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Why Do ASCs Fail? - August 2015 - Subscribe to 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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Living proof Our center hosts a wide range of major and minor procedures that last from 15 minutes to 8-plus hours. Our warming policy was whatever the anesthetist prefers. Determining if any method outperformed the others would help standard- ize the process and could potentially save on case costs if we could forgo the use of forced-air blankets or heat reflective technolo- gy in favor of warmed cot- ton blankets. During the study period, we assigned patients in pre- op bays 1, 3 and 5 to receive warming with heat reflective technology and patients in bays 2, 4 and 6 to receive warmed cotton blankets for shorter-duration procedures or forced-air warming for procedures expected to last longer than 1 hour. We recorded temporal artery temperature readings every 30 minutes in pre-op, every 30 minutes in the OR after anesthesia induction and every 30 minutes in PACU until normothermia was maintained for an hour. We set the ambient temperature in the ORs between 69°F and 72°F, as recommended by AORN, and conducted daily checks in the ORs and in each pre- and post-op patient bay to ensure temperatures stayed within the recommended range. 8 4 O U T P A T 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 U G U S T 2 0 1 5 Jason Meehan z COVER ME A warmed cotton blanket might be all patients need to remain normothermic.

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