Advanced nursing skills development in maintaining perioperative patient normotermia – scoping review

Authors

  • Ana Costa Instituto Português de Oncologia do Porto Francisco Gentil, Porto Portugal https://orcid.org/0009-0003-6627-133X
  • Carla Teixeira Instituto Português de Oncologia do Porto Francisco Gentil, Porto Portugal http://orcid.org/0009-0004-3357-8578
  • Cristina Barroso Escola Superior de Enfermagem do Porto, Porto, Portugal | Centro de Investigação em Tecnologias e Serviços de Saúde e Rede de Investigação em Saúde (CINTESIS@RISE), Porto, Portugal http://orcid.org/0000-0002-6077-4150
  • Fátima Segadães Escola Superior de Enfermagem do Porto, Porto, Portugal http://orcid.org/0009-0004-4694-2244

DOI:

https://doi.org/10.29352/mill0214e.34585

Keywords:

surgical patient; thermoregulation; hypothermia; nursing

Abstract

Introduction: Monitoring temperature, maintaining normothermia, preventing and treating perioperative hypothermia are currently considered standard of care. The existence of protocols aimed at monitoring, evaluating, preventing, and controlling hypothermia in the intraoperative phase is necessary. This association avoids complications, guarantees the safety and comfort of the surgical patient, leading to the quality of the entire surgical process.

Objetive: Map nursing interventions to maintain normothermia in the perioperative period.

Methods: Scoping Review based on the principles recommended by the Joanna Briggs Institute. Research was carried out in the following databases: SCOPUS, Web of Science and EBSCOhost Web of the Escola Superior de Enfermagem do Porto and the databases consulted were CINAHL Complete, MedcLatina and MEDLINE Complete. To search for gray literature, the Portuguese Open Access Scientific Repository – RCAAP was used. Studies published with free online access, in full text, in Portuguese, Spanish or English, with a time limit between 2013 and 2023, were included.

Results: To achieve perioperative normothermia, nurses must adopt patient warming methods. Studies point to the use of thermal blankets, heated blankets and forced air, and monitoring the patient's temperature in a regular and structured way.

Conclusion: Maintaining perioperative normothermia can be achieved through the adoption of patient warming and is essential to ensure safety, improve the outcome of the surgical procedure, and ensure patient comfort and satisfaction with the surgical experience.

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References

Associação dos Enfermeiros das Salas de Operações Portugueses (AESOP) (2017). Práticas recomendadas para bloco operatório: prevenção e controlo da hipotermia perioperatória inadvertida. http://www.ulsguarda.min-saude.pt/wpcontent/uploads/sites/6/2018/02/DraftBrochura-AESOP-PR-Hipotermia-Pantone569.pdf

Association of periOperative Registered Nurses (AORN) (2019). The Guideline for Prevention of Hypothermia. https://www.aornguidelines.org/guidelines/content?sectionid=173731777&view=book#

Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis. JBI, 2020. Available from https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-01.

Azenha, M., Rocha, C., Oliveira, E., Cruz, L., Carvalho, M. P., Macedo, A. L. & Gomes, M. (2017). Proposta de Consensos de Manutenção da Normotermia no Período Perioperatório. Revista da Sociedade Portuguesa de Anestesiologia, Vol 26 (1). pp 26 – 37. https://doi.org/10.25751/rspa.10884

Bayter-Marin, J. E., Cárdenas-Camarena, L., Durán, H., Valedon, A., Rubio, J. & Macias, A. A. (2018). Effects of Thermal Protection in Patients Undergoing Body Contouring Procedures: A Controlled Clinical Trial. Aesthetic Surgery Journal, Vol 38(4). pp. 448 – 456. https://doi.org/10.1093/asj/sjx155

Becerra, A., Valencia, L., Ferrando, C., Villar, J. & Rodríguez-Pérez, A. (2019). Prospective observational study of the effectiveness of prewarming on perioperative hypothermia in surgical patients submitted to spinal anesthesia. Scientific Reports 9:16477. https://doi.org/10.1038/s41598-019-52960-6

Bernard, H. (2013). Patient warming in surgery and the enhanced recovery. British Journal of Nursing (Mark Allen Publishing), 22(6), 319–320, 322–325. https://doi.org/10.12968/bjon.2013.22.6.319

Coelho, A., Parola, V., Cardoso, D., Duarte, S., Almeida, M. & Apóstolo, J. (2017). O uso do simulador de velhice em estudantes de enfermagem: uma scoping review. Revista de Enfermagem Referência Série IV - n.º 14. pp. 147 - 158. https://doi.org/10.12707/RIV17050

Connelly, L., Cramer, E., DeMott, Q., Piperno, J., Coyne, B., Winfield, C. & Swanberg, M. (2017). The Optimal Time and Method for Surgical Prewarming: A Comprehensive Review of the Literature. Journal of PeriAnesthesia Nursing, Vol 32, (3). pp 199 - 209. http://dx.doi.org/10.1016/j.jopan.2015.11.010

European Operating Room Nurses Association (EORNA) (2020). EORNA Best Practice for perioperative care – first edition march 2015, second edition November 2020. https://eorna.eu/wp-content/uploads/2020/09/EORNA-Best-Practice-for-Perioperative-Care-Edition-2020.pdf

Gabriel, P., Höcker, J., Steinfath, M., Kutschick, K. R., Lubinska, J. & Horn, E. P. (2019). Prevention of inadvertent perioperative hypothermia – Guideline compliance in German hospitals. GMS German Medical Science, Vol. 17. pp. 1612 – 3174. https://doi.org/10.3205/000273

Honkavuo, L., Loe, S. A. K. (2020). Nurse Anesthetists' and Operating Theater Nurses' Experiences with Inadvertent Hypothermia in Clinical Perioperative Nursing Care. Journal of PeriAnesthesia Nursing 35. pp. 676 – 681. https://doi.org/10.1016/j.jopan.2020.03.011

Horn, E. P., Bein, B., Broch, O., Iden, T., Böhm, R., Latz, S. K. & Höcker, J. (2016). Warming before and after epidural block before general anaesthesia for major abdominal surgery prevents perioperative hypothermia. European Society of Anaesthesiology. 33. pp. 334 - 340. https://doi.org/10.1097/EJA.0000000000000369

Matias, F., Ferreira, C., Matos, F. M. & Martins, M. (2017). Pré-Aquecimento de dez minutos: uma boa forma de evitar a Hipotermia?. Revista da Sociedade Portuguesa de Anestesiologia, Vol 26 (1). pp 18 – 25. https://doi.org/10.25751/rspa.7710

Peters, M., Godfrey, C., McInerney, P., Munn, Z., Tricco, A., & Khalil, H. (2020). Scoping Reviews. In E. Aromataris & Z. Munn (Eds.), JBI Manual for Evidence Synthesis. JBI. https://doi.org/10.46658/JBIMES-20-12

Poveda, A. B., Clark, A. M. & Galvão, C. M. (2013). A systematic review on the effectiveness of prewarming to prevent perioperative hypothermia. Journal of Clinical Nursing. pp. 22, 906–918, https://doi.org/10.1111/j.1365-2702.2012.04287.x

Ribeiro, A. F., Pereira, E., Matias, F. Azenha, M., Macedo, A. L. & Órfão, M. R. (2017). Manutenção da Normotermia Perioperatória em Portugal – resultados de um inquérito de avaliação. Revista da Sociedade Portuguesa de Anestesiologia, Vol 26 (1). pp 10 – 17. https://doi.org/10.25751/rspa.10127

Ribeiro, J. C., Bellusse, G. C., Freitas, I. C. M. & Galvão, C. M. (2021). Effect of perioperative hypothermia on surgical site infection in abdominal surgery: A prospective cohort study. Int J Nurs Pract. 27 (12934). pp. 1 – 10. https://doi.org/10.1111/ijn.12934

Silva, A. B. (2017). Hipotermia Inadvertida Perioperatória em Doente Cirúrgicos: como estamos prevenindo?. (Dissertação de Mestrado, Escola de Enfermagem da Universidade de São Paulo). https://www.teses.usp.br/teses/disponiveis/7/7139/tde-27042018-145724/pt-br.php

Sociedade Portuguesa de Anestesiologia (SPA) (2017). Recomendações da SPA para manutenção de normotermia no período perioperatório - elaboradas por Grupo Nacional de Consensos em 2017.Ferramentas SPA - Guidelines de Conduta Clínica - Conselhos da Sociedade Portuguesa de Anestesiologia. http://www.spanestesiologia.pt/ficheiros/Consensos%20normotermia.pdf

Su, S. F., Nieh, H. C. (2018). Efficacy of forced‐air warming for preventing perioperative hypothermia and related complications in patients undergoing laparoscopic surgery: A randomized controlled trial. Int J Nurs Pract 24 (12660). pp 1 – 10. https://doi.org/10.1111/ijn.12660

Williams, A. K. (2018). Benefits of Passive Warming on Surgical Patients Undergoing Regional Anesthetic Procedures. Journal of PeriAnesthesia Nursing, Vol 33, (6). pp 928 – 934. https://doi.org/10.1016/j.jopan.2017.09.010

Published

2024-05-10

How to Cite

Costa, A., Teixeira, C., Barroso, C., & Segadães, F. (2024). Advanced nursing skills development in maintaining perioperative patient normotermia – scoping review . Millenium - Journal of Education, Technologies, and Health, (14e), e34585. https://doi.org/10.29352/mill0214e.34585

Issue

Section

Life and Healthcare Sciences