Risk of hypothermia and shivering during surgery for femoral trochanteric fracture and intervention strategies in the operating room
Objective:To explore the risk of hypothermia and shivering during surgery for femoral trochanteric fractures and the intervention strategies in the operating room.Method:A retrospective analysis was conducted on 118 patients with femoral trochanter fractures to identify the factors that may contribute to intraoperative hypothermia and perioperative shivering,and intervention strategies were proposed.Results The hypothermia group was found to be associated with advanced age,low baseline body temperature,high ASA grade,general anesthesia,low operating room temperature,prolonged surgery,and heavy intravenous infusion.Logistic regression showed that advanced age,high ASA grade,low operating room temperature,prolonged surgery,and excessive intravenous infusion were risk factors for hypothermia.The shivering group is associated with low BMI,general anesthesia,prolonged surgery,and significant blood loss.Logistic regression shows that prolonged surgery and significant blood loss are risk factors for shivering,while increasing BMI is a protective factor.Conclusion:During surgery for femoral trochanteric fractures,patients have a high incidence of hypothermia and shivering,which are influenced by age,BMI,anesthesia grade,operating room temperature,surgical time,infusion,and blood loss.Therefore,targeted interventions should be implemented.
万方数据
维普
