Using a Normothermia Bundle With Perioperative Prewarming to Reduce Patient Hypothermia

Russell, Katelyn; Ostendorf, Marilyn; Welden, Lois M. Stallings; Stallings, Jonathan D.

doi:10.1016/j.jopan.2021.07.008

Cited by 9 publications

(16 citation statements)

References 20 publications

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“…fluid, had a higher lowest intraoperative temperature, and were significantly less likely to experience hypothermia. The decrease in IPH after implementation was expected given the strong impact of patient warming bundles reported in the literature 13-16. The increase in I.V.…”

Section: Discussionmentioning

confidence: 91%

“…The decrease in IPH after implementation was expected given the strong impact of patient warming bundles reported in the literature. [13][14][15][16] The increase in I.V. fluid was unexpected but may be due to the decrease in hypothermiarelated vasoconstriction.…”

Section: Discussionmentioning

confidence: 97%

“…Patient warming bundles, including active preoperative and intraoperative warming strategies such as forced-air warming and warm I.V. fluids, decrease the incidence of IPH in surgical patients 13. Active warming measures such as those contained in patient warming bundles are highly effective in preventing IPH and decreasing costs.…”

mentioning

confidence: 99%

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Warming bundle for patients with microvascular free-flaps

Diaz,

Duclos,

Mifsud

et al. 2023

Nursing

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 97%

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Warming bundle for patients with microvascular free-flaps

Diaz,

Duclos,

Mifsud

et al. 2023

Nursing

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“…Some evidence suggests that active prewarming of the patient body surface using recognized methods before the induction of anesthesia, even for 10 to 15 minutes, effectively increases the temperature of peripheral tissues, thus preventing redistribution-related decreases in the patient core temperature during the first period of anesthesia. [37][38][39] Intraoperative measures include active skin surface warming of a large body surface area by using conductive or convective warming systems. Additionally, perioperative use of significant volumes of infusion fluids at ambient temperature (in the operating room) contributes to a reduction in core temperature, as body heat has to be expended to warm the intravenously transfused volume to the core temperature.…”

Section: Excludedmentioning

confidence: 99%

Risk factors for intraoperative hypothermia in infants during general anesthesia: A retrospective study

Gao,

Fan,

Zhao

et al. 2023

Medicine

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This study aimed to determine the incidence and evaluate the risk factors and outcomes of intraoperative hypothermia (IH) during general anesthesia in infants. Retrospective analysis of prospectively collected data. A total of 754 infants younger than 1 year old who underwent surgery under general anesthesia were included. Intraoperative body temperature fluctuations, surgical and anesthetic data, postoperative complications, and infant outcomes were recorded. Logistic regression algorithms were used to evaluate potential risk factors. Among the 754 infants, 47.88% developed IH (<36 °C) and 15.4% of them experienced severe hypothermia (<35 °C). The average lowest temperature in hypothermia patients was 35.06 ± 0.69°C with a duration of 82.23 ± 50.59 minutes. Neonates tended to experience hypothermia (37.7% vs 7.6%, P < .001) and prematurity was more common in patients with IH (29.4% vs 16.8%, P < .001). Infants with hypothermia experienced a longer length of stay in the post anesthesia care units and intensive care units, postoperative hospitalizations, and tracheal extubation as well as a higher rate of postoperative hemorrhage than those with normothermia (all P < .05). Several factors were proved to be associated with an increased risk of IH after multivariate analysis: neonate (odds ratio [OR] = 3.685, 95% CI 1.839–7.382), weight (OR = 0.599, 95% CI 0.525–0.683), American society of anesthesiologists (OR = 3.418, 95% CI 2.259–5.170), fluid > 20 mL/kg (OR = 2.380, 95% CI 1.389–4.076), surgery time >60 minutes (OR = 1.785, 95% CI 1.030–3.093), and pre-warming (OR = 0.027, 95% CI 0.014–0.052). This retrospective study found that neonates, lower weight, longer surgery times, more fluid received, higher American society of anesthesiologists stage, and no pre-warming were all significant risk factors for IH during general anesthesia in infants.

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“…Inadvertent perioperative hypothermia (IPH) remains a clinical challenge for nurses caring for patients undergoing surgery (Russell et al, 2022). IPH is an identifiable and preventable condition (Ralph et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Using a Normothermia Checklist on Awakening Time From Anesthesia and Coagulation Disorder: A Randomized Controlled Trial

YILMAZ EKER,

YILMAZ

2023

Journal of Nursing Research

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Background Inadvertent perioperative hypothermia (IPH) is a common issue in surgical patients. To avoid this issue, the patient should be monitored continuously throughout the perioperative process. Evidence-based practices in line with relevant guidelines are necessary to maintain normothermia. Purpose This study was developed to determine the effect of using a control list developed for preventing IPH on time of awakening from anesthesia and coagulation disorder in surgical patients. Methods In this randomized controlled study, nursing interventions were applied to patients in accordance with the normothermia checklist (NC) developed by the researchers to prevent IPH. Results In this study, 30 patients were respectively assigned to the experimental and control groups. Conducting nursing interventions in accordance with the control checklist was found to be effective in preventing IPH. Moreover, time of awakening from anesthesia was significantly shorter in the experimental group (3.77 ± 1.10 minutes) than the control group (11.03 ± 2.51 minutes; p < .05). Furthermore, tendency to bleed was higher in the control group than the experimental group, and a statistically significant between-group difference in coagulation disorders was found (p < .05). Conclusions/Implications for Practice The results of this evidence-based study indicate that implementing nursing interventions in line with the developed NC is effective in preventing IPH. Preventing IPH, which increases the risk of numerous complications in surgical patients, is an important responsibility of nurses. Nurses may employ the NC proposed in this study to better secure the safety and minimize the risk of complications in surgical patients.

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Using a Normothermia Bundle With Perioperative Prewarming to Reduce Patient Hypothermia

Cited by 9 publications

References 20 publications

Warming bundle for patients with microvascular free-flaps

Warming bundle for patients with microvascular free-flaps

Risk factors for intraoperative hypothermia in infants during general anesthesia: A retrospective study

The Effect of Using a Normothermia Checklist on Awakening Time From Anesthesia and Coagulation Disorder: A Randomized Controlled Trial

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