The Effectiveness of Four Intervention Methods for Preventing Inadvertent Perioperative Hypothermia During Total Knee or Total Hip Arthroplasty

AORN Journal
Marie NordgrenLars Söderström

Abstract

Inadvertent perioperative hypothermia (IPH) occurs when a patient experiences a core temperature below 36° C (96.8° F) in perioperative settings and is a preventable risk factor for anesthesia- and surgery-related complications. Forced-air warming is an effective method to maintain normothermia. This study compared four interventions for preventing IPH for 120 patients undergoing primary elective unilateral total knee or total hip arthroplasty. The study was based on a time series nonequivalent comparison group design to investigate whether the incidence of IPH differed among treatment groups. We also sought to determine whether the patients' preoperative perceptions of warmth or cold correlated with core body temperatures. Patients receiving convective warming and prewarming appeared to experience fewer IPH events than patients in the other study groups. This study suggests that hypothermia is a common issue for patients undergoing total knee or total hip arthroplasty and that it may be possible to reduce its frequency.

References

Mar 1, 1995·Anesthesiology·T MatsukawaC Cheng
Feb 24, 2001·Acta Anaesthesiologica Scandinavica·W CaumoM B Ferreira
Jun 8, 2001·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·S FossumM M Henson
Aug 17, 2001·Anesthesiology·D I Sessler
Mar 17, 2005·AORN Journal·Kiekkas PanagiotisSouleles Panagiotis
Sep 29, 2006·AORN Journal·Doreen WagnerKatharine Kolcaba
Dec 25, 2007·Anesthesiology·Suman RajagopalanDaniel I Sessler
Jan 14, 2009·Best Practice & Research. Clinical Anaesthesiology·Luke ReynoldsAndrea Kurz
Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group
May 5, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hyung Seok YooYong Girl Rhee
Sep 8, 2009·Current Opinion in Anaesthesiology·Anselm Bräuer, Michael Quintel
Jan 1, 2010·Anesthesia and Analgesia·Jan L De WitteEls Vandemaele
Jun 1, 2010·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Dianne LeethBarbara Krumbach
Sep 10, 2010·The American Journal of Emergency Medicine·Vincent BounesJean Louis Ducassé
May 2, 2012·The American Journal of Nursing·Ember E BensonBill Ong
Jun 30, 2012·Aesthetic Surgery Journal·Frank ListaJamil Ahmad
Nov 26, 2013·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Marijn KoëterSander Koëter
Jan 17, 2015·International Surgery·Tarik J Wasfie, Kimberly R Barber
Jan 18, 2016·Lancet·Daniel I Sessler
Jun 16, 2017·Clinical Nursing Research·Hsiao-Chi Nieh, Shu-Fen Su
Sep 25, 2017·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Charlotte RosenkildeDorthe Hasfeldt
Dec 3, 2017·The Journal of Arthroplasty·Jordan B SimpsonStephen J Incavo
Jun 7, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Aaron LauRichard N Merchant

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Citations

Feb 16, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Caixia LiCaizhao Lin

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