A systematic review of the effectiveness of cutaneous warming systems to prevent hypothermia

Journal article


Galvuo, Cristina M., Marck, Patricia B., Sawada, Namie O. and Clark, Alexander Michael. (2009). A systematic review of the effectiveness of cutaneous warming systems to prevent hypothermia. Journal of Clinical Nursing. 18(5), pp. 627 - 636. https://doi.org/10.1111/j.1365-2702.2008.02668.x
AuthorsGalvuo, Cristina M., Marck, Patricia B., Sawada, Namie O. and Clark, Alexander Michael
Abstract

Aims: To retrieve and critique recent randomised trials of cutaneous warming systems used to prevent hypothermia in surgical patients during the intraoperative period and to identify gaps in current evidence and make recommendations for future trials. Background: Hypothermia affects up to 70% of anaesthetised surgical patients and is associated with several significant negative health outcomes. Design: Systematic review using integrative methods. Methods: We searched CINAHL, EMBASE, Cochrane Register of Controlled Trials and Medline databases (January 2000–April 2007) for recent reports on randomised controlled trials of cutaneous warming systems used with elective patients during the intraoperative period. Inclusion criteria: We included randomised control trials examining the effects of cutaneous warming systems used intraoperatively on patients aged 18 years or older undergoing non-emergency surgery. Studies published in English, Spanish or Portuguese with a comparison group that consisted of either usual care or active cutaneous warming systems without prewarming were reviewed. Results: Of 193 papers initially identified, 14 studies met the inclusion criteria. There was moderate evidence to indicate that carbon-fibre blankets and forced-air warming systems are equally effective and that circulating-water garments are most effective for maintaining normothermia during the intraoperative period. Few trials reported costs. Conclusions: Carbon-fibre blankets and forced-air warming systems are effective and circulating-water garments may be preferable. Future research should measure the direct and indirect costs associated with competing systems.

KeywordsBrazil; cutaneous warming systems; evidence-based practice; hypothermia; nurses; perioperative nursing
Year2009
JournalJournal of Clinical Nursing
Journal citation18 (5), pp. 627 - 636
PublisherWiley-Blackwell
ISSN0962-1067
Digital Object Identifier (DOI)https://doi.org/10.1111/j.1365-2702.2008.02668.x
Page range627 - 636
Research GroupMary MacKillop Institute for Health Research
Place of publicationUnited Kingdom
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Effectiveness of secondary prevention programmes in CHD
Clark, Alexander Michael, Dalal, Hayes M., Dafoe, William, Stone, James A. and Lewin, Robert J.P.. (2009). Effectiveness of secondary prevention programmes in CHD. The Lancet. 373(9676), pp. 1671 - 1671. https://doi.org/10.1016/S0140-6736(09)60931-4
Qualitative research: What it is and what it can contribute to cardiology in the young
Clark, Alexander Michael. (2009). Qualitative research: What it is and what it can contribute to cardiology in the young. Cardiology in the Young. 19(2), pp. 131 - 144. https://doi.org/10.1017/S1047951109003746
Socioeconomic status and cardiovascular disease: Risks and implications for care
Clark, Alexander Michael, DesMeules, Marie, Luo, Wei, Duncan, Amanda S. and Wielgosz, Andy. (2009). Socioeconomic status and cardiovascular disease: Risks and implications for care. Nature Reviews Cardiology. 6(11), pp. 712 - 722. https://doi.org/10.1038/nrcardio.2009.163
What is strength of evidence for heart failure disease- management programs?
Clark, Alexander Michael, Savard, Lori A. and Thompson, David Robert. (2009). What is strength of evidence for heart failure disease- management programs? Journal of the American College of Cardiology. 54(5), pp. 397 - 401. https://doi.org/10.1016/j.jacc.2009.04.051
Complex critical realism: Tenets and application in nursing research
Clark, Alexander Michael, Lissel, Sue L. and Davis, Carol. (2008). Complex critical realism: Tenets and application in nursing research. Advances in Nursing Science. 31(4), pp. 67 - 79. https://doi.org/10.1097/01.ANS.0000341421.34457.2a
The potential of nursing to reduce the burden of heart failure in rural Canada: What strategies should nurses prioritize?
Clark, Alexander Michael, Freydberg, N. O., Heath, S. L., Savard, L., McDonald, Marla and Strain, L.. (2008). The potential of nursing to reduce the burden of heart failure in rural Canada: What strategies should nurses prioritize? Canadian Journal of Cardiovascular Nursing. 18(4), pp. 40 - 46.
The future of management programmes for heart failure
Clark, Alex and Thompson, David. (2008). The future of management programmes for heart failure. The Lancet. 372(9641), pp. 784 - 786. https://doi.org/10.1016/S0140-6736(08)61317-3
Patients' experiences of disruptions associated with post-stroke dysarthria
Dickson, Sylvia, Barbour, Rosaline S., Brady, Marian, Clark, Alexander Michael and Paton, Gillian. (2008). Patients' experiences of disruptions associated with post-stroke dysarthria. International Journal of Language and Communication Disorders. 43(2), pp. 135 - 153. https://doi.org/10.1080/13682820701862228
Commentary by Clark
Clark, Alex. (2008). Commentary by Clark. Western Journal of Nursing Research. 30(4), pp. 491 - 494. https://doi.org/10.1177/0193945907303142
The complex nature of informal care in home-based heart failure management
Clark, Alexander Michael, Reid, Machar, Morrison, Caroline E., Capewell, Simon, Murdoch, David L. and McMurray, John J.. (2008). The complex nature of informal care in home-based heart failure management. Journal of Advanced Nursing. 61(4), pp. 373 - 383. https://doi.org/10.1111/j.1365-2648.2007.04527.x