Hypothermia; Anesthesia, Nausea and Vomiting, Postoperative
Conditions
Brief summary
Intraoperative Hypothermia is a common problem, our object will be to evaluate the efficacy of forced air warmer (Model # eq-5000) for maintaining core body temperature in patients undergoing laparoscopic surgeries and its effect on postoperative nausea, vomiting and shivering.
Interventions
The EQUATOR™ (EQ-5000) air-warmer is a convective warmer, with the average and maximum Contact Surface Temperatures of 39℃ & 44℃ Respectively. Temperature on this device can be set at 36℃ , 40℃ , 44℃. The 3M™ Bair Hugger ™ (SW-2003) upper body blanket is used to warm the body from head till the xiphisternum
Sponsors
Study design
Intervention model description
2 groups will be made - One group will be interventional and the Other will be the Control group
Eligibility
Inclusion criteria
* Patients undergoing laparoscopic surgeries (Hernia Repair, Cholecystectomy, Appendectomy, Hysterectomy) * ASA Category I and II as per American Society of Anaesthesiologist Classification. * BMI\< 35 kg/m2 * Duration of surgery \>1 hour and \<3 hours * Patients who consent their participation
Exclusion criteria
* Temperature \>37.5oC or \<35oC, * Chronic kidney disease * Heart failure * ASA Category 3&4 (American Society of Anaesthesiologist Classification) * Patients will be withdrawn from the group if their laparoscopy is converted to open surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post Operative Nausea Vomiting Scale | Day 1 | The scores of 0-3 will determine severity on the Post-operative nausea and vomiting scale. 0 - No nausea , No vomiting 1. \- Nausea present , No Vomiting 2. \- Nausea present , Vomiting present 3. \- Vomiting \>2 episodes within 30 minutes |
| Bedside Shivering Assessment Scale (BSAS) | Day 1 | The scores of 0-3 will determine severity on Shivering 0 -(none) No shivering is detected on palpation of masseter, Neck, or chest muscles 1. -(mild) Shivering localized to Neck and thorax only 2. -(moderate) Shivering involves gross movement of the upper extremities( in addition to neck and thorax) 3. -(severe) Shivering involves gross movements of the trunk and upper and lower extremities |