Outpatient Surgery Magazine

Predictable, Precise Incisions - November 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1211_part2_Layout 1 11/8/12 10:43 AM Page 103 P R E V E N T I N G H Y P O T H E R M I A The good news is, research increasingly confirms that we can prevent many post-operative complications by maintaining normothermia (core temperature of 36°C). And preventive measures are simpler and more inexpensive than they've ever been, as they've become more available. Test your knowledge of the various warming methods and how they fit together with these 6 theoretical scenarios. Patient 1: A healthy 55year-old woman with no preexisting peripheral vascular disease, cardiac disease or diabetes. She will undergo screening colonoscopy under conscious sedation. In pre-op, her temperature is The exposed abdomen inherent in open hernia repair makes warming from underneath a more suitable choice. 36°C. • Warming methods: Provide a warmed cloth blanket during admission, to be used from pre-op through to post-op. Provide a thermal bouffant hat and socks, also to be worn throughout the perioperative process. Check the patient's temperature in PACU to determine whether she needs another blanket to regain body heat. • Reasons: The procedure time is approximately 30 minutes — and the risk of perioperative hypothermia is lower when procedures are shorter than an hour. Patient has no pre-existing conditions and is N O V E M B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 0 3

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