Safety and efficacy of resistive polymer versus forced air warming in total joint surgery
| Autor: | Melanie F Sandoval, Michael R. Dayton, Craig Hogan, Paul Mongan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Short Report Total knee arthroplasty lcsh:Surgery Total knee 03 medical and health sciences Patient safety 0302 clinical medicine 030202 anesthesiology Polymer resistive warming medicine Orthopedics and Sports Medicine 030212 general & internal medicine Intensive care medicine Adverse effect Joint surgery business.industry lcsh:RD1-811 Surgery Forced air warming Anesthesiology and Pain Medicine Forced-air warming Orthopedic surgery business Orthopedic patient safety Surgical site infection |
| Zdroj: | Patient Safety in Surgery, Vol 11, Iss 1, Pp 1-6 (2017) Patient Safety in Surgery |
| ISSN: | 1754-9493 |
| DOI: | 10.1186/s13037-017-0126-0 |
| Popis: | Background Forced-air warming is used as a mechanism to prevent hypothermia and adverse outcomes associated with hypothermia among patients undergoing surgery. Patient safety in healthcare includes the use of devices and technology that minimize potential adverse events to patients. The present study sought to compare the capabilities of patient warming between two different devices that use different mechanisms of warming: forced-air warming and non-air warming. Methods One hundred twenty patients undergoing total hip or total knee arthroplasty received patient warming via a forced warming device or non-air warming fabric conductive material. The project was part of a quality improvement initiative to identify warming devices effective in maintaining normothermic patient core temperatures during orthopedic surgery. Results Forced-air warming and non-air warming achieved similar results in maintaining the core temperature of patients undergoing total knee or hip arthroplasty. No adverse events were reported in either group. Operating room staff observed that the non-air warming device was less noisy and appreciated the disposable covers that could be changed after each surgical case. Conclusions These findings demonstrate that hypothermia is achieved by both forced-air and non-forced air warming devices among total knee and hip arthroplasty patients. The potential for airflow disruption is present with the forced-air warming device and does not exist with the non-forced air device. The disruption of laminar airflow may be associated with surgical site infections. The disposable covers used to protect the device and patient have potential implications for surgical site infection. Quality improvement efforts aimed to enhance patient safety should include the implementation of healthcare equipment with the least known or suspected risk. |
| Databáze: | OpenAIRE |
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