Treating Hypothermia During Liver Transplant Surgery Hypothermia is a significant challenge during liver transplant surgery, one of the most complex procedures in medicine. Dr. Scott Lindberg, Director of Liver Transplant Anesthesia at Houston Methodist Hospital, shares his experience in overcoming this challenge using the HotDog Patient Warming System. The Challenge of Warming Liver Transplant Patients [...]

3M Attempts to Mislead Federal Judge With Erroneous Study Conclusions: Previously published data contradict conclusions of the Jeans study Click here for the full analysis (PDF) In a recent study pre-published online by Jeans et al, the authors conclude that screening for methicillin sensitive staphylococcus aureus (MSSA) and treating those that test positive before surgery [...]

The first question to the jury, in summary: “Did plaintiff prove that Bair Hugger was unreasonably dangerous and that a safe alternative was available?” The alternative, the Court ruled, had to be another air-blowing device to meet defective design requirements (it could not be HotDog®, another electric warming system, or a water-based system). The jury’s [...]

StopSurgicalInfections.org recently submitted a press release regarding a review article published by Journal of Hospital Infection.  The press release is as follows: Surgical-infection experts have unambiguously concluded that forced-air warming “...does contaminate ultra-clean air ventilation….” in the operating room. Their advice: Use air-free warming during implant surgery. PRLog - Nov. 12, 2014 - MINNEAPOLIS -- “Infection Control Hazards Associated with the Use [...]

A well-known patient advocate now urges surgical patients to avoid forced-air warming—even to change hospitals if necessary. The advocate, Rosie Bartel, speaks from experience. Infected with MRSA during a knee-replacement procedure at a hospital using forced-air warming, Bartel has undergone 27 subsequent operations— including amputation of her leg to the hip. The MRSA remains active. [...]

International Orthopedic Consensus “We recognize the theoretical risk posed by forced air warming blankets,” concluded the Consensus Statement recently released by the International Consensus on Periprosthetic Joint Infection. While not urging a change in practice, the Consensus Statement recommended that further studies be undertaken regarding the safety of forced-air warming (“FAW”) in orthopedic implant surgery. Delegates [...]

AORN Journal, noting concerns about infection risk from forced-air warmers, called for multi-center, randomized, controlled trials. Evidence of bacteria in the air-flow paths of forced-air warmers; authors ask manufacturers to consider redesign. In a continuing-education review article in the October issue of AORN Journal,published by the Association of Operating Room Nurses, the authors examined 192 sources.  Their [...]

August 2013Research in the August edition of Anesthesia & Analgesia, a publication of the International Anesthesia Research Society, and appearing under the name of the Anesthesia Patient Safety Foundation stated: “[F]orced air warming was found to establish convection currents that mobilized resident air from nonsterile areas (under the anesthesia drape) upward and into the surgical site.” The [...]

August 2013 Research published in the August issue of AANA Journal revealed that 96% of Bair Hugger forced-air warming (FAW) blowers studied were generating “significant levels of contamination.”  The researchers, including two UK orthopedic surgeons, measured up to 110,000 particles per cubic foot--82,500 particles per second.  More than 70% of the blowers “had hose-end airflows with higher contamination [...]

A news article published in Clinical Quality & Infection Control, a publication of Becker’s ASC Review, stated: “Recent studies published in medical journals questioning the safety of forced-air patient warming in orthopedic implant and other ultra-clean surgeries could mean a wave of new litigation.” The studies, said the writer, show that forced-air blowers contain internally generated airborne [...]