Clinical Optimization of Ambient Temperature and Heating Methods in Caring in Major Burns Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Burns
- Sponsor
- University Rovira i Virgili
- Enrollment
- 34
- Primary Endpoint
- Metabolic expenditure
- Last Updated
- 5 years ago
Overview
Brief Summary
pre and post intervention quasi-experimental epidemiological study without a control group will be carried out in large burned patients that will evaluate the influence on metabolic expenditure of the inclusion of active external rewarming in the control of body temperature.
Detailed Description
the heavily burned patient requires specific care to prevent hypothermia and maintain body temperature. You are at high risk of developing hypothermia in the acute phase due to heat losses from convection, radiation, evaporation, and conduction. After the acute phase, the patient due to physiological mechanisms and the hypermetabolic response mainly demands a temperature close to 38.5ºC, ruling out the infectious focus. According to the authors, environmental temperatures between 28-33ºC are recommended for the care of these patients to decrease energy expenditure. The research carried out has studied the influence of passive external heating (environmental regulation), without including the influence of active external heating (heat blankets, heating plate ...) or the study of the thermal comfort of large burned patients and of professionals who provide them they attend. A pre and post intervention quasi-experimental epidemiological study without a control group will be carried out in large burned patients that will evaluate the influence on metabolic expenditure of the inclusion of active external rewarming in the control of body temperature. Metabolic expenditure will be measured by indirect calorimetry in the usual treatment with passive external rewarming and post-intervention in the combination of passive and active external heating. The combination of passive and active external reheating will previously study the operating temperature in various cases for optimal application, as well as the definition of thermal comfort in the large burn unit. The specific training of the personnel involved in the care of these patients will be required for the application of the evidence-based recommendations and the evaluation of their implementation.
Investigators
Alonso Fernández, Juan Manuel
Master of Science in Nursing
University Rovira i Virgili
Eligibility Criteria
Inclusion Criteria
- •Patients over 18 years of age.
- •Patients with thermal burns.
- •Patient with high burn criteria according to ABA:
- •2nd degree burn
- •Patient 18 - 59 years: SCQ\> 20%
- •Patient\> 60 years or pathology: SCQ\> 10%
- •3rd degree burn
- •SCQ\> 10%
- •Patients on mechanical ventilation
Exclusion Criteria
- •Sepsis criteria according to ABA.
- •Enzyme debridement application (data within 24 hours).
- •6 hours after a surgical intervention.
- •After 2 hours after healing burns
- •Patients in hemorrhagic shock
Outcomes
Primary Outcomes
Metabolic expenditure
Time Frame: Measure during 6 hours with indirect calorimetry in first recovery week with three heating methods
Compare the metabolic expenditure of burned patients according to the heating method between the combination of active and passive external adjusted to thermal comfort versus external passive overheating.
Secondary Outcomes
- Optimal environmental temperature(Measure during 6 hours with three heating methods in first recovery week)
- Thermal comfort(Measure during 6 hours with three heating methods first recovery week)