Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach
Objectives To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context.Design This study was informed by CAN-IMPLEMENT using the ADAPTE process: (1) formation of a multidisciplinary development team; (2) systematic search...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/11/e077472.full |
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| author | Fiona M Wood Nicholas Ralph Jed Duff Judy Munday David Sturgess Mary-Anne Ramis |
| author_facet | Fiona M Wood Nicholas Ralph Jed Duff Judy Munday David Sturgess Mary-Anne Ramis |
| author_sort | Fiona M Wood |
| collection | DOAJ |
| description | Objectives To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context.Design This study was informed by CAN-IMPLEMENT using the ADAPTE process: (1) formation of a multidisciplinary development team; (2) systematic search process identifying existing guidance for perioperative hypothermia prevention; (3) appraisal using the AGREE II Rigor of Development domain; (4) extraction of recommendations from guidelines meeting a quality threshold using the AGREE-REX tool; (5) review of draft principles and recommendations by multidisciplinary clinicians nationally and (6) subsequent round of discussion, drafting, reflection and revision by the original panel member team.Setting Australian perioperative departments.Participants Registered nurses, anaesthetists, surgeons and anaesthetic allied health practitioners.Results A total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36°C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care.Conclusion This consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals. |
| format | Article |
| id | doaj-art-daa159a0a9ad42abba65bbf1b501618a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-daa159a0a9ad42abba65bbf1b501618a2025-02-01T16:45:10ZengBMJ Publishing GroupBMJ Open2044-60552023-11-01131110.1136/bmjopen-2023-077472Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approachFiona M Wood0Nicholas Ralph1Jed Duff2Judy Munday3David Sturgess4Mary-Anne Ramis5School of Surgery, Burn Injury Research Unit, The University of Western Australia, Perth, Western Australia, AustraliaSchool of Health, University of the Sunshine Coast, Sippy Downs, Queensland, AustraliaSchool of Nursing/Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, AustraliaSchool of Nursing/Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, AustraliaDepartment of Anaesthetics, Princess Alexandra Hospital, Woolloongabba, Queensland, AustraliaSchool of Nursing/Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, AustraliaObjectives To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context.Design This study was informed by CAN-IMPLEMENT using the ADAPTE process: (1) formation of a multidisciplinary development team; (2) systematic search process identifying existing guidance for perioperative hypothermia prevention; (3) appraisal using the AGREE II Rigor of Development domain; (4) extraction of recommendations from guidelines meeting a quality threshold using the AGREE-REX tool; (5) review of draft principles and recommendations by multidisciplinary clinicians nationally and (6) subsequent round of discussion, drafting, reflection and revision by the original panel member team.Setting Australian perioperative departments.Participants Registered nurses, anaesthetists, surgeons and anaesthetic allied health practitioners.Results A total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36°C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care.Conclusion This consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals.https://bmjopen.bmj.com/content/13/11/e077472.full |
| spellingShingle | Fiona M Wood Nicholas Ralph Jed Duff Judy Munday David Sturgess Mary-Anne Ramis Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach BMJ Open |
| title | Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach |
| title_full | Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach |
| title_fullStr | Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach |
| title_full_unstemmed | Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach |
| title_short | Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach |
| title_sort | perioperative hypothermia prevention development of simple principles and practice recommendations using a multidisciplinary consensus based approach |
| url | https://bmjopen.bmj.com/content/13/11/e077472.full |
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