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Effectiveness of cutaneous warming systems on temperature control: meta-analysis
Cristina Maria Galvão1, Yuanyuan Liang, Alexander M Clark
1Cristina Maria Galvão PhD RN Associate Professor College of Nursing, University of São Paulo, Brazil. crisgalv@eerp.usp.br
Journal of Advanced Nursing
|June 16, 2010
Summary
Circulating water garments provide superior temperature control during surgery compared to forced-air warming systems. Both methods are more effective than passive warming for preventing hypothermia.
Area of Science:
- Anesthesiology
- Perioperative Medicine
- Medical Devices
Background:
- Hypothermia is a significant surgical complication.
- Various cutaneous warming systems exist, but their comparative effectiveness is not well-established.
- This study addresses the lack of meta-analyses on warming system efficacy.
Purpose of the Study:
- To conduct a meta-analysis evaluating the effectiveness of different cutaneous warming systems.
- To compare temperature control in patients undergoing elective surgery using various warming methods.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials.
- Searched CINAHL, Medline, Embase, and Cochrane Register (2000-2009).
- Primary outcome: core body temperature.
Main Results:
- Forced-air warming showed better temperature control than passive insulation and radiant warming.
- Circulating water garments were more effective than forced-air warming systems.
- Results indicated clinically meaningful differences in temperature control.
Conclusions:
- Circulating water garments offer superior temperature control.
- Forced-air warming systems are more effective than passive warming devices.
- Evidence supports the use of active warming systems for surgical temperature management.
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