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Bair Hugger

Brett Pearce, Linda Mattheyse, Louise Ellard, Fiona Desmond, Param Pillai, Laurence Weinberg
Background: The avoidance of hypothermia is vital during prolonged and open surgery to improve patient outcomes. Hypothermia is particularly common during orthotopic liver transplantation (OLT) and associated with undesirable physiological effects that can adversely impact on perioperative morbidity. The KanMed WarmCloud (Bromma, Sweden) is a revolutionary, closed-loop, warm-air heating mattress developed to maintain normothermia and prevent pressure sores during major surgery. The clinical effectiveness of the WarmCloud device during OLT is unknown...
April 2018: Transplantation Direct
A D Rogers, M Saggaf, N Ziolkowski
BACKGROUND: Patients with extensive burn injuries are susceptible to a host of accompanying adverse effects should they develop perioperative hypothermia, which occurs in up to ¼ of all major burn cases. This quality improvement project aimed to reduce the incidence of perioperative hypothermia to below 10% of cases in patients with major burn (Total Body Surface Area [TBSA] >15%), within a one year period. METHODS: A baseline diagnostic phase was undertaken to provide a greater understanding of the incidence, natural history and risk factors of perioperative hypothermia...
March 7, 2018: Burns: Journal of the International Society for Burn Injuries
Raphael Okoué, Daniela Calabrese, Pascal Nzé, Simon Msika, Hawa Keita
BACKGROUND: Hypothermia is associated with an increased postoperative morbidity and mortality. Forced-air warming systems are the most effective methods for its prevention. When using a mattress, a reduction in the area of diffusion of warm air by crushing due to excess weight cannot be ruled out. METHODS: We designed a prospective study to compare the efficacy of a forced-air warming mattress (Bair Hugger® 585) to prevent hypothermia (core temperature (CT°) < 36 °C) in morbidly obese (group MO, body mass index (BMI) ≥ 40 kg/m2 ) and non-obese patients (group NO, BMI < 30 kg/m2 )...
January 11, 2018: Obesity Surgery
Raveesh Daniel Richard, Thomas R Bowen
BACKGROUND: Contaminated operating room surfaces can increase the risk of orthopaedic infections, particularly after procedures in which hardware implantation and instrumentation are used. The question arises as to how surgeons can measure surface cleanliness to detect increased levels of bioburden. This study aims to highlight the utility of adenosine triphosphate (ATP) bioluminescence technology as a novel technique in detecting the degree of contamination within the sterile operating room environment...
July 2017: Clinical Orthopaedics and related Research
Hira Irfan, Guo Shen Ooi, May M Kyin, Pei Ho
Ultrasonography is the primary tool for preoperative analysis of vein morphology for fistula creation in patients with end-stage renal disease. This study examines the effect of environmental temperature on the superficial vein size. Superficial veins of thirteen healthy volunteers were marked at three sites: cephalic vein in left lateral arm near cubital fossa, cephalic vein in left forearm at wrist, and basilic vein in left medial arm near cubital fossa. Mean diameters were recorded using ultrasound probe at 26°C and 43°C...
2016: International Journal of Chronic Diseases
Anders Morten Grejs, Jakob Gjedsted, Michael Pedersen, Hanne Birke-Sørensen, Andreas Rauff-Mortensen, Kristian Kjær Andersen, Hans Kirkegaard
The aim of this randomized porcine study was to compare surface targeted temperature management (TTM) to endovascular TTM evaluated by cerebral diffusion-weighted magnetic resonance imaging (MRI): apparent diffusion coefficient (ADC), and by intracerebral/intramuscular microdialysis. It is well known that alteration in the temperature affects ADC, but the relationship between cerebral ADC values and the cooling method per se has not been established. Eighteen anesthetized 60-kg female swine were hemodynamically and intracerebrally monitored and subsequently subjected to a baseline MRI...
December 2016: Therapeutic Hypothermia and Temperature Management
Angela C Gauthier, Imran H Quraishi, Richard H Mattson
Clobazam, a 1,5-benzodiazepine FDA-approved in 2011, is commonly used to treat anxiety and epilepsy. It has not associated with hypothermia until very recently, in a case report involving two pediatric patients. Here, we report the first case of hypothermia development in an adult patient with epilepsy associated with clobazam use. A couple months after starting clobazam, the patient started developing episodes of hypothermia every several weeks, with temperatures ranging from 90 °F-95 °F. Normothermia was achieved with Bair Hugger therapy...
2016: Epilepsy & Behavior Case Reports
Kushaharan Sathianathan, Ravindranath Tiruvoipati, Sanjiv Vij
AIM: To identify patient, cardiac arrest and management factors associated with hospital survival in comatose survivors of cardiac arrest. METHODS: A retrospective, single centre study of comatose patients admitted to our intensive care unit (ICU) following cardiac arrest during the twenty year period between 1993 and 2012. This study was deemed by the Human Research Ethics Committee (HREC) of Monash Health to be a quality assurance exercise, and thus did not require submission to the Monash Health HREC (Research Project Application, No...
February 4, 2016: World Journal of Critical Care Medicine
Nancy H Goodbar, Jaime A Foushee, Kathryn Nash, Lindsey A Connolly, L Markie Webster
PURPOSE: To report a case of hypothermia in a patient with intellectual disability treated with thioridazine. SUMMARY: A 59-year-old female presented to the emergency department with altered mental status, generalized weakness, chills, and fatigue and was diagnosed with a urinary tract infection. Upon completion of a history and physical examination, the patient was found to be hypothermic with a temperature of 91 F. A Bair Hugger protocol was initiated to manage hypothermia, and a taper schedule for thioridazine was initiated as it was identified as a possible culprit for the patient's hypothermia...
June 2016: Journal of Pharmacy Practice
Lydia Triffterer, Peter Marhofer, Irene Sulyok, Maya Keplinger, Stefan Mair, Markus Steinberger, Wolfgang Klug, Oliver Kimberger
BACKGROUND: Perioperative hypothermia is a common problem, challenging the anesthesiologist and influencing patient outcome. Efficient and safe perioperative active warming is therefore paramount; yet, it can be particularly challenging in pediatric patients. Forced-air warming technology is the most widespread patient-warming option, with most forced-air warming systems consisting of a forced-air blower connected to a compressible, double layer plastic and/or a paper blanket with air holes on the patient side...
January 2016: Anesthesia and Analgesia
Cheryl Tveit, John Belew, Cindy Noble
A quality improvement project intended to promote maintenance of normothermia through active prewarming was carried out at a pediatric specialty hospital. An alternative active, forced-air warming product (Bair Paws warming gowns) was trialed in place of the existing active warming product (Bair Hugger blankets). Converting to the new product was intended to improve patient and staff compliance with prewarming recommendations. The alternative forced air active warming product was favored by both staff and patients, and the rate of compliance with this practice nearly doubled following the change in product...
February 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Lindsay L Occhipinti, Joe G Hauptman, Justin J Greco, Stephen J Mehler
This pilot study determined the rate of bacterial contamination on surgical drapes of small animal patients warmed intra-operatively with the Bair Hugger(®) forced air warming system compared to a control method. Surgical drapes of 100 patients undergoing clean surgical procedures were swabbed with aerobic culturettes at the beginning and end of surgery. Samples were cultured on Trypticase soy agar. Contamination of the surgical drapes was identified in 6/98 cases (6.1%). There was no significant difference in the number of contaminated surgical drapes between the Bair Hugger(®) and control groups (P = 0...
December 2013: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
Mike Reed, Oliver Kimberger, Paul D McGovern, Mark C Albrecht
Forced-air warming devices are effective for the prevention of surgical hypothermia. However, these devices intake nonsterile floor-level air, and it is unknown whether they have adequate filtration measures to prevent the internal buildup or emission of microbial contaminants. We rated the intake filtration efficiency of a popular current-generation forced-air warming device (Bair Hugger model 750, Arizant Healthcare) using a monodisperse sodium chloride aerosol in the laboratory. We further sampled 23 forced-air warming devices (same model) in daily hospital use for internal microbial buildup and airborne-contamination emissions via swabbing and particle counting...
August 2013: AANA Journal
K B Dasari, M Albrecht, M Harper
Forced-air warming exhaust may disrupt operating theatre airflows via formation of convection currents, which depends upon differences in exhaust and operating room air temperatures. We investigated whether the floor-to-ceiling temperatures around a draped manikin in a laminar-flow theatre differed when using three types of warming devices: a forced-air warming blanket (Bair Hugger™); an over-body conductive blanket (Hot Dog™); and an under-body resistive mattress (Inditherm™). With forced-air warming, mean (SD) temperatures were significantly elevated over the surgical site vs those measured with the conductive blanket (+2...
March 2012: Anaesthesia
Britt-Marie Kjellman, Mats Fredrikson, Gunilla Glad-Mattsson, Folke Sjöberg, Fredrik Rm Huss
BACKGROUND: Hypothermia in burns is common and increases morbidity and mortality. Several methods are available to reach and maintain normal core body temperature, but have not yet been evaluated in critical care for burned patients. Our unit's ordinary technique for controlling body temperature (Bair Hugger®+ radiator ceiling + bed warmer + Hotline®) has many drawbacks e.g.; slow and the working environment is hampered.The aim of this study was to compare our ordinary heating technique with newly-developed methods: the Allon™2001 Thermowrap (a temperature regulating water-mattress), and Warmcloud (a temperature regulating air-mattress)...
July 7, 2011: Annals of Surgical Innovation and Research
G Röder, D I Sessler, G Roth, C Schopper, E J Mascha, O Plattner
Resistive heating is an alternative to forced-air warming which is currently the most commonly used intra-operative warming system. We therefore tested the hypothesis that rewarming rates are similar with Hot Dog(®) (Augustine Biomedical) resistive and Bair Hugger(®) (Arizant) forced-air heating systems. We evaluated 28 patients having major maxillary tumour surgery. During the establishment of invasive monitoring, patients became hypothermic, dropping their core temperature to about 35 °C. They were then randomly assigned to rewarming with lower-body resistive (n = 14) or forced-air (n = 14) heating, with each system set to 'high'...
August 2011: Anaesthesia
B A Aksel'rod, N A Trekova, V A Guleshov, I A Tolstova, D A Gus'kov, M A Babaev
The study was undertaken to compare various methods to maintain a patient's body temperature and to evaluate their impact on microcirculation during myocardial revascularization under normothermal extracorporeal circulation (NTEC). The study enrolled 50 patients with NYHA Functional Classes III-IV coronary heart disease, who underwent aortocoronary bypass surgery under NTEC. A HICO-AQUATHERM 660 water-warming unit (Hirtz, Germany) was used in Group 1 patients (n=30). A Bair Hugger air-warming unit (Arizant, U...
September 2010: Anesteziologiia i Reanimatologiia
Eila A Hirvonen, Minnaliisa Niskanen
BACKGROUND AND OBJECTIVE: Unintentional hypothermia of a patient is a common adverse effect during surgical procedures. Many strategies can be used to reduce heat loss. The aim of this prospective, randomised, controlled study was to determine whether the use of the thermal suit (T-Balance) could prevent surgical patients from experiencing thermal loss better than conventional measures. METHODS: We examined a group of consecutive patients undergoing transurethral resection of the prostate under spinal anaesthesia...
May 2011: European Journal of Anaesthesiology
Mark Albrecht, Robert L Gauthier, Kumar Belani, Mark Litchy, David Leaper
BACKGROUND: Forced-air warming (FAW) is widely used to prevent hypothermia during surgical procedures. The airflow from these blowers is often vented near the operative site and should be free of contaminants to minimize the risk of surgical site infection. Popular FAW blowers contain a 0.2-μm rated intake filter to reduce these risks. However, there is little evidence that the efficiency of the intake filter is adequate to prevent airborne contamination emissions or protect the internal air path from microbial contamination buildup...
May 2011: American Journal of Infection Control
Paul B Allen, Steven W Salyer, Michael A Dubick, John B Holcomb, Lorne H Blackbourne
BACKGROUND: The purpose of this study was to develop an in vitro torso model constructed with fluid bags and to determine whether this model could be used to differentiate between the heat prevention performance of devices with active chemical or radiant forced-air heating systems compared with passive heat loss prevention devices. METHODS: We tested three active (Hypothermia Prevention Management Kit [HPMK], Ready-Heat, and Bair Hugger) and five passive (wool, space blankets, Blizzard blankets, human remains pouch, and Hot Pocket) hypothermia prevention products...
July 2010: Journal of Trauma
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