Inadvertent hypothermia in elderly surgical patients

Tappen, Ruth M.; Andre, Sharon P.

doi:10.1016/s0001-2092(06)63411-x

Cited by 22 publications

(23 citation statements)

References 28 publications

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“…Early articles listed the incidence of hypothermia as ranging from 50% to 90%. [12][13][14] The current study reflects data from three tertiary care facilities that demonstrate results based on pooled data. A 4% incidence of postoperative hypothermia may relate directly to the perianesthesia nurses' and anesthesia providers' heightened awareness and subsequent interventions used to avert temperature decreases in surgical patients.…”

Section: Discussionmentioning

confidence: 98%

Incidence of Postoperative Hypothermia and the Relationship to Clinical Variables

Burns¹,

Piotrowski²,

Caraffa³

et al. 2010

Journal of PeriAnesthesia Nursing

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Section: Discussionmentioning

confidence: 98%

Incidence of Postoperative Hypothermia and the Relationship to Clinical Variables

Burns¹,

Piotrowski²,

Caraffa³

et al. 2010

Journal of PeriAnesthesia Nursing

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“…Hypothermia is defined as a deep tissue temperature of less than 36°C. 1–5 Various pharmacological agents and environmental factors may result in surgical patients experiencing decreased body temperature. 2–15 The physiological consequences of lowered body temperature may simply extend the patient's recovery time or may result in a life‐threatening health crisis.…”

Section: Introductionmentioning

confidence: 99%

“…There are many interventions that nurses can use to reduce hypothermia. 1–5,10,12,13,17–21 One form of intervention, the forced warm‐air device, has been demonstrated to be highly effective in achieving normothermia in surgical patients, 5,16,20 although most studies have focused on patients with severe hypothermia. 5,20 However, many patients experience moderate or mild hypothermia and there was no study that had examined the effectiveness of such devices in these groups of surgical patients.…”

Section: Introductionmentioning

confidence: 99%

“…These responses may be interrupted by the effects of anaesthetic agents or muscle relaxants. 1–6,8,9,11,14 …”

Section: Introductionmentioning

confidence: 99%

“… 7,11,19,20 This centre responds to stimuli from the cutaneous thermoreceptors that sense changes in ambient temperature, and deep thermoreceptors in the anterior hypothalamus that respond to temperature changes in the blood flowing through or near the hypothalamus. 3,4 The measurement of skin temperature is called body temperature, while measurement near the hypothalamus is referred to as core temperature. A difference between these temperatures and the set point established by the hypothalamus activates neural and hormonal heat‐generating mechanisms.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of two warming interventions in surgical patients with mild and moderate hypothermia

Stevens

Johnson

BappSc³

2000

Int J of Nursing Practice

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Two interventions: a forced warm‐air device (Bair‐Hugger series 500, Augustine Medical Inc., Eden Prairie, MN, USA), group 1; and a standardized approach to the use of warmed blankets (group 2) are compared with the aim of enhancing thermoregulation in surgical patients with mild and moderate hypothermia in the immediate recovery period. One hundred and twenty patients in a post‐anaesthetic care unit were systematically allocated to group 1 or group 2 so each group consisted of 110 participants. No significant differences were found between the groups in gender, age, time in surgery, use of warmed intravenous fluids or muscle relaxants, or type of surgery. After exclusion of orthopaedic patients, significant differences in the mean rewarming rates were found, with more rapid rewarming occurring within group 1 (the group rewarmed with a forced warm‐air device, t = 2.15, df = 92, P = 0.03) compared with group 2. No significant differences were found in the mean rewarming time, or heat gain between groups, and subsequent power estimates were less than 0.80. This study supports improved rewarming rates in select surgical patients (with mild or moderate hypothermia) using the Bair‐HuggerTM compared with a standardized blanket rewarming intervention and identifies the need for patient comfort and cost‐benefit analysis to be considered in future studies.

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Responsibilities of the Preoperative Holding Area Nurse

Dunn¹

1997

AORN Journal

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The preoperative holding area is an important, but often over-looked, area in the surgical suite. This area, however, is where the majority of surgical patients and their family members have their first direct contact with perioperative staff members. The preoperative holding area can provide the environment for calming, informative interactions that should help patients prepare for their surgical procedures. The preoperative holding area nurse's primary responsibility is to provide information and emotional support for patients and their family members, to ensure that all preoperative data have been accumulated, and to maintain patients' baseline hemodynamic statuses.

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Inadvertent hypothermia in elderly surgical patients

Cited by 22 publications

References 28 publications

Incidence of Postoperative Hypothermia and the Relationship to Clinical Variables

Incidence of Postoperative Hypothermia and the Relationship to Clinical Variables

Comparison of two warming interventions in surgical patients with mild and moderate hypothermia

Responsibilities of the Preoperative Holding Area Nurse

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