Outpatient Surgery Magazine - Subscribers

Basics of Blocks - April 2014 - 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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9 8 O U T P AT 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 | A P R I L 2 0 1 4 trate on deep breathing, relax- ation and imagery — factors that can help them better manage pain. 6. Do warmed patients recover faster? Patients who are hypothermic stay in the PACU longer, which increases the cost of care. As mentioned, hypothermic patients are at greater risk for SSIs, which could prolong their overall length of stay in the inpatient setting. Hypothermia can prolong and alter drug effects, which could impact how anesthetics work and how well post-op pain is controlled. Research ( tinyurl.com/ qheylol ) has shown that a 3°C decrease in core hypothermia prolonged the effects of propofol, which could also delay discharge. Researchers at the University of California, San Francisco, discov- ered that the post-op temperatures of patients who were warmed to maintain normothermia during elective abdominal surgeries had core temperatures 2ºC higher than patients who were not warmed ( tinyurl.com/ og34o7e) . Importantly, the researchers noted normothermic patients were cleared for discharge approximately 40 minutes earlier than hypothermic patients. P A T I E N T W A R M I N G NICE TOUCH Warmed blankets are excellent comfort measures, but can't reverse hypothermia. Jason Meehan OSE_1404_part2_Layout 1 4/4/14 2:40 PM Page 98

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