Hypothermia, Perioperative
Conditions
Keywords
hypothermia, prevalence, perioperative, anemia, myocardial injury, troponin T, noncardiac surgery
Brief summary
The primary objectives of the study are * to perform a survey on the clinical management of unintentional hypothermia during surgery in France. * to assess the impact of perioperative hypothermia on anemia and myocardial injury.
Detailed description
100 investigation centers in metropolitan France will participate in the study, targeting 2000 included patients (20 surgical interventions in each center). The duration of inclusion in each center should last at most 2 weeks. The selected surgical interventions will be those performed with a high frequency, practiced in all types of hospitals (public, private, university hospital or not), and requiring anesthesia of at leat 30 minutes (general, epidural or intrathecal anesthesia).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Non-ambulatory surgery. * Duration of anesthesia \> 30 minutes. * Type of surgery: urology, gynecological, gastrointestinal, vascular and orthopedics surgery. * Type of anesthesia: general, intrathecal or epidural anesthesia. * patient ≥ 45 years. * No opposition of patient to participate in the study.
Exclusion criteria
* Emergency surgery. * Cardiac surgery, proctology surgery or thoracic surgery. * Digestive endoscopy or surgical radiology. * Septic surgery. * Patient with at least one organ failure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Core temperature | up to 24 hours | The temperature will be measured with the same type of thermometer in all investigator sites: SpotOn™ (3M France). |
| blood loss | up to 24 hours | Blood loss will be assessed by haemoglobin variation between preoperative and the first post-operative day. |
| myocardial injury | up to 48 hours | Troponin T will be measured after the surgical intervention (at least 6 hours after the end of the surgery) and on the second postoperative day (when the patient remains hospitalized). |
Countries
France