Perioperative Temperature Management: A Big Small Problem
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypothermia
- Sponsor
- Amsterdam UMC, location VUmc
- Enrollment
- 70
- Locations
- 3
- Primary Endpoint
- Incidence of perioperative hypothermia
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The investigators aim to investigate the effects of prewarming of patients undergoing elective orthopedic surgery on intraoperative temperature control and blood loss and postoperative patient discomfort and glucose and insulin levels.
Detailed Description
Hypothermia, defined as a core temperature below 36 degrees celsius, is commonly seen in patients undergoing surgery. Intraoperative hypothermia is related to postoperative patient discomfort, impaired wound healing, increased blood loss, anxiety and disturbances in glucose and insulin levels. Prewarming of patients prior to surgery may result in maintenance of intraoperative temperature and reduce postoperative complications. We therefore aim to investigate the effects of prewarming of patients undergoing elective orthopedic surgery on intraoperative temperature control and blood loss and postoperative patient discomfort and glucose and insulin levels. Objective of the study: Does preoperative heating of patients undergoing elective orthopedic surgery reduce the incidence of intraoperative hypothermia and postoperative comfort and modulate postoperative glucose and insulin blood levels? Study design: Multi-center, prospective, randomized clinical trial. Study population: Patients undergoing an elective orthopedic hip- or knee replacement
Investigators
Christa Boer
Prof.dr. C. Boer
Amsterdam UMC, location VUmc
Eligibility Criteria
Inclusion Criteria
- •Patients undergoing an elective orthopedic knee- or hip replacement
- •Participation based on informed consent
- •\> 18 years old and \< 85 years old
Exclusion Criteria
- •BMI 18.5 \> x \< 40
- •Pregnancy
- •Non elective trauma patients
- •Infectious or febrile patients (\> 37.5oC)
- •Diabetes Mellitus
- •Combined surgery
- •Anemia (Hb \< 4.0 mmol/l)
Outcomes
Primary Outcomes
Incidence of perioperative hypothermia
Time Frame: During surgery (1 hour after start warming)
Secondary Outcomes
- Perioperative blood loss(During surgery)
- Patient discomfort as defined by pain, nausea and vomiting, shivering and thermal discomfort(During surgery)
- Postoperative glucose and insulin levels(1 hour after surgery)