Retrospective Analysis of Esophageal Heat Transfer for Active Temperature Management in Post-cardiac Arrest, Refractory Fever, and Burn Patients.

Retrospective Analysis of Esophageal Heat Transfer for Active Temperature Management in Post-cardiac Arrest, Refractory Fever, and Burn Patients. Mil Med. 2018 Mar 01;183(suppl_1):162-168 Authors: Naiman M, Markota A, Hegazy A, Dingley J, Kulstad E Abstract Core temperature management is an important aspect of critical care; preventing unintentional hypothermia, reducing fever, and inducing therapeutic hypothermia when appropriate are each tied to positive health outcomes. The purpose of this study is to evaluate the performance of a new temperature management device that uses the esophageal environment to conduct heat transfer. De-identified patient data were aggregated from three clinical sites where an esophageal heat transfer device (EHTD) was used to provide temperature management. The device was evaluated against temperature management guidelines and best practice recommendations, including performance during induction, maintenance, and cessation of therapy. Across all active cooling protocols, the average time-to-target was 2.37 h and the average maintenance phase was 22.4 h. Patients spent 94.9% of the maintenance phase within ±1.0°C and 67.2% within ±0.5°C (574 and 407 measurements, respectively, out of 605 total). For warming protocols, all of the patient temperature readings remained above 36°C throughout the surgical procedure (average 4.66 h). The esophageal heat transfer device met performance expectations across a ...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research

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Discussion The inevitable drop in temperature is ameliorated by sound perioperative practices, rather than just intraoperative ones. This initiative demonstrated the potential benefits of, and motivates for, the broad application of preoperative warming in the context of major acute burn surgery. Further investigations include PDSA cycles to determine whether the duration or degree of intraoperative hypothermia is more virulent. To consolidate the pre-warming initiative, we have introduced a standard order within our admission order sets to include preoperative warming for all eligible patients.
Source: Burns - Category: Dermatology Source Type: research
It is important for physicians treating children to be aware of unique presentation that require expertise and knowledge. Two areas of importance when caring for traumatized children are Thermal Burn Injuries, and Hypothermia. Burns commonly result in morb...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news
Burn remains a prominent global health burden, with over 11 million burn injuries requiring medical attention annually, and is a leading cause of traumatic mortality and morbidity [1]. For full thickness and deep partial thickness burns, the widely-accepted practice, after initial critical care assessment and fluid resuscitation, is early excision and autografting [2 –11]. While outcomes are undoubtedly improved because of this approach, early aggressive debridement exposes susceptible patients to the sequelae of hypothermia in the perioperative period [12–14].
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
Follow me on Twitter @RobShmerling Venturing out in frigid conditions with our golden retriever, I was wishing I had worn another layer or two. And that got me thinking. Sparky’s got a thick coat of fur, but is that enough? Is there more I should be doing for him during cold snaps? On our last walk, I’m pretty sure he would have said yes. In fact, there are a number of things we can do to make sure our pets are safe during the worst of winter. Here are 10 things experts recommend: 1.  When returning from a walk, clean off your pet’s paws and check them for redness or cracks. 2.  Apply petroleum ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Pets Source Type: blogs
Conclusions Patients who undergo prolonged surgeries and become hypothermic are more likely to develop complications. We therefore advocate for diligent adherence to strategies to prevent hypothermia and recommend limiting operative time in clinical circumstances where intraoperative measures are unlikely to adequately prevent hypothermia.
Source: Burns - Category: Dermatology Source Type: research
We describe the case of a 4‐year‐old child undergoing extensive burn surgery with refractory intraoperative hypothermia. A low‐dose nitroglycerin infusion was initiated to reverse vasoconstriction and improve heat absorption, after which the child's temperature steadily improved. In hypothermic burn patients, topical vasoconstrictors may hinder surface warming efforts. A vasodilator infusion may aid in warming the pediatric patient undergoing extensive excision and grafting.
Source: Pediatric Anesthesia - Category: Anesthesiology Authors: Tags: CASE REPORT Source Type: research
This study evaluated associations between hypothermia and operative time on post-operative complications in acute burn surgery
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
Introduction: The aim of this study is to determine the need of portable heating devices during transit from theatre to ITU post burns surgery to prevent hypothermia as defined by NICE guidelines (
Source: International Journal of Surgery - Category: Surgery Authors: Source Type: research
We present a case of a patient after prolonged cardio-pulmonary resuscitation on hot asphalt, who suffered from first and second degree burns which worsened during hospitalization. The patient was treated with therapeutic hypothermia. Possible effect of th...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news
Burn injury remains a prominent global health burden, with over 11 million burn injuries receiving medical attention per annum, especially in low and middle-income countries [1]. For full thickness and deep partial thickness burns, the widely accepted practice is early excision and autografting [2,3]. While outcomes are undoubtedly improved as a result of this strategy, early aggressive debridement exposes susceptible patients to considerable potential risk in the operating room, including the development of hypothermia and its sequelae [4].
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
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