Incidence and Timing of Hypothermia in Trauma Patients Undergoing Operations

Systematic Review of Evidence-Based in Beneficial Preventing Hypothermia for Adult Trauma Patients in Accident.

“…However some other studies have showed that the infusion fluid temperature was noticed, for the first time, to be a significant risk factor for the onset of hypothermia (33,34) . The temperature of the fluid infused on resuscitation of 75% of the patients with hypothermia on arrival at hospital was below 21°C and close to air temperature.…”

“…Both severe head injury and hypovolemic shock affect body temperature regulation. Although protecting the victim from the cold or warming them, whether passively or actively, might have a positive effect on body temperature, treatment such as vascular filling might impact negatively (15) .…”

Active Intravascular Rewarming for Hypothermia Associated with Traumatic Injury: Early Experience with a New Technique

“…Reports from other trauma centers indicate that, depending on climate, up to 40% of critically injured trauma patients may arrive at the hospital hypothermic, and the degree of hypothermia correlates well with the magnitude of injury (3)(4)(5). A large percentage of severely injured patients acutely undergo some type of invasive procedure, putting them at risk for additional heat loss due to environmental exposure.…”

“…Several reports of consecutive patients have revealed an incidence of initial hypothermia by the above ATLS definitions of approximately 40% and a strong correlation between degree of hypothermia and injury severity (3)(4)(5).…”

“…The OR can be warmed to 29°C (85°F); while that temperature can help reduce the rate of heat loss, it is still far below normal body temperature and thus cannot actively warm the patient. Evidence shows that nearly 50% of trauma patients leave the OR hypothermic (5).…”