Preventing inadvertent hypothermia: comparing two protocols for preoperative forced-air warming

Cobbe, Kerry-Anne; Di Staso, Renatta; Duff, Jed; Walker, Kim; Draper, Nicole

Title: Preventing inadvertent hypothermia: comparing two protocols for preoperative forced-air warming
Creator: Cobbe, Kerry-Anne; Di Staso, Renatta; Duff, Jed; Walker, Kim; Draper, Nicole
Relation: Journal of PeriAnesthesia Nursing Vol. 27, Issue 1, p. 18-24
Publisher Link: http://dx.doi.org/10.1016/j.jopan.2011.10.005
Publisher: W. B. Saunders
Resource Type: journal article
Date: 2012
Description: Preoperative forced-air warming is one way of preventing inadvertent perioperative hypothermia. There is scant evidence, however, on the best warming method or the acceptability of these methods to patients. This pilot study compared two warming protocols: one that commenced at maximum temperature and was titrated down as requested (A) and one that commenced at near body temperature and was titrated up as tolerated (B). A crossover design was used in which each participant (n = 10) received both protocols sequentially. The mean device temperature and length of time spent at maximum settings were greater for protocol A (43°C ± 0°C vs 41°C ± 1°C, P = .003; and 60 ± 0 vs 41.5 ± 2.8 minutes, P = .004). There was no difference in thermal comfort scores, participant temperature, or sweating between the two protocols. When asked, participants preferred protocol A to B (70% to 30%). Starting at higher device settings appears the more favorable of the two approaches.
Subject: perioperative hypothermia; forced air warming; perioperative warming methods; nurse-sensitive indicators
Identifier: http://hdl.handle.net/1959.13/1334015
Identifier: uon:27206
Identifier: ISSN:1089-9472
Language: eng
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