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| Name | Class |
|---|---|
| University of Valladolid | OTHER |
| Sanidad de Castilla y León | OTHER |
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pre and post intervention quasi-experimental epidemiological study without a control group will be carried out in large burned patients that will evaluate the influence on metabolic expenditure of the inclusion of active external rewarming in the control of body temperature.
the heavily burned patient requires specific care to prevent hypothermia and maintain body temperature. You are at high risk of developing hypothermia in the acute phase due to heat losses from convection, radiation, evaporation, and conduction. After the acute phase, the patient due to physiological mechanisms and the hypermetabolic response mainly demands a temperature close to 38.5ºC, ruling out the infectious focus. According to the authors, environmental temperatures between 28-33ºC are recommended for the care of these patients to decrease energy expenditure. The research carried out has studied the influence of passive external heating (environmental regulation), without including the influence of active external heating (heat blankets, heating plate ...) or the study of the thermal comfort of large burned patients and of professionals who provide them they attend.
A pre and post intervention quasi-experimental epidemiological study without a control group will be carried out in large burned patients that will evaluate the influence on metabolic expenditure of the inclusion of active external rewarming in the control of body temperature. Metabolic expenditure will be measured by indirect calorimetry in the usual treatment with passive external rewarming and post-intervention in the combination of passive and active external heating. The combination of passive and active external reheating will previously study the operating temperature in various cases for optimal application, as well as the definition of thermal comfort in the large burn unit. The specific training of the personnel involved in the care of these patients will be required for the application of the evidence-based recommendations and the evaluation of their implementation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Passive external overheating | No Intervention | Passive external overheating in the environmental temperature control adjusted to thermal comfort. Measure during 6 hours with indirect calorimetry | |
| Active external overheating with heating plate | Active Comparator | Combination of passive and active external heating with heating plate Measure during 6 hours with indirect calorimetry |
|
| Active external overheating with air blanket | Active Comparator | Combination of passive and active external heating with convective air blanket Measure during 6 hours with indirect calorimetry |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Active external overheating with heating plate, Aragonia ® MTC 400 | Device | It is a heating device that is adjustable in height up to 50 cm from the patient and generates radiant heat at low temperature (up to 39 ◦C) distributed evenly. It is equipped with an adjustable 0-9 potentiometer and has a skin temperature probe as a control and safety mechanism Measure during 6 hours with indirect calorimetry in first week |
| Measure | Description | Time Frame |
|---|---|---|
| Metabolic expenditure | Compare the metabolic expenditure of burned patients according to the heating method between the combination of active and passive external adjusted to thermal comfort versus external passive overheating. | Measure during 6 hours with indirect calorimetry in first recovery week with three heating methods |
| Measure | Description | Time Frame |
|---|---|---|
| Optimal environmental temperature | Define the optimal environmental temperature according to the characteristics of the patient with a large burn during the acute phase, assigning the available resources. | Measure during 6 hours with three heating methods in first recovery week |
| Thermal comfort |
| Measure | Description | Time Frame |
|---|---|---|
| Nursing care planning | Evaluate the nursing care plan in the thermoregulation of the burned patient according to the standardized nurse taxonomy. | Measure Scales during three heating methods in six hours, first recovery week |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Juan Manuel Alonso Fernández, MSN | Contact | 0034679660502 | jmalonsof@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Juan Manuel Alonso Fernández, MSN | Sanidad Castilla y León | Principal Investigator |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Mar 11, 2020 | May 15, 2020 | Prot_SAP_ICF_000.pdf |
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| ID | Term |
|---|---|
| D002056 | Burns |
| D007035 | Hypothermia |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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A pre and post intervention quasi-experimental epidemiological study without control group, will be carried out in large burned patients that will assess the influence on the metabolic expenditure of the inclusion of active external reheating in the control of the environmental temperature.
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| Active external overheating with air blanket, Equator Level 1® de Smiths Medical | Device | Composed of a unit that produces hot air and forced air adjustable from 38ºC to 43ºC. Sends hot forced air distributed by tubular blanket that convectively heats the patient by diffusing hot air directed at the patient through the textile pore of the air blanket Measure during 6 hours with indirect calorimetry in first week |
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Analyze thermal comfort according to heating methods in large burned patients. |
| Measure during 6 hours with three heating methods first recovery week |