Perioperative temperature management is imperative for positive surgical outcomes. This study assessed the clinical and wellbeing benefits of extending normothermia by using a portable warming gown. A total of 94 patients undergoing elective surgery were enrolled. They were randomized pre-operatively to either a portable warming gown or the standard warming procedure. The warming gown stayed with patients from pre-op to operating room to postrecovery room discharge. Core temperature was tracked throughout the study. Patients also provided responses to a satisfaction and comfort status survey. The change in average core temperature did not differ significantly between groups (P = 0.23). A nonsignificant 48% relative decrease in hypothermic events was observed for the extended warming group (P = 0.12). Patients receiving the warming gown were more likely to report always having their temperature controlled (P = 0.04) and significantly less likely to request additional blankets for comfort (P = 0.006). Clinical outcomes and satisfaction were improved for patients with extended warming.
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http://dx.doi.org/10.9738/INTSURG-D-13-00155.1 | DOI Listing |
Cureus
April 2023
Department of Obstetrics and Gynaecology, Jain Clinic, Bhopal, IND.
Introduction Kangaroo mother care (KMC) is an evidence-based, simple, time-tested, low-cost, and high-impact intervention for neonatal survival in hospitals and the community, particularly in resource-constrained areas. This has many beneficial effects on sick and stable low-birth-weight babies, lactating mothers, families, society, and the government. However, despite the World Health Organization (WHO) and United Nations International Children's Emergency Fund (UNICEF) recommendations for KMC, there is no satisfactory implementation of it in the community as well as in facilities.
View Article and Find Full Text PDFInt J Gen Med
September 2022
Department of Anesthesiology, Dilla University, Dilla, Ethiopia.
Background: Perioperative shivering is a common problem faced in anesthesia practice. Unless it is properly managed and prevented, it causes discomfort and devastating problems, especially in patients with cardiorespiratory problems. Surgery, anesthesia, exposure of skin in a cool operating theater, and administration of unwarmed fluids are some of the major causes for the development of shivering among surgical patients.
View Article and Find Full Text PDFBMC Oral Health
December 2020
Division of Restorative Dentistry & Periodontology, Trinity College Dublin, Dublin Dental University Hospital, University of Dublin, Lincoln Place Dublin 2, Dublin, Ireland.
Background: To analyse via life cycle analysis (LCA) the global resource use and environmental output of the endodontic procedure.
Methodology: An LCA was conducted to measure the life cycle of a standard/routine two-visit RCT. The LCA was conducted according to the International Organization of Standardization guidelines; ISO 14040:2006.
Esophagus
October 2020
Esophageal Surgery Division, Department of Gastrointestinal Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.
Background: This study was performed to elucidate the clinical efficacy of the prewarming prophylaxis method for intraoperative hypothermia during thoracoscopic esophagectomy for esophageal cancer.
Methods: We enrolled 100 consecutive patients with esophageal cancer. Two patients in the prewarming group could not undergo thoracoscopic esophagectomy because of conversion to thoracotomy.
Int J Surg
November 2019
Evidence-Based Medicine Center, Wan Fang Hospital, Taipei Medical University, Taipei, Republic of China (Taiwan); Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Republic of China (Taiwan). Electronic address:
Background: Hypothermia and shivering are undesirable morbidities that occur commonly during cesarean section. Although some active warming strategies, such as the use of forced-air, mattresses, and fluid warming, can attenuate such adverse events, no studies have yet performed multiple contrast assessments of these strategies. We, therefore, conducted a network meta-analysis to simultaneously assess the effects of various warming strategies for cesarean section and assist clinicians in making informed decisions.
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