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Excerpts from the Medical Literature Burn Treatment Fred T. Caldwell, Jr., MD: Etiology and Control of Postburn Hypermetabolism: The 1991 Presidential Address to the American Burn Association. Journal of Burn Care and Rehabilitation Vol. 12, No.5 :385-401,1991 ".....The conclusion to be reached is that adequate energy from external infrared heaters or the use of occlusive dressings reduces the HMR [hypermetabolic response] to burn injury to a manageable level..... " M. Gösta S. Arturson, MD: Metabolic Changes Following Thermal Injury. World Journal of Surgery 2:203-214, 1978 "..... Infrared radiation is a practical and inexpensive way of distributing energy from the environment to the patient, suitable also in disaster situations. The ambient air temperature can be kept comfortable with respect to the patient's airways and to the nursing staff....." Post-Operative and Intensive Care S. Henneberg, A. Eklund, P.-O. Joachimsson, H. Stjernström and L. Wiklund: Effects of a Thermal Ceiling on Postoperative Hypothermia. Acta Anaesthesiol Scand 29:602-606, 1985 "..... In summary, postoperative external heating with a thermal ceiling reduced oxygen consumption and shivering significantly in moderate hypothermia. Furthermore, it reduced plasma catecholamine levels. At the same time, the comfort of the patients increased considerably....." P. Dzlewulski ,FRCS, Registrar J.A. Clarke FRCS: Heat loss in burns patients. British Journal of Intensive Care March/Apr:27-31, 1991 ".....The Thermal Ceilings TM is especially useful in rewarming the patient following surgery and ....." ".....Heat loss in burns patients is an important preventable cause of morbidity and mortality..... " P.-O. Joachimsson, MD, PhD, S.-O. Nyström, MD, PhD, and H. Tydén, MD, PhD: Heating efficacy of external heat supply during and after open-heart surgery with hypothermia. Acta Anaesthesiol Scand 31:73-80, 1987 ".....Radiant heat from a low-temperature radiator, a Thermal CeilingTM, was established as a new efficacious method for providing heat, shortening the rewarming period and restoring body temperatures and heat..... " A. Sharkey, MB, BCh, BAO, FFARCS, J.M. Lipton, PhD, M.T. Murphy, MD, A.H. Giesecke, MD: Inhibition of Postanesthestic Shivering with Radiant Heat. Anesthesiology 66:249-252, 1987 "..... The results of the second experiment clearly show the superiority of radiant heating over warmed blanket treatment in control of PAS. Radiant heating reduced shivering duration approximately 84% over the 30-min test period..... " Beverly Foley, RN, CCRN: New England Deaconess Hospital June 1988. ".....In my experience as a Recovery Room nurse, it is very unusual for post operative Open Heart and major Vascular patients not to require Nipride, Nitroglycerine, fluid bolluses, and pain medication during the immediate post operative period....." ".....patients experience less or no shivering and are more hemo-dynamically stable. Of interest, one patient stated it was the first time she had been warm during her entire hospital stay..... " P.-O. Joachimsson, MD, PhD, S.-O. Nyström, MD, PhD, and H. Tydén, MD, PhD: Early Extubation After Coronary Artery Surgery in Efficiently Rewarmed Patients: A Postoperative Comparison of Opioid Anesthesia Versus Inhalational Anesthesia and Thoracic Epidural Analgesia. Journal of Cardiothoracic Anesthesia, Vol. 3, No.4:444-454, 1989 ".....This treatment almost eliminated postoperative shivering, and it resulted in the lowering of oxygen uptake, carbon dioxide production, and required ventilatory volumes to stable levels where spontaneous breathing could be used safely..... " Melody S. Heffline, RN, MSN, CPAN: A Comparative Study of Pharmacological Versus Nursing Interventions in the Treatment of Postanesthesia Shivering. Journal of Post Anesthesia Nursing, Vol 6, No 5 :311-320, 1991. ".....The key to making radiant heat work is to stress that only one blanket should be used over the patient....." ".....The results of this study support the use of radiant heat to treat the PS [post-operative shivering] patient, and imply that perhaps postanesthesia nurses should reconsider radiant heat as a primary treatment for PS [post-operative shivering]....." ".....Radiant heat is a nursing intervention that requires no physician order and is easy and safe to administer....." ".....This method is cost-effective nursing intervention..... " Jill N. Howie,RN, MS, CCRN.: Hypothermia and Rewarming After Cardiac Operation. Focus on Critical Care, Vol.18 No. 5:415-418,1991. ".....The use of radiant [heat] not only prevents heat loss, but enhances heat gain. The most recent research indicates that radiant heat enhances convective heat transfer, promotes radiant heat gain, and decreases peripheral vasoconstriction. This method can be extremely beneficial for patients after cardiac surgery who initially maintain high systemic vascular resistance..... " W. Weyland, M.D., A. Weyland, M.D., U. Fritz, M.D., H.Neuman, S. Martens,Th. A. Crozier, M.D., U. Braun, M.D.: Efficacy of an Overhead Radiant Heater for Postoperative Rewarming. Unpublished 1992. Department of Anaesthesiology, Rescue and Intensive Care Medicine. University of Göttingen, Göttingen, Germany. ".....We conclude that the investigated Aragona Thermal CeilingTM seems to be an effective device for postoperative rewarming, which can reduce body [own] heat production to about 50% of control values without treatment related side effects. For patients with an equal body [own] heat production this means a cut in rewarming time by 50%....."
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News! -Aragona® Thermal Ceilings, Now available on arm system for ceiling or wall mounting.
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