Managing Hypothermia in Emergency Exploratory Laparatomy: A Case Report
DOI:
https://doi.org/10.33755/jkk.v10i5.716Keywords:
Emergencies, Exploratory Laparotomy, Hypothermia Management, Operating Room Nurse, PerioperativeAbstract
Aims: The writing of this case report aims to analyze the management of hypothermia in patients undergoing emergency laparotomy in the operating room.
Methods: This research method is a case report study with a retrospective approach by monitoring, interviewing, and using medical data of patients undergoing emergency exploratory laparotomy surgery in the Emergency Operating Room of Prof. Dr. I.G.N.G. Ngoerah Hospital. The data collected were the patient's disease course, diagnosis, actions, and nursing interventions.
Results: In both cases, the temperature was maintained between 35.5°C to 36°C using a combination of warm blankets, mattresses, and warmed NaCl.
Conclusion: This case report concludes that providing warm blankets, warm mattresses, and warm NaCl to wash the abdomen is beneficial in preventing perioperative hypothermia in patients undergoing emergency exploratory laparotomy. The operating room nurse is expected always to monitor the patient's temperature so as not to experience hypothermia.
References
Utami DD, Febriani RT, Kurniawan AS. Hubungan Ketepatan Estimasi Durasi Operasi dengan Utilisasi Kamar Operasi Elektif di Instalasi Bedah Sentral RSUD Dr. Saiful Anwar Malang. 2024;5(2):514–21. DOI: https://doi.org/10.54832/phj.v5i2.657
Suleman U, Wagiu AMJ, Tangel SJC. Gambaran Pasien yang Menjalani Prosedur Bedah Emergensi di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari - September 2019. e-CliniC. 2019;8(1):127–31. https://doi.org/10.35790/ecl.v8i1.27356
Ahmed A, Azim A. Emergency laparotomies: Causes, pathophysiology, and outcomes. Indian J Crit Care Med. 2020;24:S183–9. https://doi.org/10.5005/jp-journals-10071-23612
Gejoe G, Yadev I, Rahul M. Emergency Laparotomies at a Tertiary Care Center—a Hospital-Based Cross-Sectional Study. Indian J Surg. 2017;79(3):206–11. https://doi.org/10.1007/s12262-016-1446-5
Novitasari D, Aprilianto AK, Sebayang SM. Implementasi Terapi Musik Untuk Menurunkan Nyeri Pasien Post Operasi Laparatomi. J Pengabdi Kpd Masy - Aphelion [Internet]. 2023;5(JUNI):207–12. https://doi.org/10.37287/jpm.v6i2.3511
Alidina S, Kuchukhidze S, Menon G, Citron I, Lama TN, Meara J, et al. Effectiveness of a multicomponent safe surgery intervention on improving surgical quality in Tanzania’s Lake Zone: Protocol for a quasi-experimental study. BMJ Open. 2019;9(10):1–9. https://doi.org/10.1136/bmjopen-2019-031800
Wahyuni N, Sukmaningtyas W, ... Gambaran Faktor Waktu Pulih Sadar pada Pasien Post General Anestesi di Ruang Instalasi Bedah Sentral RSUD dr. R. Goeteng Taroenadibrata Purbalingga. … J Inov dan … [Internet]. 2023;1(2):184–97. https://doi.org/10.35870/ljit.v1i2.2117
Pringgayuda F, - P, Putra AE. Faktor-Faktor Yang Behubungan Dengan Hipotermi Pada Pasien Pasca General Anestesi. J Kesehat Panca Bhakti Lampung. 2020;8(1):10. https://doi.org/10.47218/jkpbl.v8i1.75
Rositasari S, Mulyanto, Dyah V. Efektifitas pemberian blanket warmer pada pasien pasca sectio caesaris yang mengalami hipotermi si RS PKU Muhammadiyah Surakarta. J Ilmu Keperawatan Indones. 2017;10(1):107–20.
Mulyo RA, Faozi E, Mulyantini A. Terapi Selimut Aluminium Foil Sebagai Evidence Based Nursing Untuk Meningkatkan Suhu Pada Pasien Hipotermi Post Operasi. Semin Nas Keperawatan Univ Muhammadiyah Surakarta. 2020;(2018):69–72.
Aditama K, Handayani RN, Hikmanti A, Spinal A, Oprasi L. Gambaran Karakteristik Responden pada Pasien Spinal. J Ilmu Kesehat Mandira Cendikia. 2024;3(3):31–6.
Pratiwi NKDT, Raya NAJ, Puspita LM. Manajemen Hipotermia Dalam Keperawatan Perioperatif Pada Pasien Yang Menjalani Pembedahan Abdomen: a Literature Review. Coping Community Publ Nurs. 2021;9(5):497.
Nayoko. Perbandingan Efektifitas Pemberian Cairan Infus Hangat Terhadap Kejadian Menggigil Pada Pasien Sectio Caesaria Di Kamar Operasi. Keperawatan Muhammadiyah. 2019;1(1):86–92.
Ramadani FA, Mappaware NA, Ismail NF. Analisis Kasus Kehamilan Ektopik Tergangggu Dalam Perspektif Medis, Bioetik Dan Islam. Prepotif J Kesehat Masy [Internet]. 2023;7(3):16689–93. https://doi.org/10.31004/prepotif.v7i3.21859
Dewi OS, Sebayang SM, Firdaus EK. Gambaran Derajat dan Lama Kejadian Shivering pada Pasca Anestesi Umum Di Ruang Pemulihan. J Penelit Perawat Prof. 2024;2(5474):1333–6. https://doi.org/10.37287/jppp.v6i3.2608
Simegn GD, Bayable SD, Fetene MB. Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review. Ann Med Surg [Internet]. 2021;72(November): 103059. https://doi.org/10.1016/j.amsu.2021.103059
Siswoyo C, Imam S S, Siyoto S. Analisis Faktor yang Berpengaruh terhadap Peningkatan Biaya Perawatan Pasca Operasi. J Penelit Dan Pengemb Kesehat Masy Indones. 2020;1(37):18–25. https://doi.org/10.15294/jppkmi.v1i1.41432
Prasetyoadi P dani. Menggunakan Mikrokontroller Arduino Dan Metode Logika Fuzzy Studi Kasus : Rumah Sakit Umum Nabire Papua. Fateska. 2016;1(1):11–20.
Holijah Y. Analisa Praktik Klinik Keperawatan pada Pasien Post Laparatomi Atas Indikasi Ileus Obstruktif Imobilisasi dengan Intervensi Inovasi Terapi Massage Punggung Vco Terhadap Penurunan Resiko Ulkus Decubitus Diruang ICU RSUD Abdul Wahab Sjahranie Samarinda Tahun. 2018; Available from: http://link.springer.com/10.1007/978-3-319-76887-8%0Ahttp://link.springer.com/10.1007/978-3-319-93594-2%0Ahttp://dx.doi.org/10.1016/B978-0-12-409517-5.00007-3%0Ahttp://dx.doi.org/10.1016/j.jff.2015.06.018%0Ahttp://dx.doi.org/10.1038/s41559-019-0877-3%0Aht
Fitriani D, Pratiwi RD, Ayuningtyas G, Murtiningsih S, Poddar S. the Differences in the Effectiveness of Providing Thick Blankets and Electric Blankets with Reducing Shivering Incidence on Postoperative Patients in Surgical Installations Dr. Sitanala Hospital Tangerang, Indonesia in 2019. Malaysian J Med Res. 2021;5(4):28–35. https://doi.org/10.31674/mjmr.2021.v05i04.007
Suantika PIR, Carolina AI. (The Effectiveness Of Active And Passive Warming In The Management Of Hypothermia In Patients Undergoing Abdominal Surgery At Bali Mandara Hospital ). 2024;8(1):15–21. https://doi.org/10.37294/jrkn.v8i1.536
Fitrianingsih F, Sukmaningtyas W, ... Gambaran Kejadian Hipotermia pada Pasien Sectio Caesarea Pasca Anestesi Spinal di Rumah Sakit Ibu Anak (RSIA) Ummu Hani Purbalingga. J Penelit Dan Pengemb Kesehat Masy Indones [Internet]. 2020;14–21. Available from: https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/1016%0Ahttps://prosiding.uhb.ac.id/index.php/SNPPKM/article/download/1016/360
Sari NMS, Raya NAJ. Case Report Of Perioperative Nursing: Body Temperature Management In Surgery Patient Of Mitral Valve Repair With Cardiopulmonary Bypass. J Ilmu Keperawatan Med Bedah. 2023;6(1):43–55. http://dx.doi.org/ 10.32584/jikmb.v6i1.1813
Yang F, Wang J, Cui J, Zhuan J, Hu X, Chen S. An Overview of the Implications for Perianesthesia Nurses in terms of Intraoperative Changes in Temperature and Factors Associated with Unintentional Postoperative Hypothermia. J Healthc Eng. 2022;2022. https://doi.org/10.1155/2022/6955870
Munday J, Delaforce A, Forbes G, Keogh S. Barriers and enablers to the implementation of perioperative hypothermia prevention practices from the perspectives of the multidisciplinary team: A qualitative study using the Theoretical Domains Framework. J Multidiscip Healthc. 2019;12:395–417. https://doi.org/10.2147/JMDH.S209687
Yanto A. Relationship between nurse’s performance and responsibilities with the patient’s pickup time in the recovery room. Media Keperawatan Indones. 2020;3(2):90. https://doi.org/10.26714/mki.3.2.2020.90-98
Sumida H, Sugino S, Kuratani N, Konno D, Hasegawa JI, Yamauchi M. Effect of forced-air warming by an underbody blanket on end-of-surgery hypothermia: A propensity score-matched analysis of 5063 patients. BMC Anesthesiol. 2019;19(1):1–8. https://doi.org/10.1186/s12871-019-0724-8