70 - Normothermia: Good for Patients, Good for Business. Are Thermal Caps Worth the Cost?
Description: Study Question and
Background: A circulator in the world today must care for their patient using the best evidence and do so in a cost effective manner. There are several avenues to maintain core body temperature during surgery. Perioperative hypothermia is a known element of surgery. Hypothermia contributes to dysfunctional pharmacodynamics, infections at the incision site, bleeding and clotting disturbances requiring the need for blood replacement, physical discomfort, longer recovery and hospital stay. While there is a significant amount of information about forced air warming devices and water-filled blankets, little evidence is found on the effects of thermal clothing, especially hats. The cost of these hats is inexpensive when compared to the blankets used with the warming devices but is it still prohibitive in comparison to the paper hat for the lack of difference? Design
Description: In a quasi-experimental, retrospective data review, all the adult (age 18-98) surgical patients at University Medical Center a Level 1 Trauma Center in Lubbock, Texas will be included in the data review. The patient sample will be divided across one year with six months of data for each hat type. Data will be collected for age, sex, temperature across the perioperative experience, and additional warming measures that may be used. Methodology: Simple linear regression analysis will be used to determine if hat type can predict post-op patient normothermia. This study is going to add to the very small body of work concerning thermal hats; this will give the surgical nurse the best evidence for maintaining their patient's temperature during the perioperative phase.
Co-Authors: Adonica Dugger, Patricia Forgay, Anissa Gray, Harold Loveless