Skip to main content Skip to main navigation menu Skip to site footer

Manajemen termoregulasi untuk mencegah kejadian hipotermia pada pasien neonatus yang menjalani operasi gastroschisis

  • Andri Thewidya ,
  • Putu Kurniyanta ,
  • Made Wiryana ,

Abstract

Thermoregulation in neonates with gastroschisis is important. Many factors cause loss of body heat and cause hypothermia in neonates with gastroschisis, including cold environments, differences in ratio between body surface area and body weight, low subcutaneous fat, low shivering ability to cold response and viscera organ exposed. Heat loss occurs through evaporation, convection, conduction, and radiation processes. Neonates with gastroschisis require urgent surgery to allow the exposed intestine to quickly close so that fluid loss and body heat from exposed viscera are resolved. Management of thermoregulation in neonate patients with gastroschisis begins preoperatively by preventing the loss of body heat from viscera organ exposed. It is important to avoid hypothermia by regulating the room temperature, using heating lights, blankets, heating mats, and using warm intravenous fluids. Hypothermia can lead to delayed recovery of anesthesia, coagulopathy, delayed wound healing which in turn increases the length of hospital care.

References

  1. Owen A, Marven S, Bell J. Gastroschisis: putting the bowel back safely. Infant [Internet]. 2009;5(2):40–4. Available from: http://www.neonatal-nursing.co.uk/pdf/inf_026_gpd.pdf
  2. Holland AJA, Walker K, Badawi N. Gastroschisis: An update. Vol. 26, Pediatric Surgery International. 2010. p. 871–8.
  3. Haberman E. TEMPERATURE MANAGEMENT IN CHILDREN ANAESTHESIA TUTORIAL OF THE WEEK 305 Great Ormond Street Hospital. 2014;(March):1–5.
  4. CMNRP IE and research committe of the. Newborn Thermoregulation. 2013;(June):16.
  5. Davis PJ, Motoyama E. Smith’s Anesthesia for Infants and Children. Smith’s Anesthesia for Infants and Children. 2011.
  6. Ledbetter DJ. Congenital Abdominal Wall Defects and Reconstruction in Pediatric Surgery. Gastroschisis and Omphalocele. Vol. 92, Surgical Clinics of North America. 2012. p. 713–27.
  7. Sessler DI. Forced-air warming in infants and children. Paediatr Anaesth. 2013;23(6):467–8.
  8. Bajwa SJS, Swati. Perioperative hypothermia in pediatric patients: Diagnosis, prevention and management. Anaesthesia, Pain Intensive Care [Internet]. 2014;18(1):97–100. Available from: http://www.scopus.com/inward/record.url?eid=2-s2.0-84928943634&partnerID=40&md5=d0919d7743c665acd618cf5c8226033c
  9. Em M, Alderdice F, Hl H, Jg J, Vohra S. Interventions to prevent hypothermia at birth in preterm and / or low birthweight infants ( Review ). Cochrane Database Syst Rev 2010 [Internet]. 2010;(3):CD004210. Available from: http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L40699074
  10. Ferguson M. Nursing management of gastroschisis in the newborn. J Neonatal Nurs [Internet]. Neonatal Nurses Association; 2017;23(1):40–5. Available from: http://dx.doi.org/10.1016/j.jnn.2016.08.004

How to Cite

Thewidya, A., Kurniyanta, P., & Wiryana, M. (2018). Manajemen termoregulasi untuk mencegah kejadian hipotermia pada pasien neonatus yang menjalani operasi gastroschisis. Medicina, 49(2). https://doi.org/10.15562/medicina.v49i2.65

HTML
490

Total
1287

Share