Effect of Reflective Blanket on Undesirable Perioperative Hypothermia

The aim of this study is to determine the effect of using reflective blankets, which is a passive insulation product, on preventing UPH in patients scheduled for abdominal surgery under general anesthesia. It will also be evaluated whether the reflective blanket has an effect on the patients' thermal comfort and shivering levels. Inconsistent results have been reported in studies using reflective blankets. This inconsistency may be due to the fact that it was used at different stages of the perioperative process or that the body was not adequately isolated. In this study, we aimed to use the reflective blanket throughout the perioperative process and to isolate the patient's body as much as possible. Reflective blankets are inexpensive, practical to use and easy to store. With the positive results that can be obtained from this study, it can be used not only in operating rooms, but also in intensive care or other services where hypothermia is likely to occur.Within the scope of the study, a Reference group (warm air blower device), an Intervention group (reflective blanket) and a Control group (routine hospital procedure) will be established. The study was planned to be conducted with a total of 102 patients, with 34 patients in each group.In this study; patients' vital signs, coagulation tests, thermal comfort and shivering levels will be evaluated. Patients in the Reference and Intervention group will be warmed before the surgery (15 minutes), during the surgery, and until they are transferred from the post-anaesthetic care unit to the clinic. No heating process will be applied to the control group by the researcher. All patients transferred to the clinic will undergo the routine care procedure of the hospital.

Inclusion Criteria:abdominal surgery is planned,ASA I-II patients,who will undergo general anesthesia,operations where the anesthesia time is expected to take 30-120 minutesthe age of 18,with a body mass index of 18.5-35 kg/m2,who can read and write,who participate voluntarily.Exclusion Criteria:Patients who used any corticosteroids or other immunosuppressive drugs four weeks before surgery,Patients with a recent history of fever and/or infection,Patients with hypopituiterism,Patients taking antipsychotics and antidepressants,Patients with diabetic neuropathy,Active otitis media patients