Value of extended warming in patients undergoing elective surgery

Int Surg. 2015 Jan;100(1):105-8. doi: 10.9738/INTSURG-D-13-00155.1.

Abstract

Perioperative temperature management is imperative for positive surgical outcomes. This study assessed the clinical and wellbeing benefits of extending normothermia by using a portable warming gown. A total of 94 patients undergoing elective surgery were enrolled. They were randomized pre-operatively to either a portable warming gown or the standard warming procedure. The warming gown stayed with patients from pre-op to operating room to postrecovery room discharge. Core temperature was tracked throughout the study. Patients also provided responses to a satisfaction and comfort status survey. The change in average core temperature did not differ significantly between groups (P = 0.23). A nonsignificant 48% relative decrease in hypothermic events was observed for the extended warming group (P = 0.12). Patients receiving the warming gown were more likely to report always having their temperature controlled (P = 0.04) and significantly less likely to request additional blankets for comfort (P = 0.006). Clinical outcomes and satisfaction were improved for patients with extended warming.

Keywords: Hypothermia; Patient warming unit; Perioperative warming; Warming gown.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Body Temperature
  • Elective Surgical Procedures*
  • Female
  • Hospital Costs / statistics & numerical data
  • Hot Temperature / therapeutic use*
  • Humans
  • Hypothermia / diagnosis
  • Hypothermia / economics
  • Hypothermia / epidemiology
  • Hypothermia / etiology
  • Hypothermia / prevention & control*
  • Intraoperative Complications / diagnosis
  • Intraoperative Complications / economics
  • Intraoperative Complications / epidemiology
  • Intraoperative Complications / prevention & control*
  • Male
  • Michigan
  • Middle Aged
  • Patient Satisfaction
  • Perioperative Care / economics
  • Perioperative Care / methods*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / economics
  • Postoperative Complications / epidemiology
  • Postoperative Complications / prevention & control*
  • Protective Clothing* / economics
  • Treatment Outcome