A Preoperative Forced-Air Warming Protocol to Maintain Post-Operative Normothermia in Colorectal Surgery Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/182326
Category:
Abstract
Type:
Presentation
Title:
A Preoperative Forced-Air Warming Protocol to Maintain Post-Operative Normothermia in Colorectal Surgery Patients
Author(s):
Roderman, Nicki
Author Details:
Nicki Roderman, RN, MSN, CCRN, Medical Center of Plano, Plano, Texas, USA, email: Nicki.Roderman@hcahealthcare.com
Abstract:
Purpose: To determine if use of a preoperative forced-air warming device maintained postoperative normothermia Methods: Surgical site infections (SSIs) account for about 40% of all hospital-associated infections. Nearly 3% of postoperative patients develop an SSI, and are twice as likely to die as other postoperative patients. Those with SSIs are also up to 60% more likely to spend time in intensive care. Research indicated that the incidence of SSIs tripled if a patient became hypothermic in surgery. After approval from the associated surgeons, a protocol was initiated by the nursing staff to pre-warm patients. To improve outcomes, patients undergoing colorectal surgery were warmed with a forced-air warming device for 30 minutes in pre-operative holding area to promote post-operative normothermia (>96.8F). A pre-op baseline temperature and the first temperature upon admission to the PACU were recorded. After obtaining IRB approval, a retrospective analysis was performed to obtain baseline data on patients who were in the PACU from July 2007 through December 2008. Data collected included time in and out of PACU, procedure, and temperatures. Results: In the first six months after implementation, 72 patients were reviewed. 66.2% of patients were normothermic (>96.8F) immediately post-op. During the following 12 months, 90.5 % of the 227 patients entered PACU normothermic. Conclusion: The implementation of this forced-air warming protocol for patients undergoing colorectal surgery has shown significant results in temperatures post-operatively. The next phase will be to determine the impact of post-op normothermia on reduction of surgical site infections.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Preoperative Forced-Air Warming Protocol to Maintain Post-Operative Normothermia in Colorectal Surgery Patientsen_GB
dc.contributor.authorRoderman, Nickien_US
dc.author.detailsNicki Roderman, RN, MSN, CCRN, Medical Center of Plano, Plano, Texas, USA, email: Nicki.Roderman@hcahealthcare.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182326-
dc.description.abstractPurpose: To determine if use of a preoperative forced-air warming device maintained postoperative normothermia Methods: Surgical site infections (SSIs) account for about 40% of all hospital-associated infections. Nearly 3% of postoperative patients develop an SSI, and are twice as likely to die as other postoperative patients. Those with SSIs are also up to 60% more likely to spend time in intensive care. Research indicated that the incidence of SSIs tripled if a patient became hypothermic in surgery. After approval from the associated surgeons, a protocol was initiated by the nursing staff to pre-warm patients. To improve outcomes, patients undergoing colorectal surgery were warmed with a forced-air warming device for 30 minutes in pre-operative holding area to promote post-operative normothermia (>96.8F). A pre-op baseline temperature and the first temperature upon admission to the PACU were recorded. After obtaining IRB approval, a retrospective analysis was performed to obtain baseline data on patients who were in the PACU from July 2007 through December 2008. Data collected included time in and out of PACU, procedure, and temperatures. Results: In the first six months after implementation, 72 patients were reviewed. 66.2% of patients were normothermic (>96.8F) immediately post-op. During the following 12 months, 90.5 % of the 227 patients entered PACU normothermic. Conclusion: The implementation of this forced-air warming protocol for patients undergoing colorectal surgery has shown significant results in temperatures post-operatively. The next phase will be to determine the impact of post-op normothermia on reduction of surgical site infections.en_GB
dc.date.available2011-10-28T15:19:19Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:19:19Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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