Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement.
Transcatheter Aortic Valve Replacement (TAVR) procedures at our institution were complicated by perioperative hypothermia despite use of the standard of care forced-air convective warming device (the BairHugger, Augustine Medical Inc, Eden Prairie, MN, USA). To remedy this problem, we initiated a qu...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2017-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC5456084?pdf=render |
id |
doaj-c3890af7dd824cfe9452ae2162efe97c |
---|---|
record_format |
Article |
spelling |
doaj-c3890af7dd824cfe9452ae2162efe97c2020-11-25T00:08:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01126e017860010.1371/journal.pone.0178600Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement.Benjamin RohrerEmily PenickFarhad ZahediHocine TighiouartBrian KellyFrederick CobeyStefan IanchulevTranscatheter Aortic Valve Replacement (TAVR) procedures at our institution were complicated by perioperative hypothermia despite use of the standard of care forced-air convective warming device (the BairHugger, Augustine Medical Inc, Eden Prairie, MN, USA). To remedy this problem, we initiated a quality improvement process that investigated the use of a conductive warm water-circulating device (the Allon ThermoWrap, Menen Medical Corporation, Trevose, PA, USA), and hypothesized that it would decrease the incidence of perioperative hypothermia.We compared two different intraoperative warming devices using a historic control. We retrospectively reviewed intraoperative records of 80 TAVRs between 6/2013 and 6/2015, 46 and 34 of which were done with the forced-air and water-circulating devices, respectively. Continuous temperature data obtained from pulmonary artery catheter, temperature upon arrival to cardiothoracic ICU (CTU), age, BSA, height, and BMI were compared.Patients warmed with both devices were similar in terms of demographic characteristics. First recorded intraoperative temperature (mean 36.26 ± SD 0.61 vs. 35.95 ± 0.46°C, p = 0.02), lowest intraoperative temperature (36.01 ± 0.58 vs. 34.89 ± 0.76°C, p<0.001), temperature at the end of the procedure (36.47 ± 0.51 vs. 35.17 ± 0.75°C, p<0.001), and temperature upon arrival to the CTU (36.35 ± 0.44 vs. 35.07 ± 0.78°C, p<0.001) were significantly higher in the water-circulating group as compared to the forced-air group.A quality improvement process led to selection of a new warming device that virtually eliminated perioperative hypothermia at our institution. Patients warmed with the new device were significantly less likely to experience intraoperative hypothermia and were significantly more likely to be normothermic upon arrival to the CTU.http://europepmc.org/articles/PMC5456084?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Benjamin Rohrer Emily Penick Farhad Zahedi Hocine Tighiouart Brian Kelly Frederick Cobey Stefan Ianchulev |
spellingShingle |
Benjamin Rohrer Emily Penick Farhad Zahedi Hocine Tighiouart Brian Kelly Frederick Cobey Stefan Ianchulev Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. PLoS ONE |
author_facet |
Benjamin Rohrer Emily Penick Farhad Zahedi Hocine Tighiouart Brian Kelly Frederick Cobey Stefan Ianchulev |
author_sort |
Benjamin Rohrer |
title |
Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. |
title_short |
Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. |
title_full |
Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. |
title_fullStr |
Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. |
title_full_unstemmed |
Comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. |
title_sort |
comparison of forced-air and water-circulating warming for prevention of hypothermia during transcatheter aortic valve replacement. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2017-01-01 |
description |
Transcatheter Aortic Valve Replacement (TAVR) procedures at our institution were complicated by perioperative hypothermia despite use of the standard of care forced-air convective warming device (the BairHugger, Augustine Medical Inc, Eden Prairie, MN, USA). To remedy this problem, we initiated a quality improvement process that investigated the use of a conductive warm water-circulating device (the Allon ThermoWrap, Menen Medical Corporation, Trevose, PA, USA), and hypothesized that it would decrease the incidence of perioperative hypothermia.We compared two different intraoperative warming devices using a historic control. We retrospectively reviewed intraoperative records of 80 TAVRs between 6/2013 and 6/2015, 46 and 34 of which were done with the forced-air and water-circulating devices, respectively. Continuous temperature data obtained from pulmonary artery catheter, temperature upon arrival to cardiothoracic ICU (CTU), age, BSA, height, and BMI were compared.Patients warmed with both devices were similar in terms of demographic characteristics. First recorded intraoperative temperature (mean 36.26 ± SD 0.61 vs. 35.95 ± 0.46°C, p = 0.02), lowest intraoperative temperature (36.01 ± 0.58 vs. 34.89 ± 0.76°C, p<0.001), temperature at the end of the procedure (36.47 ± 0.51 vs. 35.17 ± 0.75°C, p<0.001), and temperature upon arrival to the CTU (36.35 ± 0.44 vs. 35.07 ± 0.78°C, p<0.001) were significantly higher in the water-circulating group as compared to the forced-air group.A quality improvement process led to selection of a new warming device that virtually eliminated perioperative hypothermia at our institution. Patients warmed with the new device were significantly less likely to experience intraoperative hypothermia and were significantly more likely to be normothermic upon arrival to the CTU. |
url |
http://europepmc.org/articles/PMC5456084?pdf=render |
work_keys_str_mv |
AT benjaminrohrer comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement AT emilypenick comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement AT farhadzahedi comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement AT hocinetighiouart comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement AT briankelly comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement AT frederickcobey comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement AT stefanianchulev comparisonofforcedairandwatercirculatingwarmingforpreventionofhypothermiaduringtranscatheteraorticvalvereplacement |
_version_ |
1725414429868163072 |