzmir, Turkiye., Şahinkaya HH; Department of Anesthesiology and Reanimation, University of Health Sciences, İzmir Bozyaka Training and Research Hospital, İzmir, Turkiye. Electronic address: drhhande@yahoo.com.
Jazyk: angličtina
Zdroj: Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2024 Jun; Vol. 39 (3), pp. 391-396. Date of Electronic Publication: 2024 Jan 11.
DOI: 10.1016/j.jopan.2023.08.020
Abstrakt: Purpose: Monitoring of peripheral skin temperature changes is an objective and rapid method to evaluate the success of neuraxial block after spinal anesthesia. The aim of this study is to investigate the effect of prewarming on peripheral temperature changes after the administration of spinal anesthesia.
Design: Randomized, prospective, single-blind study.
Methods: In this study, patients scheduled for transurethral resection of the bladder surgery under spinal anesthesia were divided into two groups: those with active prewarming and those without active prewarming. The groups were compared in core and skin temperature changes after administration of spinal anesthesia, length of stay in the postanesthesia care unit, shivering score, and the thermal comfort scale.
Findings: A statistically significant difference was found between the groups on time for a 1 °C increase in ankle and toe skin temperatures (P < .001). There was a statistically significant difference between the groups in core temperature measurements (P < .001). When thermal comfort was compared between the groups, a statistically significant difference was found (P < .001). Patients' shivering score (P = .704), and length of stay in the postanesthesia care unit (P = .059) between the groups were similar.
Conclusions: Skin temperature changes in the prewarming group were lower, and this group had a lower rate of increase than the nonprewarming group. Therefore, skin temperature changes in the lower extremity can be used to determine the success of spinal anesthesia in patients who are prewarmed, with the awareness of these differences.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2023 The American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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