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Raising the bar in perioperative safety

Inadvertent perioperative hypothermia was high on the agenda at the AfPP annual conference. Kevin Robinson, 3M Scientific Affairs Manager OR, EMEA, provided an insight onto some of the key challenges and best practice. Louise Frampton reports.

Perioperative hypothermia was first described by Ernst von Bibra and Emil Harlass in 1847 – one year after the first successful general anaesthetic was administered by Thomas Green Morton. The first active warming systems were introduced in the early 1950s, but commercial forcedair warming systems were not introduced until 1987. Although it is almost 35 years since the commercial availability of active forced-air warming systems, more than 50% of patients receiving anaesthesia still experience perioperative hypothermia and it remains an important patient safety issue in theatres which needs to be addressed.

Kevin Robinson explained that an average core temperature drop of 1.6˚C can occur in the first hour of general anaesthesia with more than 81% due to core-to-peripheral heat redistribution, known as redistribution temperature drop (RTD) (Sessler, 2000). 

“Patients having anaesthesia for shorter periods are more susceptible to postoperative hypothermia as there is insufficient opportunity for intra-operative warming to reverse the effects of redistribution temperature drop,” he commented, adding that this is also the major factor for perioperative hypothermia in patients undergoing regional anaesthesia. However, this tends to be limited to the legs and the regions below the level of the block. 

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Upcoming Events

AfPP Annual Conference 2022

University of York
8-11 September 2022

Infection 360: What's trending in infection prevention & control

Edgbaston Stadium, Birmingham
27-28 September 2022

IP2022 IS COMING TO BOURNEMOUTH IN OCTOBER 2022

Bournemouth
17-19 October 2022

UKHCA Conference: Listen Up

Pendulum Hotel and Manchester Conference Centre, Manchester
3rd November 2022

MEDICA 2022

Dusseldorf Germany
14th November - 17th November

Future Surgery 2022

ExCel, London
15th - 16th November 2022

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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