than core, according to Dr. Sessler, who says more accurate core
body temperature readings are obtained at the tympanic membrane,
pulmonary artery, distal esophagus or nasopharynx.
Dr. Sessler says that when a patient is intubated, a nasopharyngeal
probe to measure temperature is the way to go. Why? The probe is
inserted through the nostril and into the back of the throat, allowing
for an extremely accurate temperature reading. However, take note of
the probe's position. Dr. Sessler says it needs to be inserted 10 to 20
centimeters down the nostril, which is farther than most clinicians
think.
Keep in mind that Surgical Care Improvement Project (SCIP) Core
Measure 10 requires you to actively warm patients of all ages who
undergo procedures under general or neuraxial anesthesia that last an
hour or longer. You must also record at least 1 normothermic body
temperature reading (36°C) within 30 minutes immediately prior to or
15 minutes immediately after anesthesia end time.
6. Heat from above + below
If you combine conductive heat that rises up through a thin mattress
with forced air that blows over the body, you'll warm patients more
efficiently than if you used either method alone, says Dr. Sessler.
Although most outpatient procedures don't require 2 forms of heating,
consider using both over- and under-body systems during lengthier
procedures, he adds.
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