The Bair Hugger patient warming system in prolonged surgery

Huang, Jkc; Shah, Elizabeth; Vinodkumar, N.; Hegarty, M.; Greatorex, R. A.

doi:10.1186/cc921

Cited by 13 publications

(32 citation statements)

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“…However, the correct use of microbial filters and the recommended perforated blankets has been shown to prevent their transmission [77]. Moreover, analysis of theatre air samples in positive pressure theatres has shown a significant decrease in bacterial counts when forced-air warming was used correctly [80].…”

Section: Forced-air Warming Device Safetymentioning

confidence: 99%

Peri‐operative warming devices: performance and clinical application

2014

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SummarySince the adverse consequences of accidental peri-operative hypothermia have been recognised, there has been a rapid expansion in the development of new warming equipment designed to prevent it. This is a review of peri-operative warming devices and a critique of the evidence assessing their performance. Forced-air warming is a common and extensively tested warming modality that outperforms passive insulation and water mattresses, and is at least as effective as resistive heating. More recently developed devices include circulating water garments, which have shown promising results due to their ability to cover large surface areas, and negative pressure devices aimed at improving subcutaneous perfusion for warming. We also discuss the challenge of fluid warming, looking particularly at how devices' performance varies according to flow rate. Our ultimate aim is to provide a guide through the bewildering array of devices on the market so that clinicians can make informed and accurate choices for their particular hospital environment.

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Section: Forced-air Warming Device Safetymentioning

confidence: 99%

Peri‐operative warming devices: performance and clinical application

2014

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“…No burns due to the use of EasyWarm V R or overheating were observed in our study, as was also the case in the multicentre trial by Torossian et al 11 Nosocomial infection, especially at the surgical site due to disturbance of laminar air flow caused by FAW devices, has been a concern, particularly in orthopaedic surgery, and studies have conflicting results. [16][17][18][19] Use of EasyWarm V R blankets might be a preferable option for such cases. It may also be valuable in intra-and interhospital transfers.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the EasyWarm® self-heating blanket with the Cocoon forced-air warming blanket in preventing intraoperative hypothermia

Thapa

Kerton

Peyton

2019

Anaesth Intensive Care

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The importance of preventing hypothermia in the perioperative period cannot be overemphasised. The use of active warming devices is advocated and practised widely. The forced-air warming (FAW) blanket is currently a popular modality. The BARRIER V R EasyWarm V R (M€ olnlycke Healthcare, Belrose, Australia) self-heating blanket, which does not require a power unit, has been proposed as an easy-to-use alternative to the FAW blanket. We conducted a singlecentre, randomized controlled trial to compare the efficacy of the EasyWarm V R self-heating blanket to the Cocoon blanket (Care Essentials, North Geelong, Australia), a conventional FAW blanket, in preventing intraoperative hypothermia. Forty patients undergoing elective surgery under general anaesthesia lasting >1 h were randomized in a 1:1 ratio. Prewarming was not allowed; 39 patients were analysed (19 EasyWarm V R group and 20 Cocoon blanket group). There was no statistically significant difference between the two groups with regard to the mean (AEstandard deviation) final nasopharyngeal temperature (35.89 AE 0.82 C versus 35.74 AE 0.77 C; P ¼ 0.72 in the Cocoon and EasyWarm V R blanket groups, respectively). Similarly, the difference between average temperatures at 1, 2 and 3 h was not statistically significant. We found the EasyWarm V R blanket to be as effective as the Cocoon FAW blanket in preventing intraoperative hypothermia. Due to its ease of use, the EasyWarm V R blanket may have an additional benefit in preoperative warming of patients.

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“…Although forced‐air warming systems have been used for more than 20 years, these systems still present risks. These risks include burn injuries, 20 fire, 21 risk for contamination of the surgical site, 22‐24 and anesthesia monitoring interference 25 …”

Section: Level Of Evidence In This Article According To the National mentioning

confidence: 99%

“…Another study showed that warm‐air convection heaters produced a small increase in the number of colony forming units in ultra‐clean air ORs (ie, laminar flow rooms), but the levels most likely were not clinically significant 23 . A nonrandomized controlled study by Huang et al 24 indicated that use of a forced‐air warming system did not increase bacterial OR air contamination and was unlikely to adversely affect the surgical field. Further study is needed on this issue; however, manufacturers recommend using single‐use blankets so that the risk of potential contamination of surgical sites from inadequately cleaned, reusable blankets is reduced 31,32…”

Section: Level Of Evidence In This Article According To the National mentioning

confidence: 99%

The Safe and Efficient Use of Forced‐Air Warming Systems

Wu¹

2013

AORN Journal

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Maintaining perioperative normothermia is important to ensure that a patient does not experience inadvertent hypothermia and its consequences, such as increased blood loss, cardiac abnormalities, prolonged recovery, and increased risk for wound infection. Many clinical guidelines recommend the use of forced-air warming as one of several techniques to prevent inadvertent perioperative hypothermia. Safe use of forced-air warming devices includes choosing the right device, assessing the patient for risks, protecting the patient from burn injuries, appropriately maintaining the patient's body temperature, and using the device as directed by the manufacturer's recommendations. Staff members should receive education on hypothermia and warming technology on a regular basis.

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The Bair Hugger patient warming system in prolonged surgery

Cited by 13 publications

References 0 publications

Peri‐operative warming devices: performance and clinical application

Peri‐operative warming devices: performance and clinical application

Comparison of the EasyWarm® self-heating blanket with the Cocoon forced-air warming blanket in preventing intraoperative hypothermia

The Safe and Efficient Use of Forced‐Air Warming Systems

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