None listed
Conditions
Brief summary
Temperature imbalance during surgery results in adverse outcomes for patients, however temperature is rarely monitored in accordance with guidelines. One key barrier to regular, consistent and documented temperature monitoring during surgery is a lack of a non-invasive, but accurate temperature monitoring device. This pilot study will assess feasibility of recruitment, protocol fidelity, sample size and process evaluation for a future cluster randomised study testing the impact of a non-invasive, continuous temperature monitoring device upon clinical practice and patient outcomes.
Interventions
On arrival to the pre-operative holding area, and prior to the induction of anaesthesia, the zero heat flux monitoring Bair Hugger™ device will be attached to the forehead, above the orbital ridge. The placement of the device will be undertaken by the registered nurse working in the pre-operative holding area. The Research Nurse will be present for assistance. The device then requires a ramp-up time of three minutes for temperature readings to stabilise. The ZHF (Bair Hugger™) device will be utilized until patients are assessed as ‘ready for discharge’ from the Post Anaesthetic Care Unit (PACU). Treatment adherence and fidelity will be prospectively monitored and assessed via direct observation.
Sponsors
Study design
Eligibility
Inclusion criteria
The patient population will include consenting adults undergoing elective surgery (expected duration > 30 minutes), under general, or neuraxial anaesthesia, with an American Society of Anesthesiologists (ASA) score I-III. The health care professional population will include consenting perioperative nurses, technicians and anaesthetists caring for patient participants.
Exclusion criteria
Patients undergoing surgery with an expected procedural duration of less than 30 minutes, patients undergoing local anaesthesia only or local Anesthesia with sedation, or patients with known sensitivity to adhesives, or forehead rash on the day of admission, will be excluded.