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Related Experiment Videos

Using evidence-based practice to develop a protocol for postoperative surgical intensive care unit patients.

Sheila Grossman1, Cynthia Bautista, Lisa Sullivan

  • 1School of Nursing, Fairfield University, North Benson Road, Fairfield, CT 06430, USA. Sgrossman@mail.fairfield.edu

Dimensions of Critical Care Nursing : DCCN
|October 3, 2002
PubMed
Summary

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Forced warm air rapidly rewarms postoperative patients with hypothermia. A new protocol improved nurse compliance in applying this effective rewarming method.

Area of Science:

  • Critical Care Medicine
  • Postoperative Care
  • Thermoregulation

Background:

  • Postoperative hypothermia is a common complication in surgical intensive care units.
  • Accurate core temperature monitoring is crucial for managing hypothermia.
  • Existing literature suggests various methods for rewarming hypothermic patients.

Purpose of the Study:

  • To compare the efficacy of different rewarming methods for postoperative hypothermia.
  • To develop and implement a standardized rewarming protocol.
  • To assess nurse compliance with the new rewarming protocol.

Main Methods:

  • Sixty adult postoperative patients with core temperatures below 35.4°C were enrolled.
  • Patients were randomly assigned to one of three rewarming treatment options.

Related Experiment Videos

  • Core temperatures were measured using a pulmonary artery catheter.

    • Main Results:

    • Forced warm air was confirmed as the quickest method for rewarming patients.
    • The developed rewarming protocol demonstrated high compliance rates among nurses.
    • Implementation of the protocol led to consistent application of effective rewarming techniques.

    Conclusions:

    • Forced warm air is the most effective intervention for rapid rewarming in postoperative hypothermia.
    • A standardized rewarming protocol enhances clinical practice and patient care.
    • High nurse compliance with the protocol ensures effective management of hypothermia.