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Why Do ASCs Fail? - August 2015 - Subscribe to Outpatient Surgery Magazine

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Temperature readings from at least one phase of care were missing for 242 patients, so they weren't included in the final results, which showed that of the remaining 595 patients, 549 (92%) maintained nor- mothermia and 46 (8%) experienced a hypothermic event. Our find- ings fell within the reported 4% to 9% range of patients who typically experience hypothermia. I expected our rate would be less, because some of our minor procedures are over in minutes. We found that each of the warming options was equally effective in maintaining normothermia. Women were 0.46 times less likely than men to remain normothermic, but the difference was not statistically significant. In addition, there was no association between pre-warm- ing and normothermia. Surprisingly, we also couldn't identify a statis- tically significant predictor of hypothermia. At first we assessed (low) body-mass index and age (the elderly and the very young), 2 commonly associated risk factors, but saw no correlation. That was hard for me to accept, so we added more data and crunched the num- bers to assess the potential impact of ASA status, time in pre-op, pre-warming, pre-warming dura- tion, case duration and procedure type. 8 5 A U G U S T 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T EC1730BL combination warmer ivNow-1 IV fluid warmer DC400L fluid warmer E n t h e r m i c s M e d i c a l S y s t e m s ISO 13485:2003 Certified | 1-800-862-9276 | www.enthermics.com Improve processes: • Efficiently warm patients from admission to discharge • Warm fluids in a cabinet and keep them warm at the point of use with the space-saving ivNow warmer ivNow increases regulatory compliance: • Display actual temperature of every bag • Records the shelf life of every bag ivNow saves money: • Reduce disposable costs while warming 20-140 liters of fluid over 12 hours Increase reimbursements: • Reduce SSIs and time spent in the PACU • Improve patient satisfaction surveys & clinical outcomes Streamline Patient Warming f r o m a d m i s s i o n t o d i s c h a r g e Warm fluids and blankets in bulk, then keep the fluids warm right in the OR with ivNow ®

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