Journal of PeriAnesthesia Nursing
Volume 25, Issue 3 , Pages 146-151 , June 2010

Normothermia and Patient Comfort: A Comparative Study in an Outpatient Surgery Setting

  • Dianne Leeth, BSN, RN, CAPA

      Affiliations

    • Corresponding Author InformationAddress correspondence to Dianne Leeth, Preprocedure Services Call Center, University of Colorado Hospital, 1635 Aurora Court, PO Box 6510 Mailstop F730, Aurora, CO 80045
    • ,
  • Myrna Mamaril, MS, RN, CPAN, CAPA, FAAN
    • ,
  • Kathleen S. Oman, PhD, RN, CEN, FAEN
    • ,
  • Barbara Krumbach, MSN, RN, CNS, CCRN, CPAN

References 

  1. Wagner D. Unplanned perioperative hypothermia. AORN J. 2006;83:470–476
  2. Sessler D. Complications and treatment of mild hypothermia. Anesthesiology. 2001;95:531–543
  3. American Society of PeriAnesthesia Nurses. Normothermia Clinical Guideline. Available at: http://www.aspan.org/ClinicalPractice/ClinicalGuidelines/Normothermia/tabid/5599/Default.aspx. Accessed August 3, 2009.
  4. Maheux D. You're Getting Warmer: Innovative Patient Warming Techniques Prevent Unplanned Hypothermia. 2007. Available at: http://www.surgistrategies.com/articles/youre_getting_warmer.html. Accessed August 22, 2009.
  5. Mahoney CB, Odom J. Maintaining intraoperative normothermia: A meta-analysis of outcomes with costs. AANA J. 1999;67:155–163
  6. Fry DE, Fry RV. Surgical site infection: The host factor. AORN J. 2007;86:801–815
  7. Rajagopalan S, Mascha E, Na J, et al. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology. 2008;108:71–77
  8. Tortorici MA, Kochanek P, Poloyac SM. Effects of hypothermia on drug disposition, metabolism, and response: A focus of hypothermia-mediated alterations on the cytochrome P450 enzyme system. Crit Care Med. 2007;35:2196–2204
  9. Hooper VD. Adoption of the ASPAN clinical practice guideline for the prevention of unplanned perioperative hypothermia. J Perianesth Nurs. 2006;21:177–185
  10. Fossum S, Hays J, Henson MM. A comparison study on the effects on prewarming patients in the outpatient surgery setting. J Perianesth Nurs. 2001;16:187–194
  11. Sessler D, Todd M. Perioperative heat balance. Anesthesiology. 2000;92:578–596
  12. Scott E, Buckland R. A systematic review of intraoperative warming to prevent postoperative complications. AORN J. 2006;83:1090–1113
  13. Kurz A. Thermal care in the perioperative period. Best Pract Res Clin Anaesthes. 2008;1:39–62
  14. Melling AC, Ali B, Scott EM, et al. Effects of preoperative warming on the incidence of wound infection after clean surgery: A randomized controlled trial. Lancet. 2001;358:876–888
  15. Wagner D, Byrne M, Kolcaba K. Effects of comfort warming preoperative patients. AORN J. 2006;84:427–448
  16. Giuliano KK, Giuliano AJ, Scott SS, et al. Temperature measurement in critically ill adults: A comparison of tympanic and oral methods. Am J Crit Care. 2000;9:254–261
  17. Gilbert M, Barton AJ, Counsell CM. Comparison of oral and tympanic temperatures in adult surgical patients. Appl Nurs Res. 2002;15:42–47
  18. Sund-Levander M, Grodzinsky E, Loyd D, et al. Errors in body temperature assessment related to individual variation, measuring technique and equipment. Int J Nurs Pract. 2004;10:216–223
  19. Stanhope N. Temperature measurement in the phase I PACU. J Perianesth Nurs. 2006;21:27–36
  20. Wilson L, Kolcaba K. Practical application of comfort theory in the perianesthesia setting. J Perianesth Nurs. 2004;19:164–173

 No external funding was received for this study; however, the forced-air warming gowns were provided for the study at a discounted purchase price, the cost of which were absorbed by the study unit.

PII: S1089-9472(10)00120-6

doi: 10.1016/j.jopan.2010.03.010

Journal of PeriAnesthesia Nursing
Volume 25, Issue 3 , Pages 146-151 , June 2010

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