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"Forced air warming" infection

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https://www.readbyqxmd.com/read/28931363/a-guideline-based-policy-to-decrease-intensive-care-unit-admission-rates-for-accidental-hypothermia
#1
Herman R Sequeira, Hesham E Mohamed, Neal Hakimi, Dorothy B Wakefield, Jonathan Fine
RATIONALE: Despite guidelines advising passive rewarming for mild accidental hypothermia (AH), patients are frequently admitted to intensive care unit (ICU) for active rewarming using a forced-air warming device. We implemented a new policy at our institution aimed at safely reducing ICU admissions for AH. We analyzed our practice pre- and post-policy intervention and compared our experiences with acute care hospitals in Connecticut. METHODS: A retrospective chart review was performed on 203 participants with AH identified by primary and secondary discharge codes...
January 1, 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28930905/effectiveness-of-early-warming-with-self-warming-blankets-on-postoperative-hypothermia-in-total-hip-and-knee-arthroplasty
#2
Baris B Koc, Martijn G M Schotanus, Jean-Paul A P A C Kollenburg, Maurice J A Janssen, Fabian Tijssen, Edwin J P Jansen
BACKGROUND: Hypothermia is an important complication in joint arthroplasty. Commonly, forced air warming (FAW) devices are used intraoperatively to maintain body temperature in patients undergoing surgery. However, it is believed that these convective warming systems could increase the risk of deep surgical site infections due to disruption of unidirectional downward laminar airflow. Conductive warming devices have no noticeable effect on ventilation airflow. Nevertheless, the effectiveness of the self-warming (SW) blanket, a novel conductive warming device, on postoperative hypothermia in elective joint arthroplasty is unknown...
September 2017: Orthopaedic Nursing
https://www.readbyqxmd.com/read/28713524/forced-air-warming-discontinued-periprosthetic-joint-infection-rates-drop
#3
REVIEW
Scott D Augustine
Several studies have shown that the waste heat from forced-air warming (FAW) escapes near the floor and warms the contaminated air resident near the floor. The waste heat then forms into convection currents that rise up and contaminate the sterile field above the surgical table. It has been shown that a single airborne bacterium can cause a periprosthetic joint infection (PJI) following joint replacement surgery. We retrospectively compared PJI rates during a period of FAW to a period of air-free conductive fabric electric warming (CFW) at three hospitals...
June 23, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/28658172/effect-of-an-electric-blanket-plus-a-forced-air-warming-system-for-children-with-postoperative-hypothermia-a-randomized-controlled-trial
#4
RANDOMIZED CONTROLLED TRIAL
Xiaohui Liu, Yufang Shi, Chunguang Ren, Xia Li, Zongwang Zhang
BACKGROUND: Postoperative hypothermia in children in postanesthesia care unit (PACU) is a well-known serious complication as it increases the risk of blood loss, wound infections, and cardiac arrhythmias. We conducted this prospective randomized controlled trial to evaluate the effect of an electric blanket plus a forced-air warming system on rewarming in children with postoperative hypothermia. METHODS: We recruited 346 children (aged < 3 years) who were admitted to a PACU after surgery and diagnosed with hypothermia between March and August 2016...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28416968/safety-and-efficacy-of-resistive-polymer-versus-forced-air-warming-in-total-joint-surgery
#5
Melanie F Sandoval, Paul D Mongan, Michael R Dayton, Craig A Hogan
BACKGROUND: Forced-air warming is used as a mechanism to prevent hypothermia and adverse outcomes associated with hypothermia among patients undergoing surgery. Patient safety in healthcare includes the use of devices and technology that minimize potential adverse events to patients. The present study sought to compare the capabilities of patient warming between two different devices that use different mechanisms of warming: forced-air warming and non-air warming. METHODS: One hundred twenty patients undergoing total hip or total knee arthroplasty received patient warming via a forced warming device or non-air warming fabric conductive material...
2017: Patient Safety in Surgery
https://www.readbyqxmd.com/read/27935780/forced-air-warmers-and-surgical-site-infections-in-patients-undergoing-knee-or-hip-arthroplasty
#6
Paul N Austin
The majority of the evidence indicates preventing inadvertent perioperative hypothermia reduces the incidence of many perioperative complications. Among the results of inadvertent perioperative hypothermia are increased bleeding, myocardial events, impaired wound healing, and diminished renal function. Most researchers agree there is an increased incidence of surgical site infections in patients who experience inadvertent perioperative hypothermia. Forced-air warming is effective in preventing inadvertent perioperative hypothermia...
January 2017: Annual Review of Nursing Research
https://www.readbyqxmd.com/read/27825917/intraoperative-hypothermia-and-surgical-site-infections-in-patients-with-class-i-clean-wounds-a-case-control-study
#7
Michael J Brown, Timothy B Curry, Joseph A Hyder, Elie F Berbari, Mark J Truty, Darrell R Schroeder, Andrew C Hanson, Daryl J Kor
BACKGROUND: Numerous surgical quality metrics focus on prevention of unintentional perioperative hypothermia due, in part, to the association between hypothermia and surgical site infections (SSI). However, few studies have comprehensively evaluated the relationship between these metrics and SSI. In this study, we evaluated individual components of 1 set of hypothermia metrics to determine their association with SSI. STUDY DESIGN: Patients with clean (class I) wounds who developed an SSI within 30 days after surgery, from January 2003 to December 2012, in 1 of 5 surgical specialties, were matched to specialty-specific controls without SSI...
February 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27546475/reflective-blankets-are-as-effective-as-forced-air-warmers-in-maintaining-patient-normothermia-during-hip-and-knee-arthroplasty-surgery
#8
Clarissa Tjoakarfa, Vikram David, Atlas Ko, Raphael Hau
BACKGROUND: The use of forced air warming devices in the operating room has been shown to cause disruption of laminar airflow and a potential for increase in surgical site contamination. In contrast, conductive warming devices such as reflective blankets do not disrupt airflow and therefore have no potential for this increase in surgical site infection. However, some studies have shown them to be inferior to forced air warming devices in maintaining normothermia. We tested the hypothesis that the use of reflective blankets is as effective as forced air warming devices in maintaining intraoperative normothermia after adequate prewarming...
February 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27442052/effect-of-prewarming-during-induction-of-anesthesia-on-microvascular-reactivity-in-patients-undergoing-off-pump-coronary-artery-bypass-surgery-a-randomized-clinical-trial
#9
RANDOMIZED CONTROLLED TRIAL
Youn Joung Cho, Seo Yun Lee, Tae Kyong Kim, Deok Man Hong, Yunseok Jeon
BACKGROUND: General anesthesia may induce inadvertent hypothermia and this may be related to perioperative cardiovascular complications. Microvascular reactivity, measured by the recovery slope during a vascular occlusion test, is decreased during surgery and is also related to postoperative clinical outcomes. We hypothesized that microvascular changes during surgery may be related to intraoperative hypothermia. To evaluate this, we conducted a randomized study in patients undergoing off-pump coronary artery bypass surgery, in which the effect of prewarming on microvascular reactivity was evaluated...
2016: PloS One
https://www.readbyqxmd.com/read/27312044/preoperative-warming-and-undesired-surgical-and-anesthesia-outcomes-in-pediatric-spinal-surgery-a-retrospective-cohort-study
#10
Matthias Görges, Nicholas C West, Wesley Cheung, Guohai Zhou, Firoz Miyanji, Simon D Whyte
BACKGROUND: Underbody forced air warming is a method commonly used for intraoperative temperature maintenance in children. We previously reported that preoperative forced air warming of children undergoing spinal surgery substantially reduces the incidence and duration of intraoperative hypothermia (<36°C). OBJECTIVE: The aim of this study was to evaluate the effects of preoperative warming before spinal deformity surgery on surgical site infection rate, length of hospitalization, and bleeding (estimated blood loss and incidence of cell salvaged and/or allogeneic packed red blood cell transfusions)...
September 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27221217/forced-air-warming-to-maintain-normothermia-during-sedation-in-the-cardiac-catheterization-laboratory-protocol-for-the-thermised-pilot-randomized-controlled-trial
#11
Aaron Conway, Jed Duff
AIM: To determine whether applying forced air warming attenuates the impact of sedation-induced impairment of thermoregulation on body temperature of patients who are sedated during interventional procedures in the cardiac catheterization laboratory. BACKGROUND: A moderate proportion of sedated patients who undergo procedures in the cardiac catheterization laboratory with only passive warming become hypothermic. Hypothermia in the surgical population is associated with increased risk of adverse cardiac events, infections, thrombotic and haemorrhagic complications and prolonged hospital stay...
October 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27098439/active-body-surface-warming-systems-for-preventing-complications-caused-by-inadvertent-perioperative-hypothermia-in-adults
#12
REVIEW
Eva Madrid, Gerard Urrútia, Marta Roqué i Figuls, Hector Pardo-Hernandez, Juan Manuel Campos, Pilar Paniagua, Luz Maestre, Pablo Alonso-Coello
BACKGROUND: Inadvertent perioperative hypothermia is a phenomenon that can occur as a result of the suppression of the central mechanisms of temperature regulation due to anaesthesia, and of prolonged exposure of large surfaces of skin to cold temperatures in operating rooms. Inadvertent perioperative hypothermia has been associated with clinical complications such as surgical site infection and wound-healing delay, increased bleeding or cardiovascular events. One of the most frequently used techniques to prevent inadvertent perioperative hypothermia is active body surface warming systems (ABSW), which generate heat mechanically (heating of air, water or gels) that is transferred to the patient via skin contact...
April 21, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25237035/infection-control-hazards-associated-with-the-use-of-forced-air-warming-in-operating-theatres
#13
REVIEW
A M Wood, C Moss, A Keenan, M R Reed, D J Leaper
A review is presented of the published experimental and clinical research into the infection control hazards of using forced air-warming (FAW) in operating theatres to prevent inadvertent hypothermia. This evidence has been reviewed with emphasis on the use of ultra-clean ventilation, any interaction it has with different types of patient warming (and FAW in particular), and any related increased risk of surgical site infection (SSI). We conclude that FAW does contaminate ultra-clean air ventilation; however, there appears to be no definite link to an increased risk of SSI based on current research...
November 2014: Journal of Hospital Infection
https://www.readbyqxmd.com/read/24597006/preoperative-forced-air-warming-combined-with-intraoperative-warming-versus-intraoperative-warming-alone-in-the-prevention-of-hypothermia-during-gynecologic-surgery
#14
Melissa Bucci Adriani, Nancy Moriber
Hypothermia in the perioperative setting can have serious consequences, including increased risk of infection or adverse cardiac events. Forced-air warming units commonly are used to prevent hypothermia. This study examined the impact of adding preoperative warming (Bair Paws, 3M) to conventional intraoperative forced-air warming modalities. Thirty patients received both preoperative and intraoperative forced-air warming, and 30 patients received intraoperative warming alone. Temperature readings were recorded across 3 time periods: preoperative, intraoperative, and postoperative...
December 2013: AANA Journal
https://www.readbyqxmd.com/read/24133849/forced-air-warming-design-evaluation-of-intake-filtration-internal-microbial-buildup-and-airborne-contamination-emissions
#15
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
https://www.readbyqxmd.com/read/24075332/forced-air-warming-devices-and-the-risk-of-surgical-site-infections
#16
Melissa D Kellam, Loraine S Dieckmann, Paul N Austin
The potential that forced-air warming systems may increase the risk of surgical site infections (SSIs) by acting as a vector or causing unwanted airflow disturbances is a concern to health care providers. To investigate this potential, we examined the literature to determine whether forced-air warming devices increase the risk of SSIs in patients undergoing general, vascular, or orthopedic surgical procedures. We examined 192 evidence sources, 15 of which met our inclusion criteria. Most sources we found indirectly addressed the issue of forced-air warming and only three studies followed patients who were warmed intraoperatively with forced-air warming devices to determine whether there was an increased incidence of SSIs...
October 2013: AORN Journal
https://www.readbyqxmd.com/read/23738627/a-retrospective-audit-to-examine-the-effectiveness-of-preoperative-warming-on-hypothermia-in-spine-deformity-surgery-patients
#17
Matthias Görges, J Mark Ansermino, Simon D Whyte
BACKGROUND: Hypothermia (core body temperature <36°C) during surgery has been associated with surgical site infection, a major risk in all spine deformity surgeries. Forced air warming is an important method of intraoperative temperature maintenance in children. In mid-2010, we empirically introduced preoperative warming as a strategy to reduce intraoperative hypothermia. OBJECTIVE: We report the prevalence and extent of hypothermia during spine deformity surgeries at our institution and evaluate the effect of the introduction of preoperative warming...
November 2013: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/23687669/forced-air-warming-and-surgical-site-infections-our-review-finds-insufficient-evidence-to-support-changes-in-current-practice
#18
REVIEW
(no author information available yet)
No abstract text is available yet for this article.
April 2013: Health Devices
https://www.readbyqxmd.com/read/23452697/effect-of-preoperative-forced-air-warming-on-postoperative-temperature-and-postanesthesia-care-unit-length-of-stay
#19
RANDOMIZED CONTROLLED TRIAL
Sondra Fettes, Mary Mulvaine, Elaine Van Doren
Unintended hypothermia in the surgical patient has been linked to numerous postoperative complications, including increased risk for surgical site infection, increased oxygen demands, and altered medication metabolism. The lack of literature on the subject was part of the impetus for perioperative nurses in one hospital to conduct a quality improvement project to evaluate the effectiveness of preoperative warming on patients' postoperative temperatures. We randomly assigned 128 patients to either a group that received a forced-air warming blanket preoperatively or a group that did not...
March 2013: AORN Journal
https://www.readbyqxmd.com/read/23452695/the-safe-and-efficient-use-of-forced-air-warming-systems
#20
Xuelei Wu
Maintaining perioperative normothermia is important to ensure that a patient does not experience inadvertent hypothermia and its consequences, such as increased blood loss, cardiac abnormalities, prolonged recovery, and increased risk for wound infection. Many clinical guidelines recommend the use of forced-air warming as one of several techniques to prevent inadvertent perioperative hypothermia. Safe use of forced-air warming devices includes choosing the right device, assessing the patient for risks, protecting the patient from burn injuries, appropriately maintaining the patient's body temperature, and using the device as directed by the manufacturer's recommendations...
March 2013: AORN Journal
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