Bleeding, Surgical Site Infection
Conditions
Keywords
Surgery, Hypothermia, Prevention, Surgical Site Infection, Bleeding, Surgical instruments
Brief summary
This study investigate associations between mild hypothermia (patients' core temperature ≤ 36.0 degrees Celsius) and intra-operative blood loss and surgical site infections (SSI) in patients undergoing major abdominal surgery.
Detailed description
This study evaluates associations between patients' core temperature during surgery and intra-operative blood loss, and to SSI. Additionally, the investigators observe the use of hypothermia prevention measures in operating theaters, use of surgical safety checklists. SSI is registered at discharge from hospital and up to 30 days post-discharge. The goal of the study is to contribute to focus on prevention of even mild hypothermia in surgery. This study is of interest for healthcare personnel as operating room nurses, surgeons, nurse anaesthetists, anaesthesiologists, ward nurses, post anaesthetic care unit nurses, and other healthcare staff involved in the in-hospital surgical pathway.
Interventions
OTHERPrevention of hypothermia
Patients are routinely warmed with forced air warming blankets, regular blankets, pre warmed intravenous fluid. Routines are ensured with use of the WHO Surgical Safety Checklist. The intervention is the use of operating theatre care measures to prevent mild hypothermia in surgical patients.
Sponsors
University College of Southeast Norway
Haukeland University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients (men or women) above 18 years, undergoing abdominal or gynecological surgery with laparotomy or laparoscopy.
Exclusion criteria
* Surgical procedures with intentional reduction of core temperature. Patients under the age of 18.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intra-operative blood loss (mL) in surgical patients | Within the surgical procedure | Bleeding that occur during the surgical procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peri-operative blood loss (registered by ICD-10 codes) | Within the duration of the surgical procedures, an average of 2.5 hours | Bleeding requiring blood transfusion peri-operatively |
| Number of patients with Surgical Site Infections after surgery | Up to 30 days after discharge from hospital | Post-operative surgical site infections present before discharge from hospital |
| Number of patients with Surgical Site Infection | Up to 30 days after discharge from hospital | Post-operative surgical site infection present after discharge from hospital |
| Days admitted in hospital | Hospital stay up to 13 days on average | Length of stay in hospital |
| Hours admitted in post operative care unit (PACU) | On average up to 14 hours | Length of stay in PACU |
Countries
Norway
Outcome results
None listed