Pemberian warmer terhadap status hemodinamika pasien post orif fraktur sebagai pencegahan hipotermia: Studi kasus
DOI: https://doi.org/10.56922/quilt.v6i6.3036
Fracture Hypothermia Hemodynamic Status ORIF Warmer
Abstract
Background: Open Reduction Internal Fixation (ORIF) is a widely used treatment for closed fractures. Postoperative management aims to minimize negative consequences and help patients return to normal function. Perioperative hypothermia is a common occurrence due to anesthesia and exposure to cold environments. Active and passive warming systems are highly recommended to prevent hypothermia. Hemodynamic monitoring is essential to determine the patient's pathophysiological state and predict response to potential therapies.
Purpose: To evaluate the effectiveness of warming on the hemodynamic status of patients after ORIF fractures.
Method: The research design uses a case study with a quantitative approach to evaluate the effectiveness of warming on the hemodynamic status of patients after ORIF fractures. The location and time of the study will be December 1–6, 2025, in the Central Surgical Installation (IBS) of PKU Muhammadiyah Hospital, Yogyakarta. The population and sample in this study are all post-ORIF fracture patients who underwent surgery during the data collection period, with a total sample of 8 post-ORIF patients. The sampling technique used is convenience sampling, also known as conventional sampling.
Results: After a 10-minute warmer intervention in post-ORIF patients, a 0.9°C increase in body temperature was observed, with no significant changes in other hemodynamic parameters.
Conclusion: Administering a warmer to post-ORIF patients significantly increased body temperature after 10 minutes of intervention, thereby helping prevent perioperative hypothermia. Hemodynamically, it did not cause significant changes in blood pressure, heart rate, respiratory rate, or oxygen saturation, thus ensuring a safe cardiovascular environment for patients.
Keywords: Fracture; Hypothermia; Hemodynamic Status; ORIF; Warmer.
Downloads
References
Ashoobi, M. T., Shakiba, M., Keshavarzmotamed, A., & Ashraf, A. (2023). Prevalence of postoperative hypothermia in the post-anesthesia care unit. Anesthesiology and Pain Medicine, 13(5), e136730.
Duong, H., & Patel, G. (2024). Hypothermia. In StatPearls [Internet]. StatPearls Publishing.
Elfil, M., & Negida, A. (2017). Sampling methods in clinical research; an educational review. Emergency, 5(1), e52.
Horn, R., & Kramer, J. (2022). Postoperative pain control. StatPearls.
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.
Kameda, N., & Okada, S. (2023). Evaluation of postoperative warming care protocol for thermal comfort and temperature management immediately after surgery: nonrandomized controlled trial. Journal of PeriAnesthesia Nursing, 38(3), 427-433.
Li, C., Zhao, B., Li, L., Na, G., & Lin, C. (2021). Analysis of the risk factors for the onset of postoperative hypothermia in the postanesthesia care unit. Journal of PeriAnesthesia Nursing, 36(3), 238-242.
Mohamed, M. A. B., Abdelkarim, W. A. A., Aabdeen, M. A. S., Ahmed, T. H. E., Sarsour, H. H., El-Malky, A. M., ... & Nazer, R. I. (2022). Evidence-based clinical practice guidelines for the management of perioperative hypothermia: systematic review, critical appraisal, and quality assessment with the AGREE II instrument. Annals of Medicine and Surgery, 79, 103887.
Nielsen, A. F., Al-Hamdani, A., Rasmussen, J. V., & Olsen, B. S. (2022). Elbow hemiarthroplasty vs. open reduction internal fixation for acute Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) type 13C fractures—A systematic review. JSES international, 6(5), 713-722.
Pasutharnchat, K., Seangrung, R., Sirisophaphong, S., & Wongkum, W. (2026). Forced-Air Warming Temperature Settings for Treating Postoperative Hypothermia in the Postanesthesia Care Unit: Randomized Controlled Trial. JMIR Perioperative Medicine, 9(1), e85045.
Rachman, T., Rahmadian, R., & Rusjdi, S. R. (2023). Pola Penatalaksanaan Fraktur Femur Di RSUP Dr. M. Djamil Padang tahun 2020. Jurnal Ilmu Kesehatan Indonesia, 4(2), 81-87.
Rachmat, O., & Fiddiyanti, I. (2023). Fractures Causes And Types Description In Drajat Prawiranegara Hospital Serang Indonesia. Journal of Health and Dental Sciences, 3(2), 217-226.
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.
Scott, M. J. (2023). Perioperative patients with hemodynamic instability: consensus recommendations of the anesthesia patient safety foundation. Anesthesia and analgesia, 138(4), 713.
Simegn, G. D., Bayable, S. D., & Fetene, M. B. (2021). Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review. Annals of Medicine and Surgery, 72, 103059.
Singh, J. N., Nguyen, T., Kerndt, C. C., & Dhamoon, A. S. (2023). Physiology, blood pressure age related changes. In StatPearls [Internet]. StatPearls Publishing.
Wang, J. F., & Deng, X. M. (2023). Inadvertent hypothermia: a prevalent perioperative issue that remains to be improved. Anesthesiology and Perioperative Science, 1(3), 24.
Kulsirichawaroj, P., & Lumbiganon, D. (2023). Incidence and associated factors of congenital syphilis at a tertiary care center in Thailand. Asian Biomedicine: Research, Reviews and News, 17(1), 13.
World Health Organization. (2024). Fragility fractures. diakses dari: https://www.who.int/news-room/fact-sheets/detail/fragility-fractures
Xiong, Z., Zhu, J., Li, Q., & Li, Y. (2023). The effectiveness of warming approaches in preventing perioperative hypothermia: Systematic review and meta‐analysis. International Journal of Nursing Practice, 29(6), e13100.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Anggita Arie Guritna, Ida Nurjayanti, Lina Karunia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
