Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review
Abstract Perioperative hypothermia is a frequent clinical complication resulting from the cold environment of the operating room and prolonged skin exposure, leading to adverse outcomes and increased healthcare burdens. To address this issue, this narrative review discusses in detail the currently c...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02729-0 |
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| author | Nan Ji Jiangtao Wang Xiaohui Li Yi Shang |
| author_facet | Nan Ji Jiangtao Wang Xiaohui Li Yi Shang |
| author_sort | Nan Ji |
| collection | DOAJ |
| description | Abstract Perioperative hypothermia is a frequent clinical complication resulting from the cold environment of the operating room and prolonged skin exposure, leading to adverse outcomes and increased healthcare burdens. To address this issue, this narrative review discusses in detail the currently common warming strategies for perioperative hypothermia .Forced air warming (FAW) systems are widely recognized as the most effective intervention for maintaining core body temperature. Additionally, alternative technologies, such as circulating-water mattresses, carbon-fiber resistive heating systems, self-regulated heated air garments, self-heating blankets, and chemical heat packs, offer diverse advantages and disadvantages. Passive warming methods, including thermal reflective blankets and cotton blankets, provide a cost-effective solution, albeit with reduced efficacy compared to active warming measures. Recent advancements have focused on improving both active and passive warming approaches to balance effectiveness and cost-efficiency. While FAW remains the gold standard, other systems offer specific benefits, such as improved portability and reduced costs, making them suitable for use in diverse clinical scenarios. Effective perioperative temperature management reduces hypothermia-related complications, decreases healthcare expenditures, and provides substantial social and organizational benefits. Thus, selecting the most appropriate warming intervention in clinical practice requires a tailored approach, considering both patient-specific needs and resource availability. |
| format | Article |
| id | doaj-art-dce11c446a7a43329f68db3935eb28fa |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-dce11c446a7a43329f68db3935eb28fa2025-01-05T12:07:18ZengBMCBMC Surgery1471-24822024-12-0124111010.1186/s12893-024-02729-0Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative reviewNan Ji0Jiangtao Wang1Xiaohui Li2Yi Shang3Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou UniversitySecond Clinical Medical College, Lanzhou UniversityDepartment of Anesthesiology, Lanzhou University Second Hospital, Lanzhou UniversityDepartment of Nursing, Lanzhou University Second Hospital, Lanzhou UniversityAbstract Perioperative hypothermia is a frequent clinical complication resulting from the cold environment of the operating room and prolonged skin exposure, leading to adverse outcomes and increased healthcare burdens. To address this issue, this narrative review discusses in detail the currently common warming strategies for perioperative hypothermia .Forced air warming (FAW) systems are widely recognized as the most effective intervention for maintaining core body temperature. Additionally, alternative technologies, such as circulating-water mattresses, carbon-fiber resistive heating systems, self-regulated heated air garments, self-heating blankets, and chemical heat packs, offer diverse advantages and disadvantages. Passive warming methods, including thermal reflective blankets and cotton blankets, provide a cost-effective solution, albeit with reduced efficacy compared to active warming measures. Recent advancements have focused on improving both active and passive warming approaches to balance effectiveness and cost-efficiency. While FAW remains the gold standard, other systems offer specific benefits, such as improved portability and reduced costs, making them suitable for use in diverse clinical scenarios. Effective perioperative temperature management reduces hypothermia-related complications, decreases healthcare expenditures, and provides substantial social and organizational benefits. Thus, selecting the most appropriate warming intervention in clinical practice requires a tailored approach, considering both patient-specific needs and resource availability.https://doi.org/10.1186/s12893-024-02729-0Perioperative HypothermiaThermal management activePassive warmingForced air warmingSurgical complications |
| spellingShingle | Nan Ji Jiangtao Wang Xiaohui Li Yi Shang Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review BMC Surgery Perioperative Hypothermia Thermal management active Passive warming Forced air warming Surgical complications |
| title | Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review |
| title_full | Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review |
| title_fullStr | Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review |
| title_full_unstemmed | Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review |
| title_short | Strategies for perioperative hypothermia management: advances in warming techniques and clinical implications: a narrative review |
| title_sort | strategies for perioperative hypothermia management advances in warming techniques and clinical implications a narrative review |
| topic | Perioperative Hypothermia Thermal management active Passive warming Forced air warming Surgical complications |
| url | https://doi.org/10.1186/s12893-024-02729-0 |
| work_keys_str_mv | AT nanji strategiesforperioperativehypothermiamanagementadvancesinwarmingtechniquesandclinicalimplicationsanarrativereview AT jiangtaowang strategiesforperioperativehypothermiamanagementadvancesinwarmingtechniquesandclinicalimplicationsanarrativereview AT xiaohuili strategiesforperioperativehypothermiamanagementadvancesinwarmingtechniquesandclinicalimplicationsanarrativereview AT yishang strategiesforperioperativehypothermiamanagementadvancesinwarmingtechniquesandclinicalimplicationsanarrativereview |