Document Type

DNP Project

Publication Date

2021

Disciplines

Nursing

Abstract

Background: Inadvertent perioperative hypothermia (IPH), defined as recorded temperature at or below 36°C (96.8°F), is a common adverse effect that can occur during any surgical procedure, leading to increased postoperative morbidity and mortality. The data was analyzed for statistical significance and plotted on a graph to show the mean and median temperatures, along with the highest and lowest during each phase of care.

Purpose: The purpose of this project is to examine core temperatures in total knee arthroplasty (TKA) patients at four different phases of care: preoperatively, procedure start time, procedure stop time, and postoperatively.

Methods: A retrospective chart review will be completed to collect temperatures for using the 3M Spot-On core temperature monitoring device on 38 patients undergoing TKA procedures.

Implementation: The data will be analyzed plotted on a graph to show the mean temperatures, along with the highest and lowest temperatures during each phase of care.

Conclusion: Patients were found to be hypothermic at the beginning and end of the procedure. On average, patients were 95.5°F at the start of the procedure and 96°F at the end. Preoperatively, patients were 98°F and 97.3°F in the recovery room.

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