Thermal burn injury associated with a forced-air warming device

Chung, Kyungsoon; Lee, Sang Mook; Oh, Saecheol; Choi, Jihye; Cho, Hyun-Sook

doi:10.4097/kjae.2012.62.4.391

Cited by 25 publications

(18 citation statements)

References 3 publications

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“…Although rare, forced-air warmer use has been associated with thermal injuries in both adults [81][82][83] and children [84][85][86], some of which have required surgical intervention and prolonged wound care [82,83]. The underlying causes in the majority of cases involve incorrect assembly of the warmer hose to the blanket or accidental disconnections allowing hot air to be blown directly on to the patient's skin for a prolonged period of time ('hosing').…”

Section: Forced-air Warming Device Safetymentioning

confidence: 99%

Peri‐operative warming devices: performance and clinical application

2014

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SummarySince the adverse consequences of accidental peri-operative hypothermia have been recognised, there has been a rapid expansion in the development of new warming equipment designed to prevent it. This is a review of peri-operative warming devices and a critique of the evidence assessing their performance. Forced-air warming is a common and extensively tested warming modality that outperforms passive insulation and water mattresses, and is at least as effective as resistive heating. More recently developed devices include circulating water garments, which have shown promising results due to their ability to cover large surface areas, and negative pressure devices aimed at improving subcutaneous perfusion for warming. We also discuss the challenge of fluid warming, looking particularly at how devices' performance varies according to flow rate. Our ultimate aim is to provide a guide through the bewildering array of devices on the market so that clinicians can make informed and accurate choices for their particular hospital environment.

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Section: Forced-air Warming Device Safetymentioning

confidence: 99%

Peri‐operative warming devices: performance and clinical application

2014

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“…In the present case series, a warming device could have been used to avoid the development of hypothermia. This is usually highly effective, but not all types of warming device are without risk in their use, since burns can occur if excessive heat is applied on the skin depending on the type of device used (Dunlop et al, 1989;Chung et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Algemene anesthesie voor de chirurgische behandeling van urinewegobstructie bij negen geiten

Michielsen¹,

Proost²,

Pardon³

et al. 2018

Vlaams Diergeneeskundig Tijdschrift

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Nine pygmy goats underwent surgical treatment for obstructive urolithiasis in a period of six months. In two cases, (second) revision surgery was necessary resulting in a total of twelve procedures under general anesthesia. Different anesthetic protocols were applied: analgesia was provided by an opioid (12/12) combined with either benzodiazepine (10/12) or an alpha-2 agonist (2/12). Anesthesia was induced with propofol (10/12) or ketamine (2/12) and maintained with isoflurane (8/12) or sevoflurane (4/12) in oxygen in a semi-closed circle system with continuous monitoring during anesthesia. Minor complications were mild bradycardia (4/12), hypotension (3/12), metabolic acidosis (1/12) and hypothermia (12/12). In four cases, epidural anesthesia was performed; in one of those four cases, severe complications developed (paralysis, 1/4). The goat was euthanized later. Although urethral obstruction increases the risk of general anesthesia, the selection of an appropriate anesthetic protocol, adequate preoperative examination/ preparation and detailed monitoring throughout anesthesia reduced the incidence of severe complications in this case series.

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“…[ 12 ] Furthermore, using either of the active warming devices when set to high delivery temperatures for maximum gain has the potential to cause harm to the patient. [ 13 ] We, therefore, use a combination of three different active warming devices, all set to near normal body temperature along with ambient temperature management. While the fluid warming device (Hotline™) delivers fluids warmed to near body temperature and protects against the cooling that may occur due to the administration of fluids colder than the body temperature, the resistive heating mattress transfers heat by conduction to the large underbody surface area that it is in contact with.…”

Section: Discussionmentioning

confidence: 99%