Ignite Creation Date:
2024-10-25 @ 8:00 PM
Last Modification Date:
2024-10-26 @ 3:37 PM
Study NCT ID:
NCT06541054
Status:
COMPLETED
Last Update Posted:
None
First Post:
2022-09-04
Brief Title:
The Effect of Perioperative Heated Sock Use in Preventing Hypothermia During Total Hip Prosthesis Surgery
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The Effect of Perioperative Heated Sock Use in Preventing Hypothermia During Total Hip Prosthesis Surgery A Randomized Controlled Trial
Status:
COMPLETED
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Warm sock application It has been proven that wearing battery-operated warm socks on patients in the preoperative period strengthens the central thermoregulation system maintains core body temperature controls the shivering response and ensures the subjective thermal comfort of patients
Detailed Description:
Preoperative hypothermia which is one of the problems frequently experienced by patients during surgical interventions individual and environmental It develops as a result of the deterioration of the temperature regulation mechanism due to factors such as exposure of tissues and organs etc Body temperature is a vital sign which is regulated by the hypothalamic thermoregulatory center with physical and chemical systems and accepted within normal limits between 36-377C Hypothermia is defined by the American Association of Perianesthesia Nurses as 36C below the central temperature Body temperature between 34-36C is classified as mild hypothermia 32-34C as moderate hypothermia and below 32C as severe hypothermia Hypothermia which is defined as a decrease in body temperature below 36C is common in the preoperative period is a common problem A decrease in body temperature below 36 C one hour before anesthesia and up to 24 hours after anesthesia is defined as preoperative hypothermia In general hypothermia is a complication that can affect the length of hospital stay wound healing and patient satisfactionTotal hip replacement is surgery to replace a severely damaged hip with an artificial joint Total hip replacement is a surgical treatment method applied in advanced ages for degenerative joint disease rheumatoid arthritis femoral neck fracture and developmental hip dislocation The aim of total hip replacement is to relieve hip pain to regain the diminished function of the joint by increasing the range of motion and to improve the quality of life Total hip replacement is also applied to young patients with severely damaged and painful hip joints Patients at high risk of developing hypothermia under anesthesia being female patients with a preoperative body temperature below 36C patients undergoing sedation and premedication patients who will undergo major and moderate surgery patients with concomitant cardiovascular disease patients undergoing general anesthesia those over 70 years of age patients those with systolic blood pressure above 140 mmHg those with diseases such as heart disease hypothyroidism brain tumor adrenal insufficiency chronic kidney failure diabetes mellitus except for surgical pathology those with anemia those with a body mass index below 25 trauma and burn patients are at risk for hypothermia Major neurosurgery prosthetic surgery thoracic surgery etc and long-term 2 hours surgical interventions opening large body spaces application of cold fluids blood and blood products cold and dry anesthetic gases excessive irrigation excessive irrigation loss of fluid and blood lack of muscle movements in the patient the patient being naked and immobile wide body surfaces remaining open and wet dressings cause hypothermia development during surgical intervention In addition the likelihood of hypothermia increases with aging Total hip replacement surgery which is frequently performed in the elderly due to rheumatoid arthritis osteoarthritis osteoporosis problems affecting the spinal cord and serious extremity injuries is a major intervention and includes many of the risks mentioned for hypothermia Nurses have a great responsibility in ensuring and maintaining temperature control in the surgical process Nurses can reduce the development of hypothermia by using active and passive warming methods to maintain the patients normal body temperature in the preoperative period Surgical nurses should evaluate and record the hypothermia risk factors signs and symptoms before the operation closely monitor the body temperature of the patients determine and apply appropriate warming methods according to body temperature In a study by Grossman it was determined that patients who used heating method in the postoperative period reached their normal body temperature in a shorter time than patients who were not warmed The mean body temperature of the patients after two hours of warming before surgery was found to be 364C Kurşun and Dramalı 2011 determined that the patients who were warmed in the postoperative period reached their normal body temperature in a shorter time than the patients who were not heated Active and passive warming methods are used in the control of hypothermia in surgical patients In active heating methods heat is given to the patient by one or more of the ways of external conduction radiation and convection These are external and internal heating methods In the external heating method the heat is given to the patients skin with active cutaneous heaters warm socks In the pre-operative period wearing pre-warmeḑ stockings has proven effective in maintaining core body temperature controlling shivering response and providing patients subjective thermal comfort Pre-warmed stockings are a noninvasive easy-to-wear painless and cost-effective method of preventing heat loss Allows efficient repositioning of the patient and surgical preparation It also provides comfort to patients reduces preoperative anxiety and can be applied without a doctors prescription The lack of comprehensive studies examining the effect of preoperative active warming on maintaining body temperature during and after surgery and the possibility of explaining the effect of warm socks on maintaining body temperature warmeḑ socks It is seen that it strengthens the central temperature regulation system and ultimately maintains core body temperature and can control the shivering response thus maintaining subjective thermal comfort The lack of comprehensive studies examining the effect of preoperative active warming on maintaining body temperature during and after surgery and the fact that patients who experienced Total hip replacement were in the high risk group for hypothermia formed the basis of this study In the light of all information in this study it was aimed to determine the effectiveness of warm stockings which is one of the active heating methods in prevention and to contribute to the literature by drawing attention to the risk of hypothermia in patients experiencing
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None