The Optimal Time and Method for Surgical Prewarming: A Comprehensive Review of the Literature

Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses
Lauren ConnellyMichael Swanberg

Abstract

Inadvertent hypothermia is a common problem in the operating room. This can contribute to many unfavorable outcomes --rising costs, increased complications, and higher morbidity rates. This review determined the optimal method and time to prewarm a surgical patient to prevent perioperative hypothermia. CINAHL and PubMed were searched. Fourteen articles were ultimately included in this review. Based on the literature reviewed, it was suggested that forced-air warming was most effective in preventing perioperative hypothermia. Eighty-one percent of the experimental studies reviewed found that there was a significantly higher temperature throughout surgery and in the postanesthesia care unit for patients who received forced-air prewarming. Thirty minutes was found to be the average suggested amount of time for prewarming among the literature; however, a minimum of 10 minutes of prewarming was suggested to significantly reduce rates of hypothermia in perioperative patients and decrease the adverse effects of hypothermia.

Citations

Nov 1, 2018·Revista latino-americana de enfermagem·Cibele Cristina Tramontini FugantiCristina Maria Galvão
Jun 28, 2019·AORN Journal·Lisa Croke
May 29, 2020·AORN Journal·Terri Link
Jun 7, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Aaron LauRichard N Merchant
Sep 29, 2019·AORN Journal·Byron L Burlingame
Jan 15, 2021·The Spine Journal : Official Journal of the North American Spine Society·Bertrand DebonoHans D de Boer
Apr 4, 2021·Journal of Clinical Medicine·Ángel BecerraAurelio Rodríguez-Pérez
Apr 4, 2021·International Journal of Environmental Research and Public Health·Yoonyoung Lee, Kisook Kim
Aug 18, 2021·BMC Anesthesiology·Wenjun KohLian Kah Ti

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