Prevention of Inadvertent Hypothermia with Preoperative Core Warming
Inadvertent hypothermia is a common and preventable issue among surgical patients. This paper will describe the problem and provide research data to support the proposed solution. The problem asks the question, in surgical patients; will the use of pre and intra operative core warming, as compared to the use of standard care to maintain normothermia, decrease the incidence of inadvertent postoperative hypothermia in the Post Anesthesia Recovery Unit? Research has proven that one to two hours of preoperative core warming will significantly reduce the incidence of inadvertent hypothermia. The prevention of inadvertent hypothermia is extremely important for surgical patients because hypothermia can cause serious poor outcomes related to surgery. Such poor outcomes include surgical site infection, delayed wound healing, increased surgical blood loss, cardiac events, and an increase in time spent in the PACU. All events associated with inadvertent hypothermia can cost the hospital large amounts of money as well as increase the time a patients stays at the hospital which effects patient satisfaction. The plan is to implement a preoperative core warming policy in addition to the standard of care intraoperative hypothermia prevention policy. The change will use evidence based research to support the use of forced-air warming machines in the preoperative department. The preoperative staff will also receive education on assessing for inadvertent hypothermia risks. The intraoperative staff will also use forced-air warming machines to maintain normothermia as well as monitor the patient's core temperature. The PACU staff will document the patient's core temperature immediately upon arrival. These protocols will significantly reduce the events of inadvertent hypothermia and provide better outcomes for surgical patients as well as reduce hospital costs and increase patient satisfaction.