Ms Dangyi Peng¹, Associate Professor Heather Cleland^2,3, Mr Cheng Lo^2,3

¹Monash University, Melbourne, Australia, ²Victorian Adult Burns Service, The Alfred, Melbourne, Australia, ³Central Clinical School, Monash University, Melbourne, Australia

Abstract:

INTRODUCTION:

Intraoperative ambient temperature is commonly increased to prevent hypothermia during burn surgery. However, the scientific evidence for its efficacy and safety is limited. In addition, significant consequences for staff performance and infection control exist. As such, there is a need to reassess the contribution of ambient temperature control towards achieving patient normothermia. The aim of this study is to investigate the efficacy of increased ambient temperature of 27°C in a multi-faceted approached towards maintenance of patient normothermia during major burn surgery.

METHODOLOGY:

This is a prospective clinical study involving adult burn patients with >20% TBSA burn injuries. Where appropriate, the intraoperative ambient temperature is increased to a maximum setting of 27°C. Other warming measures are utilised concurrently as per Alfred Health protocol. Patient temperatures are monitored intraoperatively. The consultant surgeon or anaesthetist may request ambient temperature setting to be increased beyond 27°C if necessary.

The primary outcome is the number of occasions where ambient temperature is increased beyond 27°C. Data regarding the indication, decision maker and timing of decision are recorded. Secondary outcomes include patient hypothermia, hospital and intensive care unit length of stay, total number of operations and mortality.

RESULTS:

This investigation is currently ongoing. Results will be presented at the conference.

Biography:

Donna (Dangyi Peng) is currently an BMedSc(Hons) student undertaking her honours year with the Victorian Adult Burns Service at The Alfred, Victoria.