Your browser doesn't support javascript.
loading
A clinical audit cycle of post-operative hypothermia in dogs.
Rose, N; Kwong, G P S; Pang, D S J.
Afiliação
  • Rose N; Western Veterinary Specialist and Emergency Centre, Calgary, Alberta T3C 0J8, Canada.
  • Kwong GP; Faculty of Veterinary Medicine, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.
  • Pang DS; Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta T2N 4N1, Canada.
J Small Anim Pract ; 57(9): 447-52, 2016 Sep.
Article em En | MEDLINE | ID: mdl-27593195
OBJECTIVES: Use of clinical audits to assess and improve perioperative hypothermia management in client-owned dogs. METHODS: Two clinical audits were performed. In Audit 1 data were collected to determine the incidence and duration of perioperative hypothermia (defined as rectal temperatures <37·0°C). The results from Audit 1 were used to reach consensus on changes to be implemented to improve temperature management, including re-defining hypothermia as rectal temperature <37·5°C. Audit 2 was performed after 1 month with changes in place. RESULTS: Audit 1 revealed a high incidence of post-operative hypothermia (88·0%) and prolonged time periods (7·5 hours) to reach normothermia. Consensus changes were to use a forced air warmer on all dogs and measure rectal temperatures hourly post-operatively until temperature ≥37·5°C. After 1 month with the implemented changes, Audit 2 identified a significant reduction in the time to achieve a rectal temperature of ≥37·5°C, with 75% of dogs achieving this goal by 3·5 hours. The incidence of hypothermia at tracheal extubation remained high in Audit 2 (97·3% with a rectal temperature <37·5°C). CLINICAL SIGNIFICANCE: Post-operative hypothermia was improved through simple changes in practice, showing that clinical audit is a useful tool for monitoring post-operative hypothermia and improving patient care. Overall management of perioperative hypothermia could be further improved with earlier intervention.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças do Cão / Hipotermia / Complicações Intraoperatórias Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças do Cão / Hipotermia / Complicações Intraoperatórias Idioma: En Ano de publicação: 2016 Tipo de documento: Article