Hypothermia in Total Joint Arthroplasty: A Wake-Up Call

Simpson, Jordan; Thomas, Vijai S.; Ismaily, Sabir; Muradov, Pavel I.; Noble, Philip C.; Incavo, Stephen J.

doi:10.1016/j.arth.2017.10.057

Cited by 19 publications

(30 citation statements)

References 38 publications

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“…Our study confirms that hypothermia is a common issue for patients undergoing THA or TKA . It is well known that prewarming helps to prevent hypothermia .…”

Section: Discussionsupporting

confidence: 86%

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The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

Nordgren¹,

Hernborg²,

Hamberg³

et al. 2020

AORN Journal

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Inadvertent perioperative hypothermia (IPH) occurs when a patient experiences a core temperature below 36° C (96.8° F) in perioperative settings and is a preventable risk factor for anesthesia‐ and surgery‐related complications. Forced‐air warming is an effective method to maintain normothermia. This study compared four interventions for preventing IPH for 120 patients undergoing primary elective unilateral total knee or total hip arthroplasty. The study was based on a time series nonequivalent comparison group design to investigate whether the incidence of IPH differed among treatment groups. We also sought to determine whether the patients’ preoperative perceptions of warmth or cold correlated with core body temperatures. Patients receiving convective warming and prewarming appeared to experience fewer IPH events than patients in the other study groups. This study suggests that hypothermia is a common issue for patients undergoing total knee or total hip arthroplasty and that it may be possible to reduce its frequency.

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“…Our study confirms that hypothermia is a common issue for patients undergoing THA or TKA . It is well known that prewarming helps to prevent hypothermia .…”

Section: Discussionsupporting

confidence: 86%

“…Our study confirms that hypothermia is a common issue for patients undergoing THA or TKA. 24,25 It is well known that prewarming helps to prevent hypothermia. 18,21,22,26 Our study shows that patients using a FAW gown who began prewarming on the nursing unit had a significantly higher core temperature throughout the perioperative period.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

Nordgren¹,

Hernborg²,

Hamberg³

et al. 2020

AORN Journal

View full text Add to dashboard Cite

show abstract

“…Of relevant factors, the most important is organ/tissue perfusion and oxygenation. Perioperative hypothermia induces poor tissue perfusion, and several strategies have been proposed to avoid it, including preoperative or intraoperative warming [164,165]. A benefit of perioperative hyperoxia in non-critically ill adults has not been demonstrated [166].…”

Section: Intraoperative Care For Tja Patientsmentioning

confidence: 99%

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Gallo

Nieslanikova

2020

JCM

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A projected increased use of total joint arthroplasties will naturally result in a related increase in the number of prosthetic joint infections (PJIs). Suppression of the local peri-implant immune response counters efforts to eradicate bacteria, allowing the formation of biofilms and compromising preventive measures taken in the operating room. For these reasons, the prevention of PJI should focus concurrently on the following targets: (i) identifying at-risk patients; (ii) reducing “bacterial load” perioperatively; (iii) creating an antibacterial/antibiofilm environment at the site of surgery; and (iv) stimulating the local immune response. Despite considerable recent progress made in experimental and clinical research, a large discrepancy persists between proposed and clinically implemented preventative strategies. The ultimate anti-infective strategy lies in an optimal combination of all preventative approaches into a single “clinical pack”, applied rigorously in all settings involving prosthetic joint implantation. In addition, “anti-infective” implants might be a choice in patients who have an increased risk for PJI. However, further progress in the prevention of PJI is not imaginable without a close commitment to using quality improvement tools in combination with continual data mining, reflecting the efficacy of the preventative strategy in a particular clinical setting.

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“…Hypothermia may contribute to the development of SSIs, and study results indicate that the greatest drop in a patient's core body temperature before TKA and THA occurs after the patient leaves the preoperative area and before anesthesia induction . Best practice guidelines recommend that perioperative team members maintain patient normothermia during the perioperative period because patients can lose body heat from the effects of anesthesia and exposed skin surfaces .…”

Section: Intraoperative Phase Of Carementioning

confidence: 99%

“…Best practice guidelines recommend that perioperative team members maintain patient normothermia during the perioperative period because patients can lose body heat from the effects of anesthesia and exposed skin surfaces . Personnel can use a variety of methods to prevent hypothermia, including minimizing the time from the patient's entry to the OR to incision, raising the ambient temperature of the OR, and using forced‐air warming devices…”

Section: Intraoperative Phase Of Carementioning

confidence: 99%

Perioperative Nursing Considerations for Patients Undergoing Total Hip or Knee Arthroplasty

Tripp¹,

Fencl²

2020

AORN Journal

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Hypothermia in Total Joint Arthroplasty: A Wake-Up Call

Cited by 19 publications

References 38 publications

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

Prevention of Prosthetic Joint Infection: From Traditional Approaches towards Quality Improvement and Data Mining

Perioperative Nursing Considerations for Patients Undergoing Total Hip or Knee Arthroplasty

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