EFFECT OF WARMED INFUSION TO BODY TEMPERATURE STABILITY ON POST SURGERY PATIENT WITH GENERAL ANESTHESIA IN RECOVERY ROOM RSU KARSA HUSADA BATU

  • Shabirina Awwaliyah Poltekkes Kemenkes Malang
  • Moh. Zainol Rachman
  • Naya Ernawati

Abstract

Hypothermia is a serious general complication of surgery and anesthesia which can carry out various complications. The action to overcome this problem is the administration of heating measures, one of which is by warm infusion. The aim of this study was to determine the effect of warm infusion on body temperature stability in postoperative general anesthesia patients. The research method used was a pre experimental one group without control with a pretest posttest study. Respondents of this study were postoperative patients with general anesthesia. The population of this study was post operative patients under general anesthesia. The sampling in this study was purposive sampling. The number of samples in this study was 17. Respondents received 30 degrees Celsius warming fluid infusion. The analysis in this study used a comparative test paired t test with the result of P value 0,000. The P value shows a significant effect between giving warm infusions and body temperature stability. Based on descriptive statistical analysis, 76,4 percent of respondents achieved normothermia in the 35th minute. In the 60th minute, all respondents were in a normothermic state. Suggestions for further research to conduct research with more sample sizes.


 


Keywords: Warm Infusion, General Anesthesia, Body Temperature

References

Alif, E. N. F. 2018. Hubungan Pemberian Infus Hangat Dengan Waktu Pencapaian Normalitas Hemodinamik Pada Pasien Post Operasi General Anestesi Diruang Pemulihan Rs Lavalette.
Baradero, M. 2008. Keperawatan Perioperatif: Prinsip dan Praktik. Jakarta: EGC.
Bharti, V., Vagyannavar, R., & Hashim, M. 2017. Intravenous burn following accidental warm saline infusion. Saudi Journal of Anaesthesia, 11(4), 498–499.
Bhattacharya, P. K., Bhattacharya, L., Jain, R. K., & Agarwal, R. C. 2003. Post Anaesthesia Shivering (Pas): a Review. INDIAN JOURNAL OF ANAESTHESIA Indian J. Anaesth, 1. Bhattac(2), 88–93.
Brunton, L. L., Parker, K. L., Blumenthal, D. K., & Lain L. O. Bruxton. 2010. Goodman & Gilman: Manual Farmakologi dan Terapi. Jakarta: EGC.
Campbell, G., Alderson, P., Smith, A. F., & Warttig, S. 2015. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews, 2015(4). https://doi.org/10.1002/14651858.CD009891.pub2
Chung, S., Lee, B., Yang, H., Kweon, K., Kim, H., & Song, J. 2012. Effect of preoperative warming during cesarean section under spinal anesthesia. Korean Journal Anesthesiology, 62(4), 54–60.
Cleves, A., Dale, M., & Carolan-Rees, G. 2010. Buyers’ guide: Intravenous fluid warming devices. The Centre for Evidence-Based Purchasing (CEP), (March). Retrieved from http://www.cedar.wales.nhs.uk/sitesplus/documents/1091/CEP10013%5B1%5D IV fluid warmers BG.pdf
Diaz, M., & Becker, D. E. 2010. Thermoregulation : Physiological and Clinical Considerations during Sedation and General Anesthesia, 3006(10), 25–33.
Euasobhon, P., Sujirattanawimol, K., & Zinboonyahgoon, N. 2016. The effectiveness of intravenous fluid warmer. Thai Jurnal of Anesthesiology, 42(3), 159–167.
Euliano, T. Y., Gravenstein, J. S., Gravenstein, N., & Gravenstein, D. 2011. Essential Anesthesia (2nd ed.). New York: Cambridge University Press.
Frca, D. A. K. 2003. Thermoregulation and mild peri-operative hypothermia, 3(1), 24–28. https://doi.org/10.1093/bjacepd/mkg006
Ganong, W. F. 2008. Buku Ajar Fisiologi Kedokteran. Jakarta: EGC.
Grace, P. A., & Borley, N. R. 2007. Surgery at a Glance. (A. Safitri, Ed.) (3rd ed.). Penerbit Erlangga.
Hall, J. E. 2016. Guyton and Hall Textbook of Medical Physiology (Thirteenth). Philadelphia: Elsevier.
Harahap, A. M., Kadarsah, R. K., & Oktaliansah, E. 2014. Artikel penelitian, 2(1), 36–44.
Kam, P., & Power, I. 2015. Principles of Physiology for the Anaesthetist (Third). Boca Raton: CRS Press.
Minarsih, R. 2013. Efektifitas Pemberian Elemen Penghangat Cairan Intravena Dalam Menurunkan Gejala Hipotermi Pasca Bedah.
Nasiri, A., Akbari, A., Sharifzade, G., & Derakhshan, P. 2015. The effects of warmed intravenous fluids, combined warming (warmed intravenous fluids with humid-warm oxygen), and pethidine on the severity of shivering in general anesthesia patients in the recovery room. Iranian Journal of Nursing and Midwifery Research, 20(6), 712–716. https://doi.org/10.4103/1735-9066.170014
Nayoko. 2016. Perbandingan Efektifitas Pemberian Cairan Infus Hangat Terhadap Kejadian Menggigil Pada Pasien Sectio Caesaria di Kamar Operasi. Jurnal Keperawatan Muhammadiyah, 1(1).
Notoatmojo, S. 2010. Metodologi Penelitian Kesehatan. Jakarta: Rineka Cipta.
Nursalam. 2008. Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika.
Oshvandi, K., Shiri, F. H., Safari, M., Fazel, M., Salavati, M., & Tehrani, T. H. 2011. Effect of pre-warm intravenous fluid therapy on prevention of postoperative shivering after cesarean section., 17, 5–15.
Paavolainen, L., & Wallstedt, J. 2016. Post-operative complications of general anesthesia A recorded video presentation, (November).
Potter, P. A., & Perry, A. G. 2010. Fundamental Keperawatan (Edisi 7 Bu). Jakarta: Penerbit Salemba Medika.
Reynolds, L., & Beckmann, J. 2008. Perioperative complications of hypothermia. Best Practice & Research Clinical Anaesthesiology, 22(4), 645–657. https://doi.org/10.1016/j.bpa.2008.07.005
Sessler, D. I. 2000. Perioperative heat balance. Anesthesiology., 92(2), 578–596.
Sessler, D. I. M. D. 2008. Temperature Monitoring and Perioperative Thermoregulation. Anesthesiology, 109(2), 318–338. https://doi.org/10.1097/ALN.0b013e31817f6d76.Temperature
Setiadi. 2013. Konsep dan Praktik Penulisan Riset Keperawatan (Edisi 2). Yogyakarta: Graha Ilmu.
Sherwood, L. 2013. Human Physiology: From Cells to Systems (Eighth). Belmont: Brooks/Cole.
Sjamsuhidajat, R., & Jong, W. 2010. Buku Ajar Ilmu Bedah. Buku Ajar Ilmu Bedah. Jakarta: EGC.
Sugiyono. 2010. Statistika Untuk Penelitian. Bandung: Alfabeta.
Thongsukh, V., Kositratana, C., & Jandonpai, A. 2018. Effect of Fluid Flow Rate on Efficacy of Fluid Warmer : An In Vitro Experimental Study, 2018.
Tjandra, J. J., Clunie, G. J. A., Kaye, A. H., & Smith, J. A. 2007. Textbook of Surgery (3rd ed.). Oxford: Blackwell Publishing.
Umah, K., & Wulandari, E. A. T. 2013. Pemberian Cairan Yang Dihangatkan Dan Lampu Penghangat Meningkatkan Suhu Pasien Shivering Post Operasi (, 4(2), 180–188.
Widyawati. 2011. Pengaruh Tindakan Perawatan Pemberian Selimut Hangat Terhadap Kecepatan Kembalinya Suhu Tubuh Normal Pada Pasien Yang Mengalami Hipotermi Setelah Menjalani Operasi Dengan Anestesi Spinal.
Wiryana, M., Sinardja, I. K., Budiarta, I. G., Gde, T., Senapathi, A., Widnyana, M., … Pradhana, A. P. 2017. Effectiveness of infusion warmer use to prevent hypothermia and shivering after general anesthesia, 1(1), 10–12. https://doi.org/10.15562/bjoa.v1i1.3
Yi, J., Lei, Y., Xu, S., Si, Y., Li, S., Xia, Z., … Pan, S. 2017. Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia : National study in China. PLoS ONE, 12(6), 1–13.
Published
2020-06-01
How to Cite
AWWALIYAH, Shabirina; RACHMAN, Moh. Zainol; ERNAWATI, Naya. EFFECT OF WARMED INFUSION TO BODY TEMPERATURE STABILITY ON POST SURGERY PATIENT WITH GENERAL ANESTHESIA IN RECOVERY ROOM RSU KARSA HUSADA BATU. Jurnal Keperawatan Terapan, [S.l.], v. 6, n. 01, p. 36-42, june 2020. ISSN 2442-6873. Available at: <https://ojs.poltekkes-malang.ac.id/index.php/JKT/article/view/973>. Date accessed: 29 mar. 2024. doi: https://doi.org/10.31290/jkt.v6i01.973.