In a nutshell
This study aimed to investigate the best way to preserve warmth in surgical patients with benign prostatic hyperplasia (BPH). This study found that use of a forced-air warming system combined with an electric blanket was an effective method to retain warmth among elderly patients with BPH.
Some background
Hypothermia (dangerously low body temperature) can be a serious side-effect in elderly urology patients during prostate surgery for BPH (non-cancerous overgrowth of the prostate). It increases the risk of heart attacks, blood loss, and infection. Ways to keep patients warm can include an electric blanket or a forced-air warming system. The benefit of combining these warming systems is still unclear.
Methods & findings
This study included 443 elderly male patients undergoing prostate surgery. These were randomly divided into 3 groups. 128 patients in group E received electric blankets set to 38°C. 155 patients in group F received a forced-air warmer set to 38°C. 160 patients in group FE received the combined forced-air warmer plus electric blankets, both set to 38°C.
The body temperature was highest in group FE. They also had the lowest heart rate, blood pressure and rate of shivering. Group FE also had the shortest recovery time after anesthesia. Patient and surgeon's satisfaction scores were highest in group FE.
The bottom line
This study found that use of a forced-air warming system combined with an electric blanket was an effective method to retain warmth among elderly patients undergoing surgery for BPH.
The fine print
This study was conducted in only one medical institution. Larger studies, in more diverse populations, are also needed.
Published By :
Medicine
Date :
Nov 01, 2018
