Do forced air patient-warming devices disrupt unidirectional downward airflow?

Journal of Bone and Joint Surgery - Series B

Volumn 94 B, Issue 2, 2012, Pages 254-256

  Legg, A J ^a   Cannon, T ^a   Hamer, A J ^a  

^a NORTHERN GENERAL HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AIRFLOW; ARTHROPLASTY; ARTICLE; BACTERIUM; CONTROLLED STUDY; FORCED AIR WARMING DEVICE; HUMAN; INTERMETHOD COMPARISON; LEG; MEDICAL DEVICE; NULL HYPOTHESIS; OPERATING ROOM; PARTICLE SIZE; PRIORITY JOURNAL; RADIANT WARMING DEVICE; SURGICAL WOUND; TEMPERATURE; WARMING;

AIR MICROBIOLOGY; AIR MOVEMENTS; ARTHROPLASTY, REPLACEMENT; HEATING; HUMANS; INTRAOPERATIVE CARE; JOINT PROSTHESIS; OPERATING ROOMS; PARTICULATE MATTER; PROSTHESIS-RELATED INFECTIONS; TEMPERATURE;

EID: 84856888184     PISSN: 0301620X     EISSN: None     Source Type: Journal    
DOI: 10.1302/0301-620X.94B2.27562     Document Type: Article

References (18)

1. Phillips JE, Crane TP, Noy M, Elliott TS, Grimer RJ. The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective study. J Bone Joint Surg [Br] 2006;88-B:943-948. (Pubitemid 44057185)
2. Whyte W, Lidwell OM, Lowbury EJ, Blowers R. Suggested bacteriological standards for air in ultraclean operating rooms. J Hosp Infect 1983;4:133-139. (Pubitemid 14225846)
3. Lidwell OM, Elson RA, Lowbury EJ, et al. Ultraclean air and antibiotics for prevention of postoperative infection: a multicenter study of 8,052 joint replacement operations. Acta Orthop Scand 1987;58:4-13. (Pubitemid 17098260)
4. Lidwell OM, Lowbury EJ, Whyte W, et al. Infection and sepsis after operations for total hip or knee-joint replacement: influence of ultraclean air, prophylactic antibiotics and other factors. J Hyg (Lond) 1984;93:505-529. (Pubitemid 15181013)
5. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization: Study of Wound Infection and Temperature Group. N Engl J Med 1996;334:1209-1215.
6. Tumia N, Ashcroft GP. Convection warmers: a possible source of contamination in laminar airflow operating theatres? J Hosp Infect 2002;52:171-174.
7. Charnley J. Postoperative infection after total hip replacement with special reference to air contamination in the operating room. Clin Orthop 1972;87:167-187.
8. Hauser R, Berchtold W, Schreiber A. Incidence of deep sepsis in uncemented total hip arthroplasty using clean air facility as a function of antibiotic prophylaxis. Bull Hosp Jt Dis 1996;54:175-179. (Pubitemid 26066720)
9. Lidwell OM. Air, antibiotics and sepsis in replacement joints. J Hosp Infect 1988;11(Suppl C):18-40.
10. Chow TT, Yang XY. Ventilation performance in operating theatres against airborne infection: review of research activities and practical guidance. J Hosp Infect 2004;56:85-92. (Pubitemid 38153056)
11. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999: Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999;27:97-132.
12. Mahoney CB, Odom J. Maintaining intraoperative normothermia: a meta-analysis of outcomes with costs. AANA J 1999;67:155-163.
13. Bayazit Y, Sparrow EM. Energy efficiency comparison of forced-air versus resistance heating devices for perioperative hypothermia management. Energy 2010;35:1211-1215.
14. No authors listed. National Institute for Clinical Excellence: perioperative hypothermia (inadvertent), 2008 (NICE clinical guideline 65). http://www.nice.org.uk/nicemedia/ pdf/CG65Publicinfo.pdf (date last accessed 26 September 2011).
15. Albrecht M, Gauthier R, Leaper D. Forced-air warming: a source of airborne contamination in the operating room? Orthop Rev (Pavia) 2009;1:e28.
16. Avidan MS, Jones N, Ing R, et al. Convection warmers: not just hot air. Anaesthesia 1997;52:1073-1076. (Pubitemid 27487470)
17. Sharp RJ, Chesworth T, Fern ED. Do warming blankets increase bacterial counts in the operating field in a laminar-flow theatre? J Bone Joint Surg [Br] 2002;84-B:486-488. (Pubitemid 34578493)
18. No authors listed. NHS Estates. Health Technical Memorandum 2025: ventilation in healthcare premises, 1998. http://www.mintie.com/assets/img/ education/ NHS%20Estates%20-%20HVAC.pdf (date last accessed 26 September 2011).