Advanced nursing skills development in maintaining perioperative patient normotermia – scoping review
DOI:
https://doi.org/10.29352/mill0214e.34585Keywords:
surgical patient; thermoregulation; hypothermia; nursingAbstract
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.
Downloads
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)
