The Role of Perioperative Hypothermia in the Development of Surgical Site Infection: A Systematic Review
- PMID: 33646586
- DOI: 10.1002/aorn.13327
The Role of Perioperative Hypothermia in the Development of Surgical Site Infection: A Systematic Review
Abstract
Surgical patients may experience inadvertent perioperative hypothermia, a condition that can cause a variety of complications, including surgical site infection (SSI). The authors of this systematic review used the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines to examine the role of perioperative hypothermia in the development of SSI. The authors searched the PubMed, Cumulative Index Nursing and Allied Health Literature, Cochrane, and ScienceDirect databases for eligible articles published between January 2008 and November 2018 and identified seven studies that met the inclusion criteria. The results of this review indicate that the relationship between hypothermia and SSI is closely related to the type of the surgical intervention performed (eg, emergent, colorectal), and that severe hypothermia (eg, <35.0° C [95.0° F]) can increase the risk of developing an SSI. Perioperative nurses should monitor patients for inadvertent hypothermia and prevent its occurrence when possible.
Keywords: inadvertent hypothermia; intraoperative nadir temperature; operative time; surgical site infection; warming methods.
© AORN, Inc, 2021.
References
-
- Berríos-Torres SI, Umscheid CA, Bratzler DW, et al; Healthcare Infection Control Practices Advisory Committee. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8):784-791.
-
- World Health Organization. WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves Lives. Geneva, Switzerland: World Health Organization; 2009.
-
- Akers JL, Dupnick AC, Hillman EL, Bauer AG, Kinker LM, Wonder AH. Inadvertent perioperative hypothermia risks and postoperative complications: a retrospective study. AORN J. 2019;109(6):741-747.
-
- National Institute for Health and Care Excellence. Hypothermia: Prevention and Management in Adults Having Surgery. https://www.nice.org.uk/guidance/cg65/resources/hypothermia-prevent.... Published April 2008. Updated December 2016. Accessed October 31, 2020.
-
- Guideline for prevention of hypothermia. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2021:321-350.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous
