Survey on knowledge and practice of intraoperative temperature management

PURPOSE OF STUDY Intraoperative temperature monitoring and management is critically important to prevent complications associated with hypothermia. Satisfactory knowledge and practice in this area amongst the clinicians who are managing the patients intraoperatively is of utmost important to preven...

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Main Authors:	Md Ralib, Azrina, Mohd Saufian, NorAisyatul Azni, Kamarudin, Norhidayah, Lukman, Mohd Fahmi, Mohamed, Abdul Hadi, Mohd Rus, Razman
Format:	Conference or Workshop Item
Language:	English
Published:	2010
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/37390/ http://irep.iium.edu.my/37390/1/4._ACCA_Hypothermia.pdf

id	iium-37390
recordtype	eprints
spelling	iium-373902014-08-11T04:28:55Z http://irep.iium.edu.my/37390/ Survey on knowledge and practice of intraoperative temperature management Md Ralib, Azrina Mohd Saufian, NorAisyatul Azni Kamarudin, Norhidayah Lukman, Mohd Fahmi Mohamed, Abdul Hadi Mohd Rus, Razman R Medicine (General) PURPOSE OF STUDY Intraoperative temperature monitoring and management is critically important to prevent complications associated with hypothermia. Satisfactory knowledge and practice in this area amongst the clinicians who are managing the patients intraoperatively is of utmost important to prevent development of hypothermia and its subsequent complications. METHODS USED This study was conducted in two phases in two hospitals. The first phase was conducted to investigate the level of knowledge and practice in this area among clinicians at the Anaesthesia Department. The second phase was performed to determine the incidence of intraoperative hypothermia and its associated risk factors at the two hospitals. The data were analyzed using single proportion, single mean, chi-square, independent t-test, bivariate analysis, linear regression and multiple linear regressions. SUMMARY OF RESULTS Overall mean knowledge score was 56.91% (SD 16.50), with no significant difference between the two hospitals (p=0.826). 44.7% of respondents had acceptable satisfactory score of knowledge. Overall mean practice score was 77.66% (SD 16.05), with no significant difference between HSNZ and HTAA (p=0.164). However, only 19.1% of respondents had acceptable satisfactory score of practice. There was a weak correlation (r=0.186) between mean knowledge score (56.91%) and mean practice score (77.66%). The weakest area on knowledge and practice were sites for peripheral temperature monitoring (10.6%) and temperature monitoring during RA (19.1%). In the second phase of the study, 43.4% of patients developed mild and moderate hypothermia at the end of operation. There was a significantly higher percentage of development of mild and moderate hypothermia at 1,2 and 3 hour at HSNZ compared to HTAA. There were significant association in the development of hypothermia between different type of surgery at 1 hour (p=0.01) and 2 hours (p=0.01), but not at 3 hours. On the other hand, there was no significant association in the development of hypothermia between different type of anaesthesia. There was no significant correlation between patients’ temperature with patients’ age, OT temperature, OT humidity and amount of blood and fluid transfusion at 1 hour (r=0.26, p=0.48), 2 hours (r=0.28, p=0.78), and 3 hours (r=0.89, p=0.69). CONCLUSION These findings showed that knowledge and practice of intraoperative temperature monitoring and management was still poor amongst clinicians in these hospitals. 44.7% achieved acceptable standard of knowledge, however only 19.1% achieved acceptable standard of practice. Furthermore, there was poor correlation between knowledge and practice possibility due to other factors such as availability of temperature monitoring and warming devices. This probably influences the high prevalence of hypothermia in both hospitals. 43.4% developed either mild or moderate hypothermia at the end of operation. Correlation between hypothermia and its risk factors could not be demonstrated due to small sample size. Hence it is important to create awareness in this area amongst clinicians to prevent unnecessary complications, especially in high risk patients undergoing surgery associated with strong risk factors 2010 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/37390/1/4._ACCA_Hypothermia.pdf Md Ralib, Azrina and Mohd Saufian, NorAisyatul Azni and Kamarudin, Norhidayah and Lukman, Mohd Fahmi and Mohamed, Abdul Hadi and Mohd Rus, Razman (2010) Survey on knowledge and practice of intraoperative temperature management. In: 13th Asian Australasian Congress of Anaesthesiologists, 1-5 June 2010, Fukuoka, Japan.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Md Ralib, Azrina Mohd Saufian, NorAisyatul Azni Kamarudin, Norhidayah Lukman, Mohd Fahmi Mohamed, Abdul Hadi Mohd Rus, Razman Survey on knowledge and practice of intraoperative temperature management
description	PURPOSE OF STUDY Intraoperative temperature monitoring and management is critically important to prevent complications associated with hypothermia. Satisfactory knowledge and practice in this area amongst the clinicians who are managing the patients intraoperatively is of utmost important to prevent development of hypothermia and its subsequent complications. METHODS USED This study was conducted in two phases in two hospitals. The first phase was conducted to investigate the level of knowledge and practice in this area among clinicians at the Anaesthesia Department. The second phase was performed to determine the incidence of intraoperative hypothermia and its associated risk factors at the two hospitals. The data were analyzed using single proportion, single mean, chi-square, independent t-test, bivariate analysis, linear regression and multiple linear regressions. SUMMARY OF RESULTS Overall mean knowledge score was 56.91% (SD 16.50), with no significant difference between the two hospitals (p=0.826). 44.7% of respondents had acceptable satisfactory score of knowledge. Overall mean practice score was 77.66% (SD 16.05), with no significant difference between HSNZ and HTAA (p=0.164). However, only 19.1% of respondents had acceptable satisfactory score of practice. There was a weak correlation (r=0.186) between mean knowledge score (56.91%) and mean practice score (77.66%). The weakest area on knowledge and practice were sites for peripheral temperature monitoring (10.6%) and temperature monitoring during RA (19.1%). In the second phase of the study, 43.4% of patients developed mild and moderate hypothermia at the end of operation. There was a significantly higher percentage of development of mild and moderate hypothermia at 1,2 and 3 hour at HSNZ compared to HTAA. There were significant association in the development of hypothermia between different type of surgery at 1 hour (p=0.01) and 2 hours (p=0.01), but not at 3 hours. On the other hand, there was no significant association in the development of hypothermia between different type of anaesthesia. There was no significant correlation between patients’ temperature with patients’ age, OT temperature, OT humidity and amount of blood and fluid transfusion at 1 hour (r=0.26, p=0.48), 2 hours (r=0.28, p=0.78), and 3 hours (r=0.89, p=0.69). CONCLUSION These findings showed that knowledge and practice of intraoperative temperature monitoring and management was still poor amongst clinicians in these hospitals. 44.7% achieved acceptable standard of knowledge, however only 19.1% achieved acceptable standard of practice. Furthermore, there was poor correlation between knowledge and practice possibility due to other factors such as availability of temperature monitoring and warming devices. This probably influences the high prevalence of hypothermia in both hospitals. 43.4% developed either mild or moderate hypothermia at the end of operation. Correlation between hypothermia and its risk factors could not be demonstrated due to small sample size. Hence it is important to create awareness in this area amongst clinicians to prevent unnecessary complications, especially in high risk patients undergoing surgery associated with strong risk factors
format	Conference or Workshop Item
author	Md Ralib, Azrina Mohd Saufian, NorAisyatul Azni Kamarudin, Norhidayah Lukman, Mohd Fahmi Mohamed, Abdul Hadi Mohd Rus, Razman
author_facet	Md Ralib, Azrina Mohd Saufian, NorAisyatul Azni Kamarudin, Norhidayah Lukman, Mohd Fahmi Mohamed, Abdul Hadi Mohd Rus, Razman
author_sort	Md Ralib, Azrina
title	Survey on knowledge and practice of intraoperative temperature management
title_short	Survey on knowledge and practice of intraoperative temperature management
title_full	Survey on knowledge and practice of intraoperative temperature management
title_fullStr	Survey on knowledge and practice of intraoperative temperature management
title_full_unstemmed	Survey on knowledge and practice of intraoperative temperature management
title_sort	survey on knowledge and practice of intraoperative temperature management
publishDate	2010
url	http://irep.iium.edu.my/37390/ http://irep.iium.edu.my/37390/1/4._ACCA_Hypothermia.pdf
first_indexed	2023-09-18T20:53:39Z
last_indexed	2023-09-18T20:53:39Z
_version_	1777410160448241664

Survey on knowledge and practice of intraoperative temperature management

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