Cincinnati Sub-Zero

How Your Heater-Cooler Device May Be Ejecting NTM into the OR

By CSZ Medical On Feb 28, 2017 9:00:00 AM

As indicated in this recently published FDA Executive Summary, NTM (nontuberculous mycobacteria) has been detected in patients who were treated using a heater-cooler device for cardio-pulmonary by-pass. Even though the FDA found that the incidents were primarily related to units supplied by one particular manufacturer, the possibility exists that mycobacterium chimaera could be present in other units.

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Topics: NTM

NTM Infections and Heater-Cooler Devices in the OR

By CSZ Medical On Feb 23, 2017 9:00:00 AM

It was 2015 when the airborne transmission of NTM - nontuberculous mycobacterium from heater/cooler units used in open-heart chest surgery were cited as the cause of postoperative infection. The FDA issued its safety warning October 15, 2015 “…to heighten awareness about infections associated with heater-cooler devices and steps health care providers and health facilities can take to mitigate risks to patients.”

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Topics: Heater-Cooler Devices, NTM Infections

Overview of Patient Temperature Management During CP Bypass Surgery

By CSZ Medical On Feb 6, 2017 10:00:00 AM

Deep hypothermic circulatory arrest is necessary for several OR procedures; Hilary Grocott, MD, FRCPC, FASE says the use of low temperatures protects and preserves organ function, but “…the actual target temperature… and the strategies used to obtain that temperature and rewarm from it have undergone considerable revision in recent years.” Overall, there has been a lack of cohesive evidence-based guidelines for temperature management during adult cardiopulmonary bypass, until now.

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Topics: Patient Temperature Management

Can Prewarming of Surgical Patients Reduce Complications and Help Improve Patient Satisfaction?

By CSZ Medical On Nov 3, 2016 2:00:00 PM

Do the complications associated with perioperative hypothermia give you the chills? Turn up the heat on complications by prewarming your patients in pre-op.

As noted in The Ochsner Journal, Anesthesia alters thermoregulatory mechanism in a way that causes patient body temperatures to dip during surgery. Anesthesia also prevents patients from moving to a warmer environment. Decreased metabolism and the cold environment may also cause the patient to become hypothermic.

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Topics: Patient Warming

Is Your Heater-Cooler Releasing NTM into the OR?

By CSZ Medical On Oct 27, 2016 10:00:00 AM

Non-tuberculous mycobacterium (NTM) infections have been a cause of increasing concern over the past couple of years for patients undergoing cardiopulmonary bypass procedures.

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Topics: NTM

Importance of Temperature Management in the ICU

By CSZ Medical On Sep 13, 2016 10:00:00 AM

When a critically ill patient's body temperature deviates from the normal range, the clinical implications can be significant.  Fortunately, with the help of innovative equipment, healthcare professionals can manage and even manipulate the body temperatures of ICU patients with ease.

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Topics: body temperature management

Three Reasons System Integrity Matters for Targeted Temperature Management

By CSZ Medical On Sep 6, 2016 3:00:00 PM

Targeted Temperature Management is Important for Many Different Patients

In order to maintain proper temperature management, it is important to ensure that all the right parts are in place.  It may sound simple, but inaccurate temperature management can result from a number of potential causes, including water leakage and decreased delivered therapy, which could affect patient outcomes.

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Topics: temperature management, therapeutic hypothermia

Targeted Temperature Management - 33C vs 36C

By CSZ Medical On Aug 30, 2016 10:00:00 AM

Controversy persists with regard to the temperature healthcare providers should target when cooling patients.  While some professionals believe that maintaining patients' normal temperature of 36 degrees Celsius is preferable, others insist that patients respond better when cooled to 33 degrees Celsius.

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Topics: Patient Temperature Management

Treating Pressure Ulcers and Avoiding HAC Penalties with Targeted Temperature Management

By CSZ Medical On Aug 23, 2016 2:30:00 PM

The federal government has been taking steps to address the incidence of hospital-acquired conditions, or HACs.  In 2015, a program was created in order to help reduce the amount of HACs that patients experience each year. HACs are defined as conditions that are relatively preventable that patients do not have upon admission to the hospital.

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Topics: Patient Temperature Management

Why System Integrity Matters for Patient Temperature Management

By CSZ Medical On Feb 5, 2016 5:35:30 AM

Since Hippocrates discovered that profuse bleeding from a wound could be stopped or reduced by packing the wound with snow, health care professionals have used hypothermia as a treatment for certain medical conditions. In the 1930s and 40s, several instances of victims who had been drowning in icy water were successfully resuscitated without experiencing any physical or mental deficiencies. This led to the discovery that controlled cooling of the body could prevent neurological damage in those who had suffered brain injuries, strokes, cardiovascular system assaults and other injuries that may have a tendency to cause swelling of the brain and permanent neurological damage.

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Topics: Blog