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Using a Normothermia Bundle With Perioperative Prewarming to Reduce Patient Hypothermia
Katelyn Russell1, Marilyn Ostendorf1, Lois M Stallings Welden2
1College of Nursing and Health Professions, University of Southern Indiana, Evansville, IN.
Implementing a normothermia bundle with preoperative warming blankets significantly reduced inadvertent perioperative hypothermia (IPH) incidence by 3.6-fold. This intervention improves patient temperature management during surgery.
Area of Science:
- Anesthesiology
- Perioperative Medicine
- Patient Safety
Background:
- Inadvertent perioperative hypothermia (IPH) is a common complication.
- Maintaining normothermia is crucial for patient outcomes.
- Existing methods may not adequately prevent IPH.
Purpose of the Study:
- To evaluate the effectiveness of a normothermia bundle in reducing IPH.
- To assess the impact of preoperative forced-air warming blankets on patient temperature.
- To measure improvements in perioperative temperature management.
Main Methods:
- Intervention study design.
- Retrospective chart review of 200 patients.
- Implementation of a normothermia bundle including preoperative warming blankets.
Main Results:
- Incidence of documented IPH decreased by 3.6-fold post-intervention.
- 50% of patients had no documented temperature intraoperatively.
- Compliance with intraoperative temperature monitoring decreased by 13%.
Conclusions:
- A normothermia bundle with preoperative warming blankets may reduce IPH.
- The intervention shows particular benefit in longer surgical cases (>120 minutes).
- Further research may refine temperature monitoring protocols.
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