Clinical application of multidisciplinary team- and evidence-based practice project in gynecological patients with perioperative hypothermia

Table 3 Contents of the best evidence

Stage	Evidence
Preoperative ward	To educate patients on thermal insulation and matters needing attention before surgery
	To measure and record the patient’s axillary temperature before surgery
	To actively warm patients whose body temperature is below 36°C to 36°C and keep the patient warm during transfer
Preoperative preparation room	To assess the risk factors for hypothermia in patients
	To use a temperature monitoring equipment to measure and record the patient’s body temperature before anesthesia induction
	To preheat 10-30 min before anesthesia induction
	To use carbon fiber heating wire to actively and continuously warm patients with body temperature below 36°C to above 36°C
	To maintain the operating room temperature no less than 24°C, and to lower the temperature only when active heating is established
Intraoperative operating room	To adopt an effective comprehensive thermal insulation strategy after anesthesia and maintain the axillary temperature at least 36.5°C
	To expose the surgical area and cover the rest for thermal insulation
	The infusion pipeline is continuously heated to 37°C if the intravenous infusion volume is more than 500ml.
	To heat the washing solution with a thermostatic chamber to 38-40°C
	To perform continuous intraoperative monitoring and recording every 15 min
	To evaluate intraoperative risk factors and hypothermia symptoms and signs
Postanesthesia care unit	To measure the body temperature and record it every 15 min. Passive insulation is adopted if there is no hypothermia. Monitoring site: armpit
	To adjust the PACU ambient temperature to 24°C
	To evaluate the patient's thermal comfort level
	To actively warm patients whose body temperature is below 36°C to above 36°C
	To heat the intravenous fluids
	To provide heated and humidified oxygen therapy for patients
	To transfer the patient out of PACU only when her body temperature is ≥ 36°C
24-hour postoperative gynecological ward	To measure, monitor and record the body temperature every 4 h
	To cover to keep warm
	To educate family members thermal insulation methods: blankets, socks, clothes, raising the ambient temperature, hot water, etc.
	To continuously and actively warm patients below 36°C until they feel warm and comfortable, and to monitor and record every 30 min
	To evaluate the patient's thermal comfort level
	To pay close attention to patients' psychological changes, perceive their potential negative emotions such as anxiety and depression, and give timely relief and comfort
	To patiently answer any problems that may cause psychological distress to patients, and help them establish a positive attitude

PACU: Postanesthesia care unit.