Impact of a Global Warming Strategy of the Patient on the Prevalence of Hypothermia in the Recovering Room
NCT Number: NCT06551558
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Hypothermia; Anesthesia|Perioperative/Postoperative Complications
Interventions: OTHER: global warming|OTHER: per operative warming
Sponsor: Poitiers University Hospital
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 174
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2024-09
Completion Date: 2026-09

Summary:
50% of patients are hypothermic when they arrive in the recovery room. This hypothermia is potentially at risk for the patient (increases bleeding, risk of infection, risk of cardiac involvement, morbid mortality) and 33,2% steel hypothermic when they discharge from the recovering room. The anesthesia team must prevent these risks through prevention and treatment measures. Currently the majority of patient warming is done only in the operating room, we want to measure the impact of the extension of this warming before and after the surgery on the patient's temperature and on side effects related to hypothermia.

Primary Outcome Measures: Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the prevalence of hypothermia at the exit of Interventional for patients who underwent laparoscopic visceral surgery., Proportion of patients with hypothermia after discharge of recovering room. Hypothermia is defined as a body temperature \< 36°C., 1 day
Secondary Outcome Measures: Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the average total mechanical ventilation time, it is the time between intubation and extubation, expressed in minutes., 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the average thermal comfort of preoperative patients, on arrival in the pre- anesthesia room, evaluated by the Likert scale, ranging from 0 for discomfort too cold with strong chills to 4 for discomfort too hot with sweat with optimal comfort to 2 (self-assessment), 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per- operative warming, the average thermal comfort of preoperative patients, on arrival in the recovering room, every 15minutes until discharge, evaluated by the Likert scale, ranging from 0 for discomfort too cold with strong chills to 4 for discomfort too hot with sweat with optimal comfort to 2 (self-assessment)., 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the proportion of patients in intraoperative hypothermia, number of patient with body temperature under 36°C between arrival in pre-operative room and discharge of operating room, 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, The average time spent below 36°C (mild hypothermia), expressed in minutes., 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, The average time spent below 35°C (moderate hypothermia), expressed in minutes., 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, The average time spent below 34°C (severe hypothermia), expressed in minutes., 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, The lowest average temperature reached in °C over the entire management, the lowest temperture between arrival in the pre-anaesthesia room and exit from recovering room, 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, The proportion of hypothermic patients arriving in recovering room, number of patient with a temperature below 36°C, 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, The average duration of oxygen therapy, calculated from the introduction of oxygen therapy until its withdrawal in post extubation, regardless of the time of implementation or cessation before resumption of treatment (failure to withdraw oxygen therapy will not be considered), expressed in minutes., 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, Post-intervention complications in recovering room, the average number of Nausea or Vomiting Postoperative, number of patient with Nausea or Vomiting in recovering room evaluated every 15 minutes until discharge, 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, Post-intervention complications in recovering room, the average number of chills, number of chills during post-operative monitoring by a Likert scale, 1 day|Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, Post-intervention complications in recovering room, the average number of stirring phase presence, number of stirring phase evaluated every 15 minutes until discharge, 1 day|The average amount of blood loss per operation, blood loss measured from the time of entry into the operating theatre to the exit from the operating theatre expressed in millilitres., 1 day|The average of immediate post-operative blood loss, blood loss measured in recovering room expressed in millilitres, 1 day|The general average of the thermal variation, the difference between the patient's lowest and highest temperature between their arrival in the pre-anaesthesia room and their exit from recovering room, expressed in degrees Celsius, 1 day|The average of thermal variation in pre operative, the difference between the lowest and highest temperature of the patient between the arrival in the waiting room of the operating room and the arrival in the operating room, expressed in degrees Celsius, 1 day|The average thermal variation in per operative, the difference between the lowest and highest temperature of the patient between the arrival and exit of the operating room, expressed in degrees Celsius, 1 day|the average thermal variation in post operative, the difference between the lowest and highest temperature of the patient between arrival in and validation exit criteria of recovering room,expressed in degrees Celsius, 1 day|The average length of stay in recovering room, difference between the time of arrival in recovering room and the time of obtaining the exit criteria , expressed in minutes., 1 day