Cost‐effectiveness of forced air warming during sedation in the cardiac catheterisation laboratory

Conway, Aaron; Duff, Jed; Sutherland, Joanna

doi:10.1111/jan.13707

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Studies investigating the effect of heating on thermal comfort in the preoperative, intraoperative, and postoperative periods (12,24,29), in both preoperative and intraoperative periods and intraoperative periods (30,31) have determined that heating increases thermal comfort. Another study has demonstrated that heating with gowns blowing warm air increases the thermal comfort level in patients undergoing cardiac catheterization under sedation (32). This study is similar to the findings in the literature that active heating increases thermal comfort.…”

Section: Thermal Comfort Levelsupporting

confidence: 88%

Effect of Active and Passive Heating Methods Used in Different Areas of Perioperative Processes on Thermal Comfort and Anxiety: A Randomized Control Trial

Tuna¹,

Kurşun²,

Kara³

2022

Journal of Basic and Clinical Health Sciences

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This study was aim to determine the effects of active and passive heating methods applied in different parts of the perioperative process on thermal comfort, anxiety, and vital signs. Design: This study is a randomized, pretest-posttest controlled experimental design. The study was conducted with patients admitted for open abdominal surgery between October 1, 2018 and January 10, 2019. Methods: Patients were randomly allocated into three groups as follows: Group A (n = 33), Group B (n = 33), and Group C (control group; n = 33). Intervention Group A and B gowns blowing warm air were used as intervention tools. Active heating was applied to the intervention group. Procedural care (Group C) received routine hospital care. Passive heating was applied to the procedural group. Vital signs, thermal comfort, and anxiety levels of the patients were evaluated. Results: Compared to those in Group B, for patients in Group A, the thermal comfort levels were higher and the anxiety levels were lower. The highest body temperature was seen in the patients in Group A. No difference was noted in blood pressure values between the groups. The pulse values of the patients in Groups A and B were significantly lower. Conclusion:The use of gowns blowing warm air had a positive effect on the patients' anxiety, thermal comfort, and vital signs. In future studies, we suggest investigating vital signs and anxiety for different heating techniques and different sample groups.

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Section: Thermal Comfort Levelsupporting

confidence: 88%

Effect of Active and Passive Heating Methods Used in Different Areas of Perioperative Processes on Thermal Comfort and Anxiety: A Randomized Control Trial

Tuna¹,

Kurşun²,

Kara³

2022

Journal of Basic and Clinical Health Sciences

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“…It is also important to note that analgo-sedation can redistribute blood volume towards the body's periphery, thereby lowering core temperature. While involving some additional costs [19], forced air warming during cardiac catheterization is advisable, at least prior to and after the procedure (paused during the intervention given the potential interference with electrocardiogram monitoring) [20].…”

Section: General Considerationsmentioning

confidence: 99%

Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Reid

Meineri

Riva

et al. 2021

Current Opinion in Anaesthesiology

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Purpose of reviewThe share of cardiac procedures performed in settings involving nonoperating room anaesthesia (NORA) continues to grow rapidly, and the number of publications related to anaesthetic techniques in cardiac catheterization laboratories is substantial. We aim to summarize the most recent evidence about outcomes related to type of anaesthetic in minimally invasive cardiac procedures. Recent findingsThe latest studies, primarily focused on transcatheter aortic valve replacement (TAVR) and transcatheter mitral valve repair (TMVr), demonstrate the need for reliable monitoring and appropriate training of the interdisciplinary teams involved in this high-risk NORA setting.

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Analysis of hospital and payer costs of care: aggressive warming versus routine warming in abdominal major surgery

Song,

Pei,

Chen

et al. 2023

Front. Public Health

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BackgroundHypothermia is common and active warming is recommended in major surgery. The potential effect on hospitals and payer costs of aggressive warming to a core temperature target of 37°C is poorly understood.MethodsIn this sub-analysis of the PROTECT trial (clinicaltrials.gov, NCT03111875), we included patients who underwent radical procedures of colorectal cancer and were randomly assigned to aggressive warming or routine warming. Perioperative outcomes, operation room (OR) scheduling process, internal cost accounting data from the China Statistical yearbook (2022), and price lists of medical and health institutions in Beijing were examined. A discrete event simulation (DES) model was established to compare OR efficiency using aggressive warming or routine warming in 3 months. We report base-case net costs and sensitivity analyses of intraoperative aggressive warming compared with routine warming. Costs were calculated in 2022 using US dollars (USD).ResultsData from 309 patients were analyzed. The aggressive warming group comprised 161 patients and the routine warming group comprised 148 patients. Compared to routine warming, there were no differences in the incidence of postoperative complications and total hospitalization costs of patients with aggressive warming. The potential benefit of aggressive warming was in the reduced extubation time (7.96 ± 4.33 min vs. 10.33 ± 5.87 min, p < 0.001), lower incidence of prolonged extubation (5.6% vs. 13.9%, p = 0.017), and decreased staff costs. In the DES model, there is no add-on or cancelation of operations performed within 3 months. The net hospital costs related to aggressive warming were higher than those related to routine warming in one operation (138.11 USD vs. 72.34 USD). Aggressive warming will have an economic benefit when the OR staff cost is higher than 2.37 USD/min/person, or the cost of disposable forced-air warming (FAW) is less than 12.88 USD/piece.ConclusionDespite improving OR efficiency, the economic benefits of aggressive warming are influenced by staff costs and the cost of FAW, which vary from different regions and countries.Clinical trial registrationclinicaltrials.gov, identifier (NCT03111875).

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Cost‐effectiveness of forced air warming during sedation in the cardiac catheterisation laboratory

Cited by 3 publications

References 19 publications

Effect of Active and Passive Heating Methods Used in Different Areas of Perioperative Processes on Thermal Comfort and Anxiety: A Randomized Control Trial

Effect of Active and Passive Heating Methods Used in Different Areas of Perioperative Processes on Thermal Comfort and Anxiety: A Randomized Control Trial

Anaesthesia for minimally invasive cardiac procedures in the catheterization lab

Analysis of hospital and payer costs of care: aggressive warming versus routine warming in abdominal major surgery

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