In the fixed effect model , the warming group had significantly less pain and lower incidence of wound infection , compared with the no-warming group .
In the r and om effect model , the warming group was also associated with lower risk of post-anesthetic shivering .
Both in the r and om and the fixed effect models , the warming group was associated with significantly less blood loss .
Perioperative warming of surgical patients is effective in reducing postoperative wound pain , wound infection and shivering .
Systemic warming of the surgical patient is also associated with less perioperative blood loss through preventing hypothermia-induced coagulopathy .
OBJECTIVE The objective of this review was to systematic ally analyze the trials on the effectiveness of perioperative warming in surgical patients .
Active warming of critically ill trauma patients during intrahospital transfer: A prospective, randomized trial
ZusammenfassungHintergrundHypothermia ist ein oft beobachtbares Phänomen bei Traumapatienten während der Akutversorgung . Bekannte Komplikationen einer akzidentellen Hypothermie sind Wundheilungsstörungen , kardiale Komplikationen , hämodynamische Instabilität , Defizite i m Immunsystem und vermehrter Blutverlust . In der folgenden Studie verglichen wir passiv gewärmte vs. aktiv gewärmte Patienten auf dem Transport von einer Intensivstation zum CT . Method enDreißig Intensivpatienten wurden r and omisiert zur einer aktiv gewärmten Gruppe , abgedeckt mit einer Carbonfiberwärmedecke ( 42 ° C ) während des gesamtem Transport und zur einer passiv gewärmten Gruppe , die mit einer ausgeschalteten Carbonfiberdecke versorgt waren . In beiden Gruppen waren die Carbonfiberdecke mit konventionellen Wolldecken abgedeckt . Es wurden die Vitalparameter und die Körpertemperaturen gemessen . ErgebnisseDie Ausgangs date n der Patienten waren in beiden Gruppen vergleichbar . Die Ausgangstemperatur in Gruppe A war 36,4 ° C±0,2 ° C und blieb stabil bei 36,4 ° C±01 ° C , die Temperatur in Gruppe B startete bei 36,4 ° C±0,2 ° C und sank statistisch signifikant auf 34,7 ° C±0,6 ° C.SchlussfolgerungenDie Hypothermie ist ein gängiges Problem , wenn Patienten wegen der diagnostischen Maßnahme einen innerklinischen Transport benötigen . Das aktive Wärmen dieser Patienten während des Transports kann die Körpertemperatur stabil normotherm halten . We können daher zur Erhaltung der Normothermia das aktive Wärmen von Patienten während eines Transports empfehlen . Summary Objective Hypothermia in trauma victims is a frequently observed phenomenon in acute care . Known complications of hypothermia are impaired wound healing , cardiac complications , hemodynamic instability , impaired immune function and increased blood loss . We compared active warming versus passive warming in hypothermia in critical-care patients undergoing intrahospital transfer from ICU to computer tomography ( CT ) . Methods Thirty critically ill patients were r and omized either to an actively warmed group , covered with a carbon-fiber heating blanket ( set to 42 ° C ) during the entire transport including the time spent in the CT , or to a passively warmed group , covered with a carbon-fiber heating blanket ( switched off ) during the entire transport and in the CT . The carbon-fiber blanket was covered with a conventional wool blanket in both groups . Vital parameters and core temperatures were recorded . Results Patients ’ characteristics and vital parameters were similar in each treatment group . Initial average core temperature in group A was 36.4 ° C±0.2 ° C and remained stable at 36.4 ° C±0.1 ° C ; core temperature in group B started at 36.4 ° C±0.2 ° C but decreased to 34.7 ° C±0.6 ° C . Conclusions Hypothermia is common when critically ill trauma patients require intrahospital transport for diagnostic procedures . Resistive heating during intrahospital transport kept the core temperature stable and assured normothermia in all actively warmed patients . We therefore recommend active warming for critically ill trauma patients during intrahospital transport
In the fixed effect model , the warming group had significantly less pain and lower incidence of wound infection , compared with the no-warming group .
In the r and om effect model , the warming group was also associated with lower risk of post-anesthetic shivering .
Both in the r and om and the fixed effect models , the warming group was associated with significantly less blood loss .
Perioperative warming of surgical patients is effective in reducing postoperative wound pain , wound infection and shivering .
Systemic warming of the surgical patient is also associated with less perioperative blood loss through preventing hypothermia-induced coagulopathy .
OBJECTIVE The objective of this review was to systematic ally analyze the trials on the effectiveness of perioperative warming in surgical patients .