Patients undergoing robotic surgery in urology Urological and Genital Diseases
Conditions
Interventions
This randomised controlled trial was performed on 152 patients undergoing urological robotic surgery, from March to September 2021, and again from March to September 2022, due to the COVID-19 pandemic
one urologist, anesthesiologist, head nurse of the anesthesiology department, and one head nurse of the ward each to guide the research design and supervise the project implementation process
one operating room robotics specialist team leader to participate in the formulation of the checklist and implementation details and quality control of the project implementation details
two operating room nurses are responsible for document retrieval, inventory preparation, and data collection and analysis.
Formulate a list of perioperative temperature management: Group members sear
Sponsors
Shanxi Bethune Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing robotic surgery in urology 2. American Association of Anesthesiologists (ASA) condition grade I to III 3. Surgery time 2 to 7 hours 4. All methods of anesthesia were general anesthesia 5. 18 to 80 years old, able to communicate effectively 6. Knew about this study and agreed to participate
Exclusion criteria
Exclusion criteria: 1. Previous history of severe organ dysfunction or mental illness 2. Previous history of hypothermia or recent history of fever or infection 3. Abnormal blood clotting function, abnormal liver and kidney function, allergy to narcotics, and history of long-term alcohol consumption or opioid abuse 4. Transfer to ICU because of a critical condition after surgery 5. Inability to provide informed consent 6. Any contraindications to the use of the hypothermia management checklist 7. Patients who had undergone surgery within the previous month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Statistical evaluation of the occurrence of hypothermia in patients measured using data recorded in medical notes from the preoperative waiting area to the postoperative return to the ward | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hypothermia incidence rate measured using real-time temperature monitoring conducted on patients. When the patient's core temperature is <36?, hypothermia occurs. The hypothermia incidence rate is calculated as (number of hypothermia cases/total number of cases) x 100%. Continuous temperature monitoring was performed between the preoperative waiting area and the postoperative return to the ward 2. The shivering incidence rate is measured using the shivering scale to assess whether the patient experiences shivering each time the area changes. A score of 0 on the scale represents no shivering, a score of 1 represents mild shivering (slight muscle tremors in the face and neck), a score of 2 represents moderate shivering (tremors in one muscle group or limbs), and a score of 3 represents severe shivering (tremors in the whole body). Scores of 1-3 indicate the occurrence of shivering. Shivering incidence = (number of shivering cases / total cases) x 100% 3. The rate of missed implementation of temperature protection measures measured using recorded data: Rate of missed implementation of temperature protection measures = (number of missed implementation cases / total cases) × 100%. Monitored after each application of temperature protection measures 4. Thermal comfort measured by nurses using a Visual Analog Scale (VAS) each time the area is changed, with scores ranging from 0 to 10. The higher the score, the better the comfort. | — |
Countries
China
Contacts
Public ContactXiu-Mei Wang
Outcome results
None listed