Accession Number:

AD1182665

Title:

Implementation of a Conductive Fabric Warming Mattress to Maintain Normothermia in Cesarean Deliveries

Descriptive Note:

[Technical Report, Research Paper]

Corporate Author:

UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD

Personal Author(s):

• Bokan, Melissa
• Camp, Julia
• Nagle, Kelly
• Inouye, Daniel K

Report Date:

2020-03-19

Pagination or Media Count:

40

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.

Descriptors:

• health services
• medical personnel
• anesthesia
• analgesia
• patient care
• temperature control
• databases
• anesthesia and analgesia
• climate change
• information science
• students
• surgery
• therapy
• blood transfusions
• body temperature
• postoperative complications

Subject Categories:

• Anatomy and Physiology
• Medicine and Medical Research

Distribution Statement:

[A, Approved For Public Release]