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Maintaining patient normothermia is a key measure to prevent infections.
Maintaining patient normothermia is a key measure to prevent infections1.
Among the millions of surgeries occurring annually in the world, it is
estimated that 50-90% suffer from hypothermia2.
mild hypothermia triples the incidence of surgical-wound infection and increases
the duration of hospitalization by approximately 20%3.
is caused by a variety of factors3, including :
low operating room temperatures
a core-to-peripheral redistribution of body
heat from anesthetics
volume of chilled fluid administration
1: SCIP –Inf- 10: Surgical Care Improvement Project
(SCIP), a national collaboration of healthcare organizations working to reduce surgical
2: Young, V.
Watson, M. Prevention of Perioperative Hypothermia in Plastic Surgery.
Aesthetic Surgery Journal. 2006; 551-571.
3: Kurz A,
Sessler DI, Lenkhardt R. Perioperative normothermia to reduce the incidence of
surgical-wound infection and shorten hospitalization. N Engl J Med
Hypothermia and surgical wound infections.
Mild hypothermia is defined in the literature
as a patient core temperature of below 36°C1.
There are 3 mechanisms by which mild
hypothermia facilitates the development of surgical wound infections2.
thermoregulatory vasoconstriction, which
decreases tissue oxygenation.
the production of superoxide radicals and other reactive oxygen intermediates.
scar formation and, therefore, the integrity of
the healing wound.
The consequence of these impairments:
Even mild hypothermia triples the risk of
surgical wound infection. Mild hypothermia also significantly prolongs the
duration of hospitalization by
approximately 20 percent,
even among uninfected patients.
Because hypothermia causes so many adverse
outcomes, normothermia should be maintained during surgery2.
Causes of Hypothermia
During surgery, all general anesthetic
agents impair thermoregulatory responses and decrease the vasoconstriction and
shivering threshold. Anesthetic agents, however, are not the only culprits:
Even fluids at room temperature can
markedly decrease body temperature3.
liter of intravenous fluids infused into adult surgical patients at ambient
temperature, or each unit of blood infused at 4 °C, decreases the mean body
temperature approximately 0.25 °C3.
to one study, the combination of convective and fluid warming was associated
with a decreased likelihood of patients leaving the operating room hypothermic4.
enFlow* IV Fluid/Blood Warming System allows the intraoperative staff to keep
warming constant as anesthetic is applied in the OR to either treat unplanned
hypothermic responses or stop them from developing in the first place.
1: NICE guidance, The management of perioperative hypothermia, CG65
2: Sessler Daniel I, Nonpharmacological
Prevention of Surgical Wound Infections, Clinical Infectious Diseases 2002;
3: Sessler, Mild perioperative hypothermia, NEJM,
1997, 336, N°24: 1730-1737
Smith CE, Preventing Hypothermia: convective & intravenous fluid warming
versus convective warming alone. J Clin Anesth 1998, Aug; 10(5):380-5
One compact cartridge. So much mobility.
With enFlow all you need is ONE disposable cartridge to warm across multiple areas. It attaches in-line at the start of a patient case and can move with the patient across the surgical department. On other fluid warming devices warming across rooms can be difficult and expensive, often adding the cost of multiple disposables, disrupting workflow, and compromising infection prevention protocols.
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