Implementation of a Conductive Fabric Warming Mattress to Maintain Normothermia in Cesarean Deliveries
Abstract
Inadvertent perioperative hypothermia (IPH) is defined as a central body temperature below 36 Celsius during the surgical period and is a common complication after general anesthesia. IPH occurs due to the suppression of temperature regulation mechanisms from anesthesia and prolonged exposure to cold operating room temperatures (Warttig, Alderson, Campbell, and Smith, 2014; Madrid et al., 2016). A 1-2o Celsius decrease in temperature can lead to increased blood loss, surgical site infections, myocardial ischemia, shivering, and prolonged length of hospitalization (Roder, 2011; Madrid et al., 2016). Parturients receiving neuraxial anesthesia during cesarean deliveries are also at risk for IPH secondary to vasodilation of blood vessels shunting warm blood from the core to the peripheral tissues, thereby reducing core body temperature (Shaw et al., 2017). Maternal hypothermia is associated with increased rates of infant respiratory distress, hypoglycemia, and neonatal mortality in preterm infants (Allen and Habib, 2018). Shivering can also impair parturients' comfort and delay the initiation of breastfeeding (Munday et al., 2014).
Document Details
- Document Type
- Technical Report
- Publication Date
- Mar 19, 2020
- Accession Number
- AD1182665
Entities
People
- Daniel K. Inouye
- Julia Camp
- Kelly Nagle
- Melissa Bokan
Organizations
- Uniformed Services University of the Health Sciences