Save
DOES PREVENTION OF HYPOTHERMIA HELP IN ENHANCED RECOVERY OF PARTURIENTS AND ASSIST THEM TO LOOK AFTER THEIR NEWBORNS AFTER OBSTETRIC SURGERY?
Author(s): ,
Bijral, S.*
Affiliations:
Medway NHS Foundation Trust, Anaesthetics, Gillingham- Kent, United Kingdom
Verma, S.
Affiliations:
Medway NHS Foundation Trust, Anaesthetics, Gillingham-Kent, United Kingdom
ESRA Academy. Bijral S. Sep 13, 2017; 190802
Topic: Safety of Regional Anaesthesia - Complications - General Aspects
Dr. Sukhpal Bijral
Dr. Sukhpal Bijral

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Inadvertent perioperative hypothermia is defined as core temperature below 36°C and is common perioperative complication with associated poor patient outcomes. NICE published guidelines on the maintenance of normothermia during surgery but did not mention about obstetric patients. Inadvertent Hypothermia should be prevented by instituting temperature measurement and warming, in all elective and most emergency cases in an obstetric unit.

Methods:

We prospectively recorded pre, intra and postoperative temperature, either by tympanic membrane or skin electrode, of the patients coming to obstetric theatres. We used active warming devices like fluid warming in theatre and fluid warming + forced air warming in recovery areas.

Results:

75% patients had their temperature recorded before arrival to theatre. Category 1 LSCS was most common when pre-operative temperature was not recorded.There was poor recording of intra-operative temperature, possibly due to awake patients. All the patients were actively warmed with fluid warmers in theatre and fluid warmers + forced air warming devices in recovery. We tried Inditherm mattress and forced air warming in theatre but could not continue due to awake patients and technical reasons.

Conclusions:

Continuous temperature recording by a skin electrode should be made mandatory for all the patients intra-operatively. We should educate theatre and recovery staff about the importance of temperature management, use of active warming devices and continue to warm fluids in all patients. We need to increase ambient temperature in recovery areas as it helps in keeping both mother and the baby warm, and should consider guidelines for temperature management in obstetric patients.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings