ABSTRAK

Pengelolaan hipotermia perioperatif mencakup langkah-langkah pencegahan seperti pemanasan aktif dengan selimut pemanas, pemberian cairan hangat, dan pemantauan suhu tubuh secara kontinu. Selain itu, pemilihan teknik anestesi yang sesuai serta edukasi kepada tenaga medis mengenai pentingnya manajemen suhu tubuh pasien merupakan bagian dari strategi yang harus diterapkan di kamar operasi (Koyuncu, Güngör, & Yava, 2022). Untuk mengetahui pengelolaan pencegahan dan managemen hipotermi perioperative yang dilakukan pada pasien berdasarkan kajian literature review. Desain dalam penelitian ini menggunakan literatur review, Metode yang digunakan dalam kajian ini adalah literature review sistematis. Diketahui Manajemen Hipotermia Perioperatif yaitu Monitoring suhu tubuh pasien secara berkala menggunakan termometer esofagus atau inframerah timpani. Pemberian pemanasan aktif jika suhu tubuh pasien turun di bawah 36°C. Pengelolaan komplikasi akibat hipotermia, seperti gangguan koagulasi dan metabolisme obat.

Kata Kunci: Pencegahan, Hipotermia Perioperative, Regional Anestesi

ABSTRACT

Perioperative hypothermia management includes preventive measures such as active warming with a heating blanket, administering warm fluids, and continuous body temperature monitoring. Furthermore, selecting an appropriate anesthetic technique and educating medical personnel about the importance of patient temperature management are all strategies that must be implemented in the operating room (Koyuncu, Güngör, & Yava, 2022). To determine the prevention and management of perioperative hypothermia in patients, a literature review was conducted. This study used a literature review design. The method used in this study was a systematic literature review. Perioperative Hypothermia Management includes regular monitoring of the patient's body temperature using an esophageal or infrared tympanic thermometer. Active warming if the patient's body temperature drops below 36°C is also needed. Management of complications due to hypothermia, such as coagulation disorders and drug metabolism, is also needed.

Keywords: Prevention, Perioperative Hypothermia, Regional Anesthesia

Aloysius, L., Balakrishnan, M., Ravindran, S., & Krishna, J. (2023). A Study On The Efect Of Preoperative Warming On Post-Induction Core Temperature And Incidence Of Postoperative Shivering In Patients Under General Anesthesia. Ain-Shams Journal Of Anesthesiology, 1-7.

Bu, N., Zhao, E., Gao, Y., Zhao, S., Bo, W., Kong, Z., . . . Gao, W. (2019). Association Between Perioperative Hypothermia And Surgical Site Infection A Meta-Analysis. Medicine, 1-8.

Cahyadi, A., Bisri, D. Y., Harahap, M. S., & Gaus, S. (2021). Manajemen Low Flow Anesthesia Pada Pasien Kraniosinostosis Dengan Hipertelorisme Yang Menjalani Four Box Wall Osteotomy, Dan Eksisi Redundant Skin Fronto Nasal. Jurnal Neuroanestesi Indonesia, 172-181.

Charan, L., R, S., Prabhu, M., & Chaudhuri, S. (2021). Effectiveness Of Prewarming In Prevention Of Inadvertent Intraoperative Hypothermia. International Journal Of Medical Anesthesiology, 233-237.

Cui, Y., Wang, Y., Cao, R., Li, G., Deng, L., & Li, J. (2020). The Low Fresh Gas Flow Anesthesia And Hypothermia In Neonates Undergoing Digestive Surgeries: A Retrospective Beforeafter Study. Bmc Anesthesiology, 1-8.

Dibiasi, C., Agibetov, A., Kapral , L., Zeiner, S., & Kimberger, O. (2023). Predicting Intraoperative Hypothermia Burden During Non-Cardiac Surgery: A Retrospective Study Comparing Regression To Six Machine Learning Algorithms. Jurnal Of Clinical Medicine, 1-12.

Erdost, H. A., Özkardeşler, S., Değirmenci, A. K., Dalak, R. M., & Terzi, C. (2020). Intraoperative Temperature Monitoring With Zero Heat Flux Technology (3m Spoton Sensor) In Comparison With Tympanic And Oesophageal Temperature And Hypotermia Risk Factors: An Observational Study. Turkish Society Of Anaesthesiology And Reanimation, 100-106.

Feyling, A. C., Kamalo, P. D., Olsen, T. H., Chikumbanje, S. S., Zsidek, A. S., Ponzi, E., & Ræder, J. (2023). Preventing Hypothermia In Pediatric Neurosurgery In Africa—A Randomized Controlled Non-Inferiority Trial Of Insulation Versus Active Warming. Acta Anaesthesional Scand, 167-177.

Koyuncu, A., Güngör, S., & Yava, A. (2022). Knowledge And Practices Of Surgical Nurses On Inadvertent Perioperative Hypothermia. Florence Nightingale Journal Of Nursing, 18-25.

Li, L., Ye, W., Li, Y., Chen, Y., & Zeng, J. (2023). Intraoperative Accidental Hypothermia As A Probable Cause Of Malignant Ventricular Arrhythmias In An Elderly Patient Undergoing Transurethral Resection Of Prostate: A Case Report. Heliyon, 1-5.

Liang, H., Wang, J. Y., Liang, Y., Shao, X. F., Ding, Y. L., & Jia, H. Q. (2024). Agreement Of Zero-Heat-Flux Thermometry With The Oesophageal And Tympanic Core Temperature Measurement In Patient Receiving Major Surgery. Journal Of Clinical Monitoring And Computing, 197-203.

Mendonça, F. T., Lucena, M. C., Quirino, R. S., Govêia, C. S., & Guimarães, G. M. (2019). Risk Factors For Postoperative Hypothermia In The Post‐Anesthetic Care Unit: A Prospective Prognostic Pilot Study. Brazilian Journal Of Anesthesiology, 122-130.

Munday, J., Delaforce, A., Forbes, G., & Keogh , S. (2019). 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.

Mutluay, O., Ugras, G. A., & Yanik, T. C. (2023). Identifying The Knowledge And Applications Of Nurses For Preventing Inadvertent Perioperative Hypothermia . International Journal Of Caring Sciences, 1659.

Nascimento, A. S., Lemos, C. D., Biach, F. B., Lyra, F. R., Gnatta, J. R., & Poveda, V. D. (2024). Evaluation Of Different Body Temperature Measurement Methods For Patients In The Intraoperative Period. Rev. Latino-Am. Enfermagem, 1-9.

Palejwala, Z., Wallman, K. E., Maloney, S. K., Landers, G. J., Fear, M. W., & Wood, F. M. (2024). A Global Exploration Of Operating Theatre Temperatures During Severe . Burns Open, 101-104.

Pedersen, C., Munch, P., Kjaergaard, J., Grønlykke, L., & Bräuer, A. (2024). Accuracy Of A Zero-Heat-Flux Thermometer In Cardiac Surgery, A Prospective, Multicentre, Method Comparison Study. Scientific Reports.

Pérez, J. R., Murillo , M. M., Mesa, M. M., García, J. S., Santonocito, C., Sanfilippo, F., & Asúnsolo, A. (2023). Effect Of Prewarming On Perioperative Hypothermia In Patients Undergoing Loco-Regional Or General Anesthesia: A Randomized Clinical Trial. Medicina, 1-11.

Pesonen, E., Lundell, M. S., Niemi, T. T., Kivisaari, R., Hernesniemi, J., & Mäkinen, M. T. (2018). The Focus Of Temperature Monitoring With Zero-Heat-Flux Technology (3m Bair-Hugger): A Clinical Study With Patients Undergoing Craniotomy. Journal Of Clinical Monitoring And Computing.

Pratiwi, N. D., Raya, N. A., & Puspita, L. M. (2021). Manajemen Hipotermia Dalam Keperawatan Perioperatif Pada Pasien Yang Menjalani Pembedahan Abdomen: A Literature Review. Community Of Publishing In Nursing (Coping), 497-506.

Ribeiro, J. C., Bellusse, G. C., Freitas, I. C., & Galvao, C. M. (2021). Effect Of Perioperative Hypothermia On Surgical Site Infection In Abdominal Surgery: A Prospective Cohort Study. International Jurnal Of Nurshing Practice, 1-10.

Senapathi, T. G., & Widyana, I. G. (2020). Buku Ajar Ilmu Anestesi Terapi Intensif 1. Denpasar: Lontar.

Simegn, G. D., Bayable, S. D., & Fetene, M. B. (2021). Prevention And Management Of Perioperative Hypothermia In Adult Elective Surgical Patients: A Systematic Review. Annals Of Medicine And Surgery, 1-7.

Wagner, D., Hooper, V., Bankieris, K., & Johnson, A. (2020). The Relationship Of Postoperative Delirium And Unplanned Perioperative Hypothermia In Surgical Patients. Journal Of Perianesthesia Nursing.

Widiyono, S. K., Aryani, A., & Suryani, S. K. (2023). Kejadian Hipotermi Berdasarkan Lama Operasi Dan Suhu Ruangan Kamar Bedah. Lembaga Chakra Brahmana Lentera.

Zucconi, G., Marchello, A. M., Demarco, C., Fortina, E., & Milano, L. (2023). Health Technology Assessment For The Prevention Of Peri-Operative Hypothermia: Evaluation Of The Correct Use Of Forced-Air Warming Systems In An Italian Hospital. International Journal Of Environmental Research And Public Health, 1-19.