The influence of environmental temperature (32 degrees C) on catabolism using the Clinitron fluidised bed

The metabolic response to injury can be modified by raising the environmental temperature to 32 degrees C. A prospective study using the Clinitron fluidised bed showed this to be a suitable alternative to a warm room. Overall total urinary nitrogen savings were significant (p less than 0.001) in a warm environment although individual patients showed some variation in the degree of response. Overall the trend is encouraging and merits further attention an investigation in severe injury.