Study to Determine the Effects of Pre-warming on OR Patient Temperatures and Surgical Outcomes
Randomized, Prospective Study to Determine the Effects of Pre-warming on OR Patient Temperatures and Perioperative Surgical Outcomes
The application of active warming to patients whether awake or under general anesthesia has been proven safe in numerous studies and it is common practice to use warmers. The warmers are commonly used with both the supplied blankets and also with hospital blankets.
Subjects receiving standard care will not benefit from this study. Subjects in the investigational group may benefit in several ways:
- Increased comfort in the pre-operative period by being warmer
- Decreased incidence of mild hypothermia
- Possible decreased incidence of transfusion with less bleeding
- Possible decreased pain and discomfort in the Post-Anesthesia Care Unit (PACU)
- Possible shorter stay in the PACU and overall Length of Stay (LOS)
- Possible decreased risk for surgical site infection
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V3L 3W7
- Royal Columbian Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Elective or "urgent" surgery under general anesthesia
- ≥19 years but ≤85 years of age
- Able to provide informed consent.
Exclusion Criteria:
- Refusal of Informed consent
- Metabolic derangement/drug therapy already affecting thermal homeostasis
- Preexisting hypothermia (<35.5 degreeC) or hyperthermia (>37.5 degreeC) (oral)
- Surgical procedure anticipated to be longer than 6 hours or less than 1 hour
- Emergency (category 1a) Surgery
- Patients undergoing exclusively spinal or epidural anesthesia
- Patients receiving aortic cross-clamping
- Patients receiving transdermal medications
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Bair PawsPatient Adjustable Warming System
Bair PawsPatient Adjustable Warming System for active pre-warming
|
Bair Paws system uses forced-air warming.
This system will be used for patients randomized to active pre-warming.
Other Names:
|
|
Other: Passive pre-warming
|
Bair Paws system uses forced-air warming.
This system will be used for patients randomized to active pre-warming.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Duration of hypothermia
Time Frame: Up to 12 hours, until PACU discharge
|
The primary endpoint is duration of hypothermia as measured by the area under the curve (AUC).
This is achieved by recording patient temperature readings continuously from baseline (prior to initiation of 30 minutes if active or passive pre-warming) until PACU discharge.
|
Up to 12 hours, until PACU discharge
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Richard Merchant, MD, Staff Anesthesiologist
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EM-05-013093
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