Perioperative temperature monitoring for patient safety: A period prevalence study of five hospitals

Munday, Judy; Delaforce, Alana; Heidke, Penny; Rademakers, Sasha; Sturgess, David; Williams, John A.; Douglas, Clint

doi:10.1016/j.ijnurstu.2023.104508

Cited by 9 publications

(3 citation statements)

References 27 publications

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“…An incidence of perioperative hypothermia at over 60% is reported internationally among patients undergoing orthopaedic surgery and compliance with guidelines for prevention is lacking (Duff, Butler, et al, 2014;Duman & Yilmaz, 2016). A recent study also found that orthopaedic patients had a lower rate of temperature monitoring (Munday et al, 2023).…”

Section: Introductionmentioning

confidence: 89%

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Heidke,

Duff,

Keogh

et al. 2024

Journal of Clinical Nursing

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AimTo assess barriers and facilitators to the implementation of guidelines for the prevention of inadvertent perioperative hypothermia in orthopaedic patients.DesignSystematic review.Data SourcesNine databases: PubMed, Embase, CINAHL, Cochrane CENTRAL, PsycINFO, ProQuest Dissertations and Theses, Scopus, Web of Science and Trip Clinical Evidence Database.MethodsPrimary studies published in English between January 2008 to July 2022 were screened. Study selection, quality assessment, and data extraction were completed independently by researchers. Data were extracted using the Consolidated Framework for Implementation Research and mapped to the Expert Recommendations for Implementing Change strategies.ResultsEighty‐seven studies were included in the review. The most frequently reported barriers and facilitators related to evidence strength, relative advantage, and cost of implementing perioperative hypothermia prevention guidelines. The top four ERIC strategies were: Identify and prepare champions; Conduct educational meetings; Assess for readiness and identify barriers and facilitators; and Inform local opinion leaders.ConclusionThis review provides synthesized evidence regarding barriers and facilitators to perioperative hypothermia guidelines for patients undergoing orthopaedic surgery.Implications for the Profession and Patient CareOur work provides theory guided strategies to promote implementation of perioperative hypothermia prevention to assist nurses caring for patients undergoing orthopaedic surgery.ImpactFindings provide professionals caring for patients undergoing orthopaedic surgery with theory‐informed strategies to improve perioperative hypothermia prevention. Reducing perioperative hypothermia will improve outcomes for patients undergoing orthopaedic surgery.Reporting MethodThe review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses 2020.No Patient or Public ConsultationDue to the study design, no patient or public consultation took place.

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Section: Introductionmentioning

confidence: 89%

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Heidke,

Duff,

Keogh

et al. 2024

Journal of Clinical Nursing

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“…(6) Continuous temperature monitoring: Continuous temperature monitoring enables anaesthesia providers to make real-time adjustments to prevent hypothermia or hyperthermia. Maintaining the patient's optimal body temperature is paramount for a successful surgical outcome and for the patient's well being and safety [44]. (7) ], as it emphasizes efforts to maintain a calm and peaceful environment in the operating room.…”

Section: Precision Deliverymentioning

confidence: 99%

Patient-centered precision care in anaesthesia – the PC-square (PC)2 approach

Berger-Estilita,

Marcolino,

Radtke

2024

Current Opinion in Anaesthesiology

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Purpose of review This review navigates the landscape of precision anaesthesia, emphasising tailored and individualized approaches to anaesthetic administration. The aim is to elucidate precision medicine principles, applications, and potential advancements in anaesthesia. The review focuses on the current state, challenges, and transformative opportunities in precision anaesthesia. Recent findings The review explores evidence supporting precision anaesthesia, drawing insights from neuroscientific fields. It probes the correlation between high-dose intraoperative opioids and increased postoperative consumption, highlighting how precision anaesthesia, especially through initiatives like Safe Brain Initiative (SBI), could address these issues. The SBI represents multidisciplinary collaboration in perioperative care. SBI fosters effective communication among surgical teams, anaesthesiologists, and other medical professionals. Summary Precision anaesthesia tailors care to individual patients, incorporating genomic insights, personalised drug regimens, and advanced monitoring techniques. From EEG to cerebral/somatic oximetry, these methods enhance precision. Standardised reporting, patient-reported outcomes, and continuous quality improvement, alongside initiatives like SBI, contribute to improved patient outcomes. Precision anaesthesia, underpinned by collaborative programs, emerges as a promising avenue for enhancing perioperative care.

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“…Yet, in Australia over a quarter of patients undergoing surgery are hypothermic on arrival to post-anaesthetic care. 2 Specific surgical populations such as caesarean delivery have a higher prevalence. 3 4 Warmed patients experience less shivering, 5 increased satisfaction 5 and a greater sense of well-being.…”

Section: Introductionmentioning

confidence: 99%

Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach

Munday,

Duff,

Wood

et al. 2023

BMJ Open

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ObjectivesTo develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context.DesignThis study was informed by CAN-IMPLEMENT using the ADAPTE process: (1) formation of a multidisciplinary development team; (2) systematic search process identifying existing guidance for perioperative hypothermia prevention; (3) appraisal using the AGREE II Rigor of Development domain; (4) extraction of recommendations from guidelines meeting a quality threshold using the AGREE-REX tool; (5) review of draft principles and recommendations by multidisciplinary clinicians nationally and (6) subsequent round of discussion, drafting, reflection and revision by the original panel member team.SettingAustralian perioperative departments.ParticipantsRegistered nurses, anaesthetists, surgeons and anaesthetic allied health practitioners.ResultsA total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36°C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care.ConclusionThis consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals.

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Perioperative temperature monitoring for patient safety: A period prevalence study of five hospitals

Cited by 9 publications

References 27 publications

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Barriers and facilitators to evidence‐based perioperative hypothermia management for orthopaedic patients: A systematic review

Patient-centered precision care in anaesthesia – the PC-square (PC)2 approach

Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach

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