The Impact of Prewarming on the Prevention of Inadvertent Perioperative Hypothermia

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Earnhardt, E. (2015). The Impact of Prewarming on the Prevention of Inadvertent Perioperative Hypothermia. Unc Charlotte Electronic Theses And Dissertations.
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Abstract

This DNP scholarly project was implemented to evaluate the impact of prewarming on the incidence of inadvertent perioperative hypothermia (IPH) in adult patients undergoing surgical hip procedures (SHP) with combined sedation and neuraxial anesthesia. IPH affects up to 90% of surgical patients across the United States every year. The adverse effects of IPH include increased mortality, cardiac events related to shivering, poor blood clotting, poor wound healing, decreased patient satisfaction and increased cost for the patient and the surgical facility. A pretest and posttest was used to measure of the effects of prewarming on the incidence of IPH during the perioperative period. Fifty-six patients were selected by a convenience sample and randomized with computer generated randomization. Twenty-eight patients were selected from the randomized sample and matched to a comparison group that did not receive prewarming. Matching was based on body mass index (BMI), gender, age and, surgical procedure. Descriptive statistics were reported. The paired t-test was utilized for the analysis of continuous data and the McNamar's test was utilized for analysis of categorical data between the implementation and comparison groups. Twenty-eight paired subjects (n = 56) consisting of one subject in the implementation group and 1 subject in the comparison group were divided into 4 groups for analysis.* Group 1: Hypothermia occurred in both implementation and comparison groups.* Group 2: Hypothermia occurred in neither implementation nor comparison group.* Group 3: Hypothermia occurred in the implementation group only, (The implementation subject became hypothermic but the matched comparison subject did not).* Group 4: Hypothermia occurred in comparison group only. The results were statistically significant for the intraoperative phase with a p-value of <0.001 (McNemar's test). There was no statistically significant differences found between the groups for postoperative care unit length of stay (p = 0.841). This project supports current literature that prewarming patients prior to surgical procedures reduces the incidence of IPH.

Details
Author

Earnhardt, Exie

Title

The Impact of Prewarming on the Prevention of Inadvertent Perioperative Hypothermia

Physical Description

1 online resource (53 pages) : PDF

Date

2015

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

This DNP scholarly project was implemented to evaluate the impact of prewarming on the incidence of inadvertent perioperative hypothermia (IPH) in adult patients undergoing surgical hip procedures (SHP) with combined sedation and neuraxial anesthesia. IPH affects up to 90% of surgical patients across the United States every year. The adverse effects of IPH include increased mortality, cardiac events related to shivering, poor blood clotting, poor wound healing, decreased patient satisfaction and increased cost for the patient and the surgical facility. A pretest and posttest was used to measure of the effects of prewarming on the incidence of IPH during the perioperative period. Fifty-six patients were selected by a convenience sample and randomized with computer generated randomization. Twenty-eight patients were selected from the randomized sample and matched to a comparison group that did not receive prewarming. Matching was based on body mass index (BMI), gender, age and, surgical procedure. Descriptive statistics were reported. The paired t-test was utilized for the analysis of continuous data and the McNamar's test was utilized for analysis of categorical data between the implementation and comparison groups. Twenty-eight paired subjects (n = 56) consisting of one subject in the implementation group and 1 subject in the comparison group were divided into 4 groups for analysis.* Group 1: Hypothermia occurred in both implementation and comparison groups.* Group 2: Hypothermia occurred in neither implementation nor comparison group.* Group 3: Hypothermia occurred in the implementation group only, (The implementation subject became hypothermic but the matched comparison subject did not).* Group 4: Hypothermia occurred in comparison group only. The results were statistically significant for the intraoperative phase with a p-value of <0.001 (McNemar's test). There was no statistically significant differences found between the groups for postoperative care unit length of stay (p = 0.841). This project supports current literature that prewarming patients prior to surgical procedures reduces the incidence of IPH.

Genre

doctoral dissertations

Subjects--Topics

Nursing

Degree

Ph.D.

Keywords

Hypothermia
Inadvertent
Perioperative
Prewarming

Subject Area

Health Services Research

Advisor(s)

Langford, David
Whitaker-Brown, Charlene

Committee Members

Algozzine, Robert
Lucisano, Karen
Moore, Michael

Degree Note

Thesis (Ph.D.)--University of North Carolina at Charlotte, 2015.

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Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Earnhardt_uncc_0694D_10804

Permalink

http://hdl.handle.net/20.500.13093/etd:958