title: Effect of thermal reflective blanket placement on hypothermia in primary unilateral total hip or knee arthroplasty.
abstract: OBJECTIVE
  Hypothermia in patients undergoing major clean surgery results in higher incidence of perioperative complications. The aim of this study was to evaluate whether the additional use of a thermal reflective blanket can prevent hypothermia in patients undergoing primary unilateral total hip or knee replacement surgery.
  
  
  METHODS
  A randomized, single-blinded study design was used.
  
  
  METHODS
  A total of 58 patients were randomized, 29 received a thermal reflective blanket, and 29 did not. Outcome measures included core temperature, thermal comfort, and shivering.
  
  
  RESULTS
  The mean of the lowest core temperature was below 36°C in both the groups (35.9±0.4°C vs 35.8±0.4°C); thermal comfort and shivering were not significantly different between the groups.
  
  
  CONCLUSIONS
  A thermal reflective blanket did not prevent hypothermia in this group of patients.
authors.forename: Marijn
authors.initials: M
authors.lastname: Koëter
authors.forename: Borg
authors.initials: B
authors.lastname: Leijtens
authors.forename: Sander
authors.initials: S
authors.lastname: Koëter
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006358:Hot Temperature; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: arthroplasty; hypothermia; research; temperature monitoring; thermal reflective; warming devices