Abstract

Temperature management within the perioperative environment is an imperative component of and a standard of practice in providing effective patient safety and comfort. This literature review will explore the evidence surrounding the use of active and passive warming mechanisms in the prevention of postoperative hypothermia. Many studies have recognised the adverse consequences of inadvertent postoperative hypothermia, hence the rapid advancement in education about and use of equipment and devices for its prevention. Evidence-based literature was reviewed to provide rationales and recommendations for strategies to prevent postoperative hypothermia. This literature review will potentially guide clinicians through the use of effective devices to allow for informed choices to provide appropriate patient care.

Highlights

  • Various studies have proven that Inadvertent postoperative hypothermia (IPH) can lead to patients experiencing a variety of physiological changes

  • As a consequence of complications related to IPH, hospital stays may be prolonged resulting in increased treatment costs for surgical site infections (SSI), increased transfusion needs and extended Post Anaesthesia Care Unit (PACU) stays[9]

  • To inhibit its occurrence and consequences it is imperative that the perioperative nurse and other professionals have the correct knowledge and skills for prevention and treatment

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Summary

Background

Various studies have proven that IPH can lead to patients experiencing a variety of physiological changes These changes can include cardiac arrhythmias leading to cardiac arrest, increased mortality[5], infection and complications of the surgical wound[6], prolonged bleeding[7], and increased discomfort and shivering[8]. Temperature management can be cost efficient; it is the PACU nurse’s role to correctly identify and utilise appropriate warming strategies to provide the patient with a safe and effective perioperative journey[10]. Journal of Perioperative Nursing Volume 31 Number 1 Autumn 2018 acorn.org.au effective and efficient strategies that will prevent and treat this common surgical complication while providing comfort to patients within the PACU.

Method
Management strategies
Active warming methods
Passive warming methods
Findings
Conclusion
Full Text
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