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Temperature management

Proactively maintain normothermia and help enhance surgical outcomes

Our temperature management solutions are designed to help maintain normothermia. Maintaining normothermia before, during and after surgery is a crucial step in reducing the risk of surgical complications associated with hypothermia.

Explore 3M™ Bair Hugger™ Temperature Management Solutions Explore Ranger™ Blood and Fluid Warming Systems
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Overview Importance of normothermia Maintaining normothermia Prewarming guidelines Patient monitoring solutions Contact us
Tällä sivulla...
Overview
Importance of normothermia
Maintaining normothermia
Prewarming guidelines
Patient monitoring solutions
Contact us

90%

Surgical Patients

Experienced unintended 
perioperative hypothermia.1,2

35+

Years

Helping to protect patients from unintended perioperative hypothermia.

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400M+

Patients

Warmed globally with the Bair Hugger Warming System.

Globe symbol with a heart.

$66

Keskimääräiset leikkaussalin minuutin kustannukset16

$203

Veriyksikön keskimääräiset hankintakustannukset19

$25k

Leikkaushaavan infektion keskimääräiset kustannukset21

$14.67

Keskimääräiset puuvillahuovan kustannukset per leikkauspotilas23,24

$1,629

Keskimääräiset kustannukset per sairaalavuorokausi26

$10

Toipilasosaston minuutin keskimääräiset kustannukset27

  • Esilämmitys yhdessä leikkauslämmityksen kanssa auttaa ylläpitämään normotermiaa17,18
  • Bair Hugger -lämmitystakkia käyttävät potilaat saapuvat leikkaussaliin valmiina lämmitettäväksi
  • Normotermian ylläpitäminen voi vähentää leikkausverenvuotoa ja verituotteiden tarvetta20
  • Lievä hypotermia (< 1°C) lisää verenhukkaa 16% ja verensiirron suhteellista riskiä 22%8
  • Normotermian ylläpitäminen voi vähentää leikkaushaavainfektion riskiä22
  • Haavainfektioiden esiintyvyys on osoitettu olevan korkeampi hypotermisilla kuin normotermisilla potilailla22
  • Yksi Bair Hugger -lämmitystakki on osoitettu korvaavan jopa yhdeksän puuvillahuopaa25 perioperatiivisen jakson aikana - tarjoten sekä mukavuutta että kliinistä lämmitystä26
  • Hypotermisten potilaiden sairaalahoidon kesto on osoitettu olevan 20% pidempi (2,6 päivää) kuin normotermisten potilaiden22
  • Normotermian ylläpitäminen lyhentää sairaalahoidon kestoa22
  • Normotermian ylläpitäminen voi lyhentää leikkauksen jälkeistä toipumisaikaa, koska potilaat saapuvat PACU:un lämpimämpinä20

Prewarming: A key to helping prevent hypothermia

A few degrees can make all the difference in helping to maintain normothermia. Any patient undergoing general or regional anaesthesia is susceptible to perioperative hypothermia as their body’s response to temperature (thermoregulation) mechanisms becomes impaired. Short durations of prewarming administered before anaesthesia induction can help to reduce intraoperative heat loss.3

Potilas istuu tuolissa vaaleanlilassa huoneessa käyttäen 3M Bair Hugger -lämmitysjärestelmää.

Effects of anaesthesia on patient core temperature

During the first 60 minutes of anaesthesia, research has shown that the core temperature for unwarmed surgical patients can drop up to 1.6°C,4 as anaesthesia-induced vasodilation allows the body’s warmer blood to flow freely from the core to its cooler periphery. 

Kuva, joka havainnollistaa anestesian vaikutuksia kehon lämpötilaan, valkoisella taustalla

Under normal circumstances, the body controls its temperature within a very tight tolerance, with its core 2°–4°C warmer than its periphery. This temperature gradient between the core and the periphery is caused by normal thermoregulatory vasoconstriction.

Kuva, joka havainnollistaa anestesian vaikutuksia kahteen kehoon, valkoisella taustalla

Anaesthesia causes vasodilation, which allows the warmer blood to flow freely from the core and mix with the blood from the cooler periphery. As the blood circulates, it cools until returning to the heart, causing a drop in core temperature. This drop in temperature is called a redistribution temperature drop (RTD).

Kuva, joka havainnollistaa anestesian vaikutuksia kehoon valkoista taustaa vasten

Prewarming with forced-air warming can increase the temperature of the body’s peripheral tissues, limiting the amount of heat lost from the core through RTD. The warmer periphery limits the blood’s rate of cooling and allows the blood to return to the core at a higher temperature.

Key benefits of prewarming

Prewarming with 3M™ Bair Hugger™ Warming Blankets or Gowns can help:

  • Reduce core temperature drop by decreasing the core‑to‑periphery temperature gradient 
  • Maintain normothermia, in conjunction with intraoperative warming, which can reduce the rate of numerous complications, including surgical site infections (SSIs)5,6
  • Proactively warm your patient’s periphery, before the induction of anaesthesia, banking heat to help ward off heat loss due to RTD
  • Improve patient satisfaction

Opas

Ladattavat esitteet

Lämpöä, jota voi pukea päälleen

Sama 3M™ Thinsulate™ -eristysteknologia, joka pitää ihmiset lämpiminä ulkona, on nyt saatavilla 3M™ Bair Hugger™ Universal Warming Gown -lämpökaavuissa, jotka auttavat pitämään leikkauspotilaat lämpiminä perioperatiivisen matkansa aikana.

Yhdistettynä todistetusti toimivaan 3M™ Bair Hugger™ Forced-Air Warming -teknologiaan, Bair Hugger -lämpökaapu mahdollistaa hoitohenkilökunnan ylläpitämään leikkauspotilaiden normotermiaa, vaikka aktiivinen lämmitys ei olisi mahdollista.

Tarkastele nyt

Maintaining normothermia can help reduce risk

Normothermia, maintainance of a normal core body temperature, is a crucial component of patient safety. Core temperatures outside the normal range can pose a risk in all patients undergoing surgery and have been associated with an increased risk of surgical complications, including: 

Bair Hugger Photo Shoot Image 2 - Archivo TIF

Increased rate of SSIs5,6

Icon illustrating Infection, magnifying glass, bacteria, Sugical Site Infections, SSIs, vector illustration

Increased surgical blood loss7,8

Icon illustrating Blood Bag, transfusion, hospital, surgery, vector illustration

Increased mortality9

Icon illustrating Heart Monitor, heart beat, pulse line, vector illustration

Extended recovery time10,11

Clock icon, time, watch, minutes, seconds, vector illustration

Increased patient discomfort5,12,13

Icon illustrating Patient Bed first used in 3M� Bair Hugger� TMS Comparative Heat Transfer Evaluations

Continuously monitor body temperature to improve surgical outcomes and reduce cost

One challenge in the management of patient temperature lies in effective temperature measurement and monitoring. Although core temperature is a vital sign, it is frequently thought of as being less important than other vitals monitored during anaesthestia. Core temperature should be continuously monitored so that it can be effectively managed, keeping patients within the normothermic temperature zone.



Core body temperature is a critical vital sign that should be monitored throughout the perioperative journey. Proactively monitoring temperature with a consistent, accurate and non-invasive system can help you maintain normothermia (36.0°C - 37.5°C)14,15 and protect patients from unintended perioperative hypothermia, a complication associated with numerous negative outcomes, including surgical site infection.5,6



Wondering if this is an area your organisation can improve? Request a temperature management review

Fotosessio Bair Hugger Kuva 5 - TIF-tiedosto

Improve outcomes, reduce costs

Helping patients maintain a normal core body temperature is key to improving surgical outcomes and reducing or eliminating costs linked to hypothermia-related complications.

Bair Hugger warming system helps to maintain normothermia which can reduce the risk of complications associated with hypothermia.

$66

Average cost of an operating room minute16

$203

Mean acquisition cost of a unit of blood19

$25k

Average cost of a surgical site infection21

$14.67

Average cost of cotton blanket per surgical patient23,24

$1,629

Average cost per inpatient day26

$10

Average cost per post-anesthesia care unit minute27

  • Prewarming, combined with intraoperative warming, helps maintain normothermia17,18
  • Patients wearing the Bair Hugger warming gown arrive in OR ready to be warmed
  • Maintaining normothermia may reduce surgical bleeding and the need for blood products20
  • Mild hypothermia (< 1°C) increases blood loss by 16% and relative risk for transfusion by 22%8
  • Maintaining normothermia can reduce the risk for surgical wound infection22
  • Wound infection rates have been shown to be higher for hypothermic vs. normothermic patients22
  • One Bair Hugger warming gown has been shown to replace as many as nine cotton blankets25 during the perioperative period - and delivers both comfort and clinical warming26
  • Hypothermic patients’ duration of hospitalisation has been shown to be 20% longer (2.6 days) than normothermic patients22
  • Maintenance of normothermia shortens the duration of hospitalisation22
  • Maintaining normothermia can shorten postoperative recovery because patients arrive in the PACU warmer20

Case study: The effect of anaesthetic room pre-warming on the incidence of inadvertent perioperative hypothermia: a quality improvement project.28-33

Learn more about the real experiences of your colleagues who have already seen positive results warming their surgical patients with the Bair Hugger Universal Gown with Thinsulate Insulation.

*All references utilized in the case study are duly acknowledged and cited within the document.

Read more

Effective temperature management solutions

To help you maintain normothermia

We want to help you restore patients’ lives for the better. So, we listen closely to understand your toughest challenges, then find new ways to create innovative temperature management solutions so you can provide more efficient care.



That’s why we’ve designed a wide range of solutions including the 3M™ Bair Hugger Temperature Monitoring System, 3M™ Bair Hugger Warming System, 3M™ Ranger Blood/Fluid and Irrigation Fluid Warming Systems and Pressure Infusors aimed to help you maintain normothermia, create positive patient experiences and improve surgical outcomes. 

3M Bair Hugger Temperature Management Solutions

The Bair Hugger temperature management solutions combines a warming system and a temperature monitoring system. They provide an easy-to-use, clinically supported method of measuring, monitoring and maintaining your patients’ core temperature.

Learn more about Bair Hugger Temperature Management Solutions
Bair Hugger™ Patient Adjustable Warmer Unit Model 875, Bair Hugger™ Warmer Unit Model 775, Bair Hugger™ Warmer Unit Model 675, Bair Hugger™ Universal Warming Gown, Bair Hugger™ Booties, and Bair Hugger™ Full Body Warming Blanket
3M Ranger Solutions

The Ranger blood and fluid warming system was designed to prioritise flow rate and dry heat with its end user in mind. Dry heat technology adapts to virtually any fluid warming need from keep vein open (KVO) to 333 mL/min or 20 L/hour. That means fast, accurate heat control which minimises the risk of overheating fluids.

Learn more about Ranger Blood and Fluid Warming System
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Guide

Brochures to download

Warmth they can wear

The same 3M™ Thinsulate™ Insulation technology that keeps people warm outside, is now available in the 3M™ Bair Hugger™ Universal Warming Gown to help keep surgical patients warm during their perioperative journey.

Combined with our proven 3M™ Bair Hugger™ Forced-Air Warming technology, the Bair Hugger Universal Warming Gown enables clinicians to maintain normothermia in surgical patients even when active warming is not possible.

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* Kaikki tähdellä merkityt kentät ovat pakollisia.

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Anteeksi. Lähettämisessä tapahtui virhe. Yritä myöhemmin uudelleen.

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References:

  1. Forstot RM. The etiology and management of inadvertent perioperative hypothermia. J Clin Anesth. 1995;7:657-674.   
  2. Leslie K, Sessler DI. Perioperative hypothermia in the high-risk surgical patient. Best Pract Res Clin Anaesthesiol. 2003;17:485-498. 
  3. Horn EP, Bein B, Bohm R, Steinfath M, Sahili N, Hocker J. The effect of short time periods of pre-operative warming in the prevention of peri-operative hypothermia. Anaesth. 2012;67(6) 
  4. Hooven K. Preprocedure warming maintains normothermia throughout the perioperative period: a quality improvement project. JoPAN. 2011;26910:9-14 
  5. Kurz A, Sessler DI, et al. Perioperative Normothermia to Reduce the Incidence of Surgical-Wound Infection and Shorten Hospitalization. New Engl J Med. 1996;334:1209-1215.  
  6. Melling AC, Ali B, Scott EM, Leaper DJ. Effects of preoperative warming on the incidence of wound infection after a clean surgery: a randomized controlled trial. Lancet. 2001;358(9285):876-880. 
  7. Schmied H, Kurz A, et al. Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. The Lancet. 1996;347(8997):289-292. 
  8. Rajagopalan S, et al. The Effects of Mild Perioperative Hypothermia on Blood Loss and Transfusion Requirement. Anesth. 2008; 108:71-7. 
  9. Bush H Jr., Hydo J, Fischer E, et al. Hypothermia during elective abdominal aortic aneurysm repair: The high price of avoidable morbidity. J Vasc Surg. 1995;21(3): 392-402. 
  10. Frank SM, Fleisher LA, Breslow MJ, et al. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. JAMA. 1997;277:1127-1134. 
  11. Scott AV, Stonemetz JL, Wasey JO, Johnson DJ, Rivers RJ, Koch CG, et al. (2015) Compliance with Surgical Care Improvement Project for Body Temperature Management (SCIP Inf-10) Is Associated with Improved Clinical Outcomes. Anesth. 123: 116–125. 
  12. Fossum S, Hays J, Henson MM. A Comparison Study on the Effects of Prewarming Patients in the Outpatient Surgery Setting. J PeriAnesth Nurs. 2001;16(3):187-194. 
  13. Wilson L, Kolcaba K. Practical Application of Comfort Theory in the Perianesthesia Setting. J PeriAnesth Nurs. 2004;19(3):164-173. 
  14. Schroeck H, Lyden AK, Benedict WL, Ramachandran SK. Time trends and predictors of abnormal postoperative body temperature in infants transported to the intensive care unit. Anesthesiol Res Pract. 2016;7318137. doi:10.1155/2016/7318137. 
  15. Hooper VD, Chard R, Clifford T, et al. ASPAN’s evidence-based clinical practice guideline for the promotion of perioperative normothermia: Second edition. J Perianesth Nurs. 2010;25(6):346-365. doi:10.1016/j.jopan.2010.10.006. 
  16. Shippert, R. Am Journal Cosmetic Surg. 2005;22(1):25-34.  
  17. Yilmaz, M. et. al. Anesth. 2008;109 Abstract 880.  
  18. Andrzejowski, J. et. al. BJA. 2008;101(5):627-631.  
  19. Shander, A. et. al. Transfusion. 2010;50:753-765.  
  20. Mahoney, CB. Odom, J. AANA J. 1999;67(2):155-164.  
  21. Stone, P. AJIC. 2005;33(9):501- 509.  
  22. Kurt, A. et al. N Engl J Med. 1996;334:1209-15  
  23. VPMR survey results. Warming Methods Cost Comparison Research, sponsored by 3M July 2012.  
  24. The Key Group survey results. Hospital Linen Usage and Cost Analysis Survey, sponsored by 3M November 2011.  
  25. Senn, Girard F. Surg Serv Management. 2002; 8:19-2S  
  26. Oh,1. ASC Communications 2012. April 30, 2012. Source: Kaiser State Health Facts.  
  27. Steinriede, K. Outpatient Surg. October 2010. 
  28. Rona J, Andrzejowski J, Wiles M. The effect of anaesthetic room pre-warming on the incidence of inadvertent perioperative hypothermia: a quality improvement project. Anaesthesia 2022, 77 (Suppl.4), 6–44.
  29. Torossian A, Bräuer A, Höcker J, Bein B, Wulf H, Horn E. Preventing Inadvertent Perioperative Hypothermia. Deutsches Ärzteblatt international. 2015;112(10):166–172.
  30. 30. Riley C, Andrzejowski J. Inadvertent perioperative hypothermia. BJA Education. 2018;18(8):227–233.
  31. National Institute for Health and Care Excellence. NICE Clinical Guideline. [CG65]. Apr 2008.
  32. Horn E, Bein B, Böhm R, Steinfath M, Sahili N, Höcker J. The effect of short time periods of pre-operative warming in the prevention of peri-operative hypothermia. Anaesthesia. 2012;67(6):612–617.
  33. Harrison S. [Internet]. Sheffieldmca.org.uk. 2012 [cited 25 March 2022]. Available from: https://www.sheffieldmca.org.uk/UserFiles/File/Harrison_Run_Charts_an_Introduction.pdf