Impact of a Global Warming Strategy From Patient Arrival in the Operating Room to Discharge From the Recovery Room Versus Standard Intraoperative Warming on Hypothermia Prevalence
Led by Poitiers University Hospital · Updated on 2026-05-26
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What this Trial Is About
Researchers are evaluating the impact of extending patient warming before and after surgery on reducing hypothermia in the recovery room. Hypothermia, defined as a core temperature below 36°C, can increase risks such as bleeding, infection, cardiac issues, and longer hospital stays. This study aims to compare a global warming strategy to the standard per-operative warming in patients undergoing laparoscopic visceral surgery.
The study compares two groups: one receiving a global warming approach involving systematic warming before, during, and after surgery, and the other receiving standard per-operative warming with a forced-air blanket prewarming for 10 minutes in the operating room. The global warming strategy extends warming from patient arrival in the operating room until discharge from the recovering room, while the control group receives warming only during surgery.
Participants will be monitored for body temperature and complications related to hypothermia throughout the perioperative period. Researchers will measure outcomes such as the prevalence of hypothermia at recovery room discharge, duration of mechanical ventilation, thermal comfort before anesthesia and in the recovery room, oxygen therapy duration, blood loss, and length of stay in the recovery room. The study involves randomization and no masking, with assessments conducted during the hospital stay, mainly focusing on the day of surgery and recovery.
CONDITIONS
Brief Title
Impact of a Global Warming Strategy of the Patient on the Prevalence of Hypothermia in the Recovering Room
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Patient undergoing laparoscopic visceral surgery under general anesthesia
Transition to recovering room after surgery
Age 18 years or older
You will not qualify if you...
Patient undergoing urgent surgery
Presence of pre-existing infection with temperature higher than 38°C
Patient with predetermined length of stay in the recovering room
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Day of surgery
Participants undergo laparoscopic visceral surgery with either a global warming strategy including pre-, intra-, and post-operative warming or standard per-operative warming only.
1 surgery day visit
Post-operative Follow-up
Duration - Up to discharge from the recovering room (same day)
Participants are monitored in the recovering room after surgery to assess hypothermia prevalence and other recovery outcomes.
Prevalence of hypothermia on admission to recovery room remains high despite a large use of forced-air warming devices: Findings of a non-randomized observational multicenter and pragmatic study on perioperative hypothermia prevalence in France.