%0 Journal Article
%T Comparing ambient, air-convection, and fluid-convection heating techniques in treating hypothermic burn patients, a clinical RCT
%A Britt-Marie Kjellman
%A Mats Fredrikson
%A Gunilla Glad-Mattsson
%A Folke Sj£¿berg
%A Fredrik RM Huss
%J Annals of Surgical Innovation and Research
%D 2011
%I BioMed Central
%R 10.1186/1750-1164-5-4
%X The aim of this study was to compare our ordinary heating technique with newly-developed methods: the Allon£¿2001 Thermowrap (a temperature regulating water-mattress), and Warmcloud (a temperature regulating air-mattress).Ten consecutive burned patients (> 20% total burned surface area and a core temperature < 36.0¡ãC) were included in this prospective, randomised, comparative study. Patients were randomly exposed to 3 heating methods. Each treatment/measuring-cycle lasted for 6 hours. Each heating method was assessed for 2 hours according to a randomised timetable. Core temperature was measured using an indwelling (bladder) thermistor. Paired t-tests were used to assess the significance of differences between the treatments within the patients. ANOVA was used to assess the differences in temperature from the first to the last measurement among all treatments. Three-way ANOVA with the Tukey HSD post hoc test and a repeated measures ANOVA was used in the same manner, but included information about patients and treatment/measuring-cycles to control for potential confounding. Data are presented as mean (SD) and (range). Probabilities of less than 0.05 were accepted as significant.The mean increase, 1.4 (SD 0.6¡ãC; range 0.6-2.6¡ãC) in core temperature/treatment/measuring-cycle highly significantly favoured the Allon£¿2001 Thermowrap in contrast to the conventional method 0.2 (0.6)¡ãC (range -1.2 to 1.5¡ãC) and the Warmcloud 0.3 (0.4)¡ãC (range -0.4 to 0.9¡ãC). The procedures for using the Allon£¿2001 Thermowrap were experienced to be more comfortable and straightforward than the conventional method or the Warmcloud.The Allon£¿2001 Thermowrap was more effective than the Warmcloud or the conventional method in controlling patients' temperatures.Transient hypothermia (i.e. low body core temperature) is common in burns. All patients risk a decrease in body temperature between the scene of trauma and admission to the burn unit. At the burn unit repeated procedures under anaesthesia me
%U http://www.asir-journal.com/content/5/1/4