Impact of a Global Warming Strategy of the Patient on the Prevalence of Hypothermia in the Recovering Room

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPoitiers University Hospital

About this trial

50% of patients are hypothermic when they arrive in the recovery room. This hypothermia is potentially at risk for the patient (increases bleeding, risk of infection, risk of cardiac involvement, morbid mortality) and 33,2% steel hypothermic when they discharge from the recovering room. The anesthesia team must prevent these risks through prevention and treatment measures. Currently the majority of patient warming is done only in the operating room, we want to measure the impact of the extension of this warming before and after the surgery on the patient's temperature and on side effects related to hypothermia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient undergoing laparoscopic visceral surgery under general anesthesia with transition to recovering room

Disqualifiers

Patient undergoing urgent surgery.

Presence of pre-existing infection (temperature higher than 38°C when receiving the patient in the hospital ward.

Patient with predetermined length of stay in recovering room.

Trial design

Design model

Parallel

Treatments tested in this trial

  • global warming

    Other intervention

    A systematic pre- and post-operative warming associated with the optimization of per-operative warming.

  • per operative warming

    Other intervention

    per-operative warming only thanks to the "Optimized" Forced air blanket with a prewarming of 10 minutes performed in the operating room.

Treatment groups

174 Participants
are divided into 2 treatment groups
Group A: RéGlo armExperimental treatment 1 intervention
Group B: Control armOther 1 intervention

Trial outcomes

Primary outcomes

1

Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the prevalence of hypothermia at the exit of Interventional for patients who underwent laparoscopic visceral surgery.

Proportion of patients with hypothermia after discharge of recovering room. Hypothermia is defined as a body temperature \< 36°C.

Time frame
1 day

Secondary outcomes

1

Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the average total mechanical ventilation time

it is the time between intubation and extubation, expressed in minutes.

Time frame
1 day
2

Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the average thermal comfort of preoperative patients, on arrival in the pre- anesthesia room

evaluated by the Likert scale, ranging from 0 for discomfort too cold with strong chills to 4 for discomfort too hot with sweat with optimal comfort to 2 (self-assessment)

Time frame
1 day
3

Compare between the experimental group of global warming (RéGlo) and the control group of per- operative warming, the average thermal comfort of preoperative patients, on arrival in the recovering room

every 15minutes until discharge, evaluated by the Likert scale, ranging from 0 for discomfort too cold with strong chills to 4 for discomfort too hot with sweat with optimal comfort to 2 (self-assessment).

Time frame
1 day
4

Compare between the experimental group of global warming (RéGlo) and the control group of per-operative warming, the proportion of patients in intraoperative hypothermia

number of patient with body temperature under 36°C between arrival in pre-operative room and discharge of operating room

Time frame
1 day

Other outcomes

Sponsors and contacts

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