Perioperative Temperature Management during Burn Care

Julie A. Rizzo, Matthew P. Rowan*, Ian R. Driscoll, Rodney K. Chan, Kevin K. Chung

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Major physiologic alterations following a severe thermal injury disrupt thermal homeostasis and predispose burn patients to hypothermia. An important recommendation in many clinical practice guidelines is to increase the ambient temperature during the care of severely burned patients in the operating room and intensive care unit to mitigate the loss of thermoregulation, prevent hypothermia, and minimize the impact of hypermetabolism. However, the scientific support for this recommendation remains unclear. This review summarizes the current knowledge regarding the pathophysiology and treatment of thermal injury-induced hypermetabolism and hypothermia, with special emphasis on alterations in ambient temperature. Current evidence on the value of increasing ambient temperature during the care of severely burned patients in the operating room or intensive care unit is limited, with minimal human studies investigating physiologic benefit or potential adverse effects.

Original languageEnglish
Pages (from-to)e277-e283
JournalJournal of Burn Care and Research
Volume38
Issue number1
DOIs
StatePublished - 1 Jan 2017
Externally publishedYes

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