Palavras-chave
Período perioperatório
Anestesia
Oncologia
Segurança do paciente
Como Citar
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Resumo
Objetivo: Avaliar a incidência e caracterizar o perfil clínico-epidemiológico da hipotermia perioperatória inadvertida em pacientes submetidos à cirurgia abdominal oncológica. Métodos: Estudo clínico observacional, quantitativo e transversal, em um hospital do estado do Pará, entre outubro e novembro de 2025. A amostra por conveniência incluiu 43 pacientes adultos, ASA II ou III. A coleta utilizou formulário estruturado e monitorização térmica (axilar e esofágica). Os dados foram analisados via software BioEstat® 5.4, aplicando-se testes ANOVA e Kruskal-Wallis (p < 0,05). Resultados: A incidência de hipotermia foi universal, com predominância em idosos de 60-69 anos (37,2%) e pacientes ASA II (76,7%). A menor média térmica (34,3 °C) ocorreu na primeira hora cirúrgica, com valores mínimos de 33,2 °C. O tempo cirúrgico superior a 180 minutos (60,5%) e o volume médio de fluidos (2.309 mL) foram fatores críticos. Embora 44,2% tenham recebido aquecimento combinado, as medidas mostraram-se insuficientes para manter a normotermia. Conclusão: O estudo evidenciou alta vulnerabilidade térmica no cenário oncológico local, limitada pela natureza observacional e amostral. Estratégias de aquecimento predominantemente reativas reforçam a necessidade de protocolos proativos de segurança térmica.
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