IMR Press / CEOG / Volume 46 / Issue 4 / DOI: 10.12891/ceog4616.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Preoperative factors affecting the intraoperative core body temperature in elective hysterectomy under general anesthesia
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1 General Hospital of Nikaia, Agios Panteleimon, Nikaia, Piraeus, Greece
2 University of Peloponnese, Faculty of Nursing, Efstathiou & Stamatikis Valioti and Plataea, Sparta, Greece
3 National and Kapodistrean University of Athens, Faculty of Nursing, Goudi, Greece
4 Department of Radiotherapy, University of Thessaly, School of Health Sciences, Faculty of Medicine, Biopolis, Larissa, Greece
5 Veterans Hospital (NIMTS), Oncology Department, Athens, Greece
6 General Hospital of Lamia, Lamia, Greece
*Correspondence: (CHALARI, RN, MSC)
Clin. Exp. Obstet. Gynecol. 2019, 46(4), 560–564;
Published: 10 August 2019
Copyright: © 2019 The authors. Published by IMR press.
This is an open access article under the CC BY 4.0 license

Background: Hypothermia is common in patients undergoing anesthesia surgery and it may increase the potential risk of post-operative complications. The purpose of this study was to investigate the intraoperative factors that affect the core temperature of women after hysterectomy. Materials and Methods: One hundred and four female patients aged 18 and older, who were treated with elective open hysterectomy, were studied. The authors evaluated the incidence of hypothermia with respect to demographics, clinical, and anesthesia characteristics in two patients groups (hypothermic vs. normothermic). Results: The incidence of intraoperative hypothermia was 53.8. Advanced age (OR=6.449; 95% CI 3.603-14.397, p < 0.001), higher BMI (OR=5.879; 95% CI 5.122-7.325), higher intraoperative core body temperature (OR=0.483; 95% CI 0.432-0.578), large surgeries (OR=4.149; 95% CI 3.549-5.881, p < 0.001), and the number of opioids (OR=0.199; 95% CI 0.084-0.428) were found to be the most important predictors for hypothermia intraoperatively. There was significant statistical difference between the two groups with respect to American Society of Anaesthesiologists’ (ASA) score, induction to anesthesia with propofol and sevoflurane, and the administration of muscle relaxants perioperatively. Conclusions: The application of an appropriate, simple, and low-cost heating method, either by administrating warmed intravenous fluids or using an air-heating flow device, can help to prevent surgical patients’ hypothermia and its possible dangerous complications.

Preoperative factors
Intraoperative temperature
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