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Decreased Body Temperature01:29

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Peri-operative warming devices: performance and clinical application.

M John1, J Ford, M Harper

  • 1Department of Anaesthesia, Guys & St Thomas' Hospital, London, UK.

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Summary

Peri-operative hypothermia is a risk, but new warming devices offer solutions. Forced-air warming is effective, while newer options like circulating water garments show promise for patient warming.

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Area of Science:

  • Anesthesiology
  • Medical Devices
  • Patient Safety

Background:

  • Accidental peri-operative hypothermia poses significant risks to patients.
  • The development of effective patient warming equipment is crucial in surgical settings.

Purpose of the Study:

  • To review and critique the evidence on peri-operative warming devices.
  • To guide clinicians in selecting appropriate warming equipment for their environments.

Main Methods:

  • Literature review of peri-operative warming technologies.
  • Comparative analysis of device performance based on existing evidence.

Main Results:

  • Forced-air warming is a well-tested and effective modality, superior to passive insulation and water mattresses.
  • Circulating water garments and negative pressure devices are emerging technologies with promising warming capabilities.
  • Device performance, especially for fluid warming, can vary significantly with flow rate.

Conclusions:

  • A variety of peri-operative warming devices are available, each with distinct advantages.
  • Informed clinical choices require understanding the evidence supporting different warming technologies.
  • Further evaluation of newer devices like circulating water garments is warranted.