The effect of intraoperative hypothermia upon blood transfusion needs and length of stay among gastrointestinal system cancer surgery

Author(s)

Poveda, V. B. ; Nascimento, A. S.

• Document type: Journal article
• Source: EUROPEAN JOURNAL OF CANCER CARE; v. 26, n. 6, p. 6-pg., 2017-11-01.

Abstract

This cross-sectional study was performed to evaluate the relationship between intraoperative body temperature and the need for blood transfusion and length of stay in the post-anaesthetic care unit (PACU) or in the intensive care unit (ICU) among 79 patients undergoing elective oncology surgery of the digestive system. There was a statistically significant correlation between a lower temperature during surgery and medical diagnosis (p=.009), the use of bupivacaine anaesthesia (p=.016), anaesthesia time (p=.003) and anaesthesia type (p=.033), surgery time (p=.021) and surgery type (p=.002), volumes infused during the intraoperative period (p=.006), admission to the ICU (p=.032) and length of stay in PACU (p=.029). The lower the temperature when the patient is admitted to the operating room, the lower the temperature during the procedure (p?.001). There was no association between the body temperature of patients and blood transfusion (p=.619). Hypothermia was associated with increased length of stay in the PACU, but was not associated with the need for blood transfusion during the intra- and postoperative periods. The use of preoperative passive warming methods allows patients to reach the operating room hypothermic. (AU)

• FAPESP's process: 13/15536-3 - Perioperative hypothermia X bleeding, thermal discomfort and duration of post-anesthesia recovery room stay in patients submitted to digestive system cancer surgeries
• Grantee: Vanessa de Brito Poveda
• Support Opportunities: Regular Research Grants