Guideline implementation and creating awareness for unintended perioperative hypothermia: single-group “before and after” study

Senkal, Serkan; Kara, Umut

doi:10.14744/tjtes.2020.55237

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Awareness of strong evidence supporting interventions that facilitated implementation were mentioned (Brozanski et al, 2020;Frisch et al, 2016;Guidash et al, 2021;Lakha et al, 2020) while others acknowledged that despite the existence of guidelines, implementation into practice was still challenging citing lack of consistency and poor utilization of warming devices (Alfonsi et al, 2019;Berry et al, 2008;Gabriel et al, 2019;Gorges et al, 2017;Kim et al, 2013;Kioko et al, 2013;Lee et al, 2020;Leijtens et al, 2013;Levin et al, 2016;Senkal & Kara, 2020).…”

Section: Innovation Characteristicsmentioning

confidence: 99%

“…Studies that focused on only one or two professional groups appeared to have more difficulties with implementation(Munday et al, 2013;Sandoval et al, 2017;Senkal & Kara, 2020). Those that employed a multidisciplinary approach including anesthesiologists, surgeons and nurses, cited this as a facilitator and key element to success(Brozanski et al, 2020;Hanna et al, 2020;Kim et al, 2013; Schriefer TA B L E 5…”

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confidence: 99%

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Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Heidke,

Duff,

Keogh

et al. 2024

Journal of Clinical Nursing

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AimTo assess barriers and facilitators to the implementation of guidelines for the prevention of inadvertent perioperative hypothermia in orthopaedic patients.DesignSystematic review.Data SourcesNine databases: PubMed, Embase, CINAHL, Cochrane CENTRAL, PsycINFO, ProQuest Dissertations and Theses, Scopus, Web of Science and Trip Clinical Evidence Database.MethodsPrimary studies published in English between January 2008 to July 2022 were screened. Study selection, quality assessment, and data extraction were completed independently by researchers. Data were extracted using the Consolidated Framework for Implementation Research and mapped to the Expert Recommendations for Implementing Change strategies.ResultsEighty‐seven studies were included in the review. The most frequently reported barriers and facilitators related to evidence strength, relative advantage, and cost of implementing perioperative hypothermia prevention guidelines. The top four ERIC strategies were: Identify and prepare champions; Conduct educational meetings; Assess for readiness and identify barriers and facilitators; and Inform local opinion leaders.ConclusionThis review provides synthesized evidence regarding barriers and facilitators to perioperative hypothermia guidelines for patients undergoing orthopaedic surgery.Implications for the Profession and Patient CareOur work provides theory guided strategies to promote implementation of perioperative hypothermia prevention to assist nurses caring for patients undergoing orthopaedic surgery.ImpactFindings provide professionals caring for patients undergoing orthopaedic surgery with theory‐informed strategies to improve perioperative hypothermia prevention. Reducing perioperative hypothermia will improve outcomes for patients undergoing orthopaedic surgery.Reporting MethodThe review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses 2020.No Patient or Public ConsultationDue to the study design, no patient or public consultation took place.

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Section: Innovation Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Heidke,

Duff,

Keogh

et al. 2024

Journal of Clinical Nursing

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A Review of Anesthesia for Lung Transplantation

et al. 2022

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Lung transplantation is the only treatment option for patients with end-stage lung disease. Although more than 4,000 lung transplants are performed every year worldwide, the standardized protocols contain no guidelines for monitoring during lung transplantation. Specific anesthetic concerns are associated with lung transplantation, especially during critical periods, including anesthesia induction, the initiation of positive pressure ventilation, the establishment and maintenance of one-lung ventilation, pulmonary artery clamping, pulmonary artery unclamping, and reperfusion of the transplanted lung. Anesthetic management according to the special risks associated with a patient’s existing lung disease and surgical stage is the most important factor. Successful anesthesia in lung transplantation can improve hemodynamic stability, oxygenation, ventilation, and outcomes. Therefore, anesthesiologists must have expertise in transesophageal echocardiography, extracorporeal life support, and cardiopulmonary anesthesia and understand the pathophysiology of end-stage lung disease and the drugs administered. In addition, communication among anesthesiologists, surgeons, and perfusionists during surgery is important to achieve optimal patient results.

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Guideline implementation and creating awareness for unintended perioperative hypothermia: single-group “before and after” study

Cited by 2 publications

References 15 publications

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

A Review of Anesthesia for Lung Transplantation

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