J U LY 2 0 1 6 O U T P A T I E N TS U R G E R Y. N E T 3 1
How you warm doesn't matter nearly as much as whether you warm. In my
practice, I consider warming all patients, even for surgeries expected to last less
than 30 minutes.
Don't think that just because you pre-warm patients that you've done all
you should to prevent hypothermia. If all you do is place a warmed cotton
blanket on patients in pre-op, most surgical patients will become mildly
hypothermic 15 to 20 minutes after induction of anesthesia. Use active and
passive measures to warm patients throughout the perioperative period.
Do a pre-op risk assessment for hypothermia. If, for example, an elderly
patient with a low BMI is having an open procedure, we'll be more aggressive,
initiating warming measures in pre-op, forced-air warming and warm IV fluids
during surgery, and then more forced-air warming in PACU. Work with your sur-
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Belleville, IL 62220
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Millstadt, IL 62260
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