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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
global warming
Other interventionA systematic pre- and post-operative warming associated with the optimization of per-operative warming.
per operative warming
Other interventionper-operative warming only thanks to the "Optimized" Forced air blanket with a prewarming of 10 minutes performed in the operating room.
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
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)
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).
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
Sponsors and contacts
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