Effects of Three Different Heating Devices on Patients Undergoing Surgery: A Network Meta-Analysis

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.12.019

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引用次数: 0

Abstract

Purpose

Perioperative hypothermia is a common anesthesia-related complication that can result in negative outcomes. Intraoperative active heating can positively impact these outcomes. Therefore this study aimed to investigate the effectiveness of three common heating devices for controlling hypothermia, improving thermal comfort, and reducing anesthesia recovery time.

Design

Systematic review and meta-analysis.

Methods

Seven electronic literature databases were searched from the inception date of the databases to March 18, 2022. RevMan 5.4 and Stata 15.1 were used to perform meta-analyses on the obtained data, and the Cochrane Evaluation Manual was used for quality risk assessment of the included studies.

Findings

A total of 18 studies involving 1,511 patients undergoing surgery using heating devices were included. In this meta-analysis, a ranking method known as the Surface Under the Cumulative Ranking Curve (SUCRA) was used. SUCRA provides a numerical measure of the effectiveness of treatments, with higher values indicating superior efficacy. Findings demonstrated that the concurrent use of three heating devices led to an elevation in core body temperatures (SUCRA = 69.2%) and enhanced delayed recovery (SUCRA = 88.6%) as compared to the application of a single device. Furthermore, for thermal comfort, the employment of heating blankets proved to be the most effective (SUCRA = 87.8%).

Conclusions

This study showed the core body temperatures and reductions in delayed recovery were greater when three heating devices were used together as compared to use one of them alone. Heating blankets was the most effective option for improving the thermal comfort of patients. Thus, clinicians should opt for appropriate heating equipment according to the type of surgery and the characteristics and needs of patients. The choice of appropriate heating equipment will ensure surgical safety, improve patient comfort, and reduce surgical risks.

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三种不同加热装置对手术患者的影响：网络 Meta 分析

目的：围手术期体温过低是一种常见的麻醉相关并发症，可导致不良后果。术中主动加热可对这些结果产生积极影响。因此，本研究旨在调查三种常见加热设备在控制低体温、改善热舒适度和缩短麻醉恢复时间方面的有效性：设计：系统综述和荟萃分析：方法：对七个电子文献数据库进行了检索，检索时间从数据库建立之日起至 2022 年 3 月 18 日。使用RevMan 5.4和Stata 15.1对获得的数据进行荟萃分析，并使用《Cochrane评估手册》对纳入的研究进行质量风险评估：共纳入了 18 项研究，涉及 1511 名使用加热装置进行手术的患者。在这项荟萃分析中，采用了一种称为累积排名曲线下表面（Surface Under the Cumulative Ranking Curve，SUCRA）的排名方法。SUCRA 提供了一个衡量治疗效果的数值，数值越高表示疗效越好。研究结果表明，与使用单一设备相比，同时使用三种加热设备可提高核心体温（SUCRA = 69.2%），并增强延迟恢复（SUCRA = 88.6%）。此外，就热舒适度而言，使用加热毯被证明是最有效的（SUCRA = 87.8%）：这项研究表明，与单独使用一种加热设备相比，三种加热设备同时使用时，核心体温和延迟恢复的减少幅度更大。加热毯是改善患者热舒适度的最有效选择。因此，临床医生应根据手术类型、患者的特点和需求选择合适的加热设备。选择合适的加热设备可确保手术安全、提高患者舒适度并降低手术风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.