Efektivitas Penggunaan Cairan Intravena Hangat Dan Blanket Warmer Terhadap Derajat Shivering Pada Pasien Operasi Dengan Anestesi Spinal
DOI:
https://doi.org/10.61722/jssr.v4i5.12469Keywords:
spinal anesthesia, blanket warmer, warm intravenous fluids, shiveringAbstract
Shivering is a common complication in patients following spinal anesthesia, resulting from a disruption in thermoregulatory mechanism that leads to a drop in body temperature. This condition can increase oxygen consumption, metabolic demands, and patient discomfort. Preventive meausres include the use of warm intravenous fluids and blanket warmers. Objectives is to determine the difference in effectiveness between the use of warm intravenous fluids and blanket warmers regarding the incidence of shivering in patients undergoing spinal anesthesia at tha Central General Hospital (RSUP) Surakarta. This study empoloyed a quasi-experimental design with a post-test-only control group approach. The sample consisted of 58 respondents divided into a warm intravenous fluid group and a blanket warmers group. Purposive sampling was used for participant selection. Data analysis was performed using the Mann-Whitney test. The Mann-Whitney test result showed an Asymp. Sig (2-tailed) value of 0.025 (p < 0.05), indicating a significant difference between the two groups. The mean rank for the blanket warmer group (25.40) was lower than that for the warm intravenous fluid group (33.60), suggesting that blanket warmers are more effective at reducing the incidence of shivering. There is difference in effectiveness between warm intravenous fluids and blanket warmers in reducing the indicence of shivering in patients undergoing spinal anesthesia at RSUP Surakarta. Blanket warmers proved to be more effective than warm intravenouid fluids in preventing shivering.
References
Chicco, D., Sichenze, A., & Jurman, G. (2025). A simple guide to the use of Student’s t-test, Mann-Whitney U test, Chi-squared test, and Kruskal-Wallis test in biostatistics. BioData Mining, 18, 56.
Destaw, A. A., Kassie, D. G., Melesse, D. Y., & Tegegne, B. A. (2020). The incidence and associated factors of post-anesthesia shivering after cesarean section under spinal anesthesia: A prospective cohort study. Annals of Medicine and Surgery, 58, 1–6. https://doi.org/https://doi.org/10.1016/j.amsu.2020.08.018
Horn, E. P., Bein, B., & Böhm, R. (2020). The effect of short time periods of pre-operative warming in the prevention of peri-operative hypothermia. Anaesthesia, 75(5), 615–622.
Ji, N., Wang, J., Li, X., & Shang, Y. (2024). Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review. BMC Surgery, 24(1), 425. https://doi.org/10.1186/s12893-024-02729-0
Kamimura, Y., Yamamoto, N., & Taito, S. (2022). Effect of low dose phenylephrine infusion on shivering and hypothermia in patients undergoing cesarean section under spinal anesthesia: a randomized clinical trial. International Journal of Obstetric Anesthesia, 50, 103542. https://doi.org/10.1016/j.ijoa.2022.103542
Kang, P., Park, S.-K., Yoo, S., Hur, M., Kim, W.-H., Kim, J.-T., & Bahk, J.-H. (2019). Comparative effectiveness of pharmacologic interventions to prevent shivering after surgery: a network meta-analysis. Minerva Anestesiologica, 85(1). https://doi.org/10.23736/S0375-9393.18.12813-6
Kumar, K., Lin, C., Symons, T., & Railton, C. (2023). Narrative Review on Perioperative Shivering during Caesarean Section under Neuraxial Anaesthesia. Rom J Anaesth Intensive Care, 29(1), 41–46. https://doi.org/10.2478/rjaic-2022-0006
Kurniawan, A., Novitasari, D., & Burhan, A. (2024). Effectiveness of Administering Warm Infusion Fluids Against Shivering Occurrence in Patients Sectio Caesarea with Spinal Anesthesia. Indonesian Journal of Global Health Research, 6(5). https://doi.org/https://doi.org/10.37287/ijghr.v6i5.4364
Madrid, E., Urrútia, G., & RoquéiFiguls, M. . (2021). Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews, (4).
Mamo, T., Tadesse, M., & Ayele, Y. (2023). Magnitude and associated factors of post-spinal anesthesia shivering among adult surgical patients: A multicenter cross-sectional study. BMC Anesthesiology, 23.
Moheb, M., Rezaei, M., Azizi-Fini, I., Atoof, F., & Saadati, M. A. (2022). Comparison of the Effect of Forced-air Warming and Warmed Intravenous Fluid on the Comfort and Prevention of Shivering After Spinal Anesthesia in Patients Undergoing Orthopedic Surgery. Journal of PeriAnesthesia Nursing, 37(6), 865–871. https://doi.org/10.1016/j.jopan.2022.01.010
Oden, T. N., Celikturk Doruker, N., & Demir Korkmaz, F. (2022). Compliance of health professionals for prevention of inadvertent perioperative hypothermia in adult patients: A review. AANA Journal, 90(4), 281–287.
Prasetyo, P. E., Nani, D., & Kamaluddin, R. (2024). Effect of Blanket Warmer Use on Shivering Patients Post Regional Anesthesia: A Systematic Review. Eduvest - Journal of Universal Studies, 4(2), 420–434. https://doi.org/10.59188/eduvest.v4i2.1024
Pudianto, T., Wibowo, T. H., & Utami, T. (2023). Pengaruh pemberian cairan intravena hangat terhadap kejadian menggigil pada pasien dengan spinal anestesi di RSUD Kota Probolinggo. Jurnal Cakrawala Ilmiah, 3(2), 491–498.
Qona’ah, A., Rosuliana, N. E., Bratasena, I. M. A., & Cahyono, W. (2020). Management of Shivering in Post-Spinal Anesthesia Using Warming Blankets and Warm Fluid Therapy. Jurnal Ners, 14(3), 305–309. https://doi.org/https://doi.org/10.20473/jn.v14i3(si).17166
Rade, A. (2024). The Non-Pharmacological Management of Shivering Post-Spinal Anesthesia. Jurnal Komplikasi Anestesi, 11(2), 6–16. https://doi.org/10.22146/jka.v11i2.12641
Rahyuni. (2022). Gambaran Kejadian Shivering Pasca Anestesi Spinal Pada Operasi Orthopedi Di Recovery Room Ibs Rsud Dr. Zainoel Abidin Banda Aceh. Institut Teknologi dan Kesehatan Bali.
Rauch, S., Miller, C., Bräuer, A., Wallner, B., Bock, M., & Paal, P. (2021). Perioperative Hypothermia—A Narrative Review. International Journal of Environmental Research and Public Health, 18(16), 8749. https://doi.org/10.3390/ijerph18168749
Sessler, D. I. (2021). Perioperative thermoregulation and heat balance. The Lancet, 387(10038), 2655–2664.
Seyedabadi, M. (2022). Comparison of the effect of forced-air warming and warmed intravenous fluid on the comfort and prevention of shivering after spinal anesthesia in patients undergoing orthopedic surgery. Journal of Perianesthesia Nursing. https://doi.org/10.1016/j.jopan.2022.01.010
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