Prevention of Spinal-Induced Hypothermia in Cesarean Section Patients; a Quality Improvement Project

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Vincent Pareja (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Vadim Korogoda

Abstract: Aim: To provide certified registered nurse anesthetists (CRNAs) an educational intervention on intraoperative multimodal active warming techniques in non-emergent Cesarean section (CS) patients undergoing spinal anesthesia (SA), assess provider utilization, and patient outcomes.Materials & Methods: This project was a quantitative quality improvement educational intervention with a pre and post-intervention survey. The educational intervention addressed current evidence based research in reducing post-spinal anesthesia hypothermia and improving patient outcomes, while the surveys assessed utilization of multimodal active warming and barriers to change.Results: Findings included an increased utilization of multimodal active warming use after the educational intervention (p = 0.0004) and decreased reported incidence of parturients feeling cold and shivering (p = 0.0014 and p = 0.0004, respectively). Provider-reported patient outcomes improved after increased utilization of multimodal active warming.Conclusion: An educational intervention is effective in increasing the utilization of multimodal active warming in non-emergent CS patients undergoing SA.

Prevention of Spinal-Induced Hypothermia in Cesarean Section Patients; a Quality Improvement Project
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Created on 2/16/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

cesarean delivery, spinal anesthesia, obstetric anesthesia, multimodal active warming, forced air warming, intravenous fluid warming

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