Preventing Unplanned Perioperative Hypothermia in Children

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• 作者：Susan E. Beedle ; MSN ; RN ; CPNAuthor Vitae ; Amy Phillips ; MSN ; APRN-CNS ; CCRNAuthor Vitae ; Shirley Wiggins ; PhD ; RNAuthor Vitae ; Leeza Struwe ; PhD ; MSN ; RNAuthor Vitae
• 关键词：unplanned hypothermia ; pediatric ; thermoregulation ; perianesthesia nursing ; clinical practice guideline
• 刊名：AORN Journal
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：105
• 期：2
• 页码：170-183
• 全文大小：1000 K
• 卷排序：105

文摘

Unplanned perioperative hypothermia is a common surgical risk. Unplanned hypothermia is defined as a body temperature below 36° C (96.8° F) during any phase of the perioperative period. Perioperative nurses at a Midwestern tertiary pediatric hospital developed an evidence-based clinical practice guideline (CPG) designed to maintain normothermia for the pediatric surgical population. This CPG outlined standard thermoregulation nursing interventions and required the consistent use of a temporal artery thermometer. A test of this CPG before full implementation established a baseline incidence of unplanned hypothermia at 16.3% (n = 80). The purpose of this study was to measure the rate of perioperative hypothermia in children after implementing the evidence-based CPG. The study results demonstrated that the CPG, guiding research-based nursing practice, consistently prevented unplanned hypothermia. The incidence rate of unplanned perioperative hypothermia after CPG implementation was 1.84% (n = 1,196).