perioperative normothermia

perioperative normothermia

Surgery A maneuver that attempts to counter adverse immune effects of perioperative hypothermia, due to anesthetic-induced impairment of thermoregulation, exposure to cold, and altered heat production in tissues, ↓ chemotaxis, phagocytosis, and oxidative killing of bacteria by PMNs, and ↓ resistance to infection in certain bacteria–eg, E coli, S aureus
References in periodicals archive ?
Kurz et al., Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization [2]
The bundle included use of chlorhexidine-impregnated preoperative wipes, standardized aseptic surgical preparation, standardized antibiotic dosing, perioperative normothermia, and surgical dressing maintenance; when the protocol was breached, direct feedback was provided to clinicians.
In late 2010, The American Society of PeriAnesthesia Nurses (ASPAN) published their clinical guidelines entitled "Clinical Practice Guidelines for the Promotion of Perioperative Normothermia: Second Edition." Interventions identified by ASPAN to address maintaining normothermia include:
Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalisation.
[2.] Hooper VD, Chard R, Clifford T, et al ASPAN's Evidence-Based Clinical Practice Guideline for the Promotion of Perioperative Normothermia. J Perianesth Nurs 2010;25(6):346-357.
New Concepts in Perioperative Normothermia: From Monitoring to Management.
ASPAN 2010 ASPAN's evidence-based clinical practice guideline for the promotion of perioperative normothermia Journal of PeriAnaesthesia Nursing 25 (6) 346-5
Implementing a perioperative normothermia care plan is strongly recommended, since it has been shown to decrease hypothermia incidence of patients undergoing elective abdominal operations in post-anaesthesia care unit from 39% to 2% (Forbes et al 2008).
Perioperative normothermia is very important to prevent following complications: delayed recovery, myocardial ischemia, shivering, hypertension, tachycardia, and prolonged coagulation time.
et al, Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization, The New England Journal of Medicine, volume 334, may 9, 1996, number 19
In addition to treating cardiac arrest patients, Medi-Therm can be used to actively cool febrile patients, maintain perioperative normothermia, actively re-warm trauma patients or acute hypothermia victims and provide cooling therapy for cerebral trauma and malignant hyperthermia patients.
Harper C, McNicholas T, Gowrie-Mohan S 2003 Maintaining perioperative normothermia British Medical Journal 326 (7392) 721-722