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Implementing NICE guidance

Inditherm patient warming mattress for the prevention of inadvertent hypothermia. Implementing NICE guidance. August 2011. NICE medical technology guidance 7. What this presentation covers. Background Guidance Practical considerations Costs and savings Discussion

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Implementing NICE guidance

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  1. Inditherm patient warming mattress for the prevention of inadvertent hypothermia Implementing NICE guidance August 2011 NICE medical technology guidance 7

  2. What this presentation covers • Background • Guidance • Practical considerations • Costs and savings • Discussion • Accessing the guidanceand implementation tools All images in this presentation reproduced with kind permission of Inditherm Medical plc

  3. Background: medical technologies guidance • NICE medical technology guidance addresses specific technologies notified to NICE by manufacturers • If the case for adopting the technology is supported, then the technology has been found to offer advantages to patients and the NHS • The specific recommendations on individual technologies are not intended to limit use of other relevant technologies that may offer similar advantages

  4. Background: current clinical practice • Inadvertent hypothermia: preventable complication of surgery associated with poor outcomes • NICE clinical guideline 65 recommends: • assess patients for risk of inadvertent perioperative hypothermia • forced air warming should be used where indicated • This medical technology guidance does not supersede NICE clinical guideline 65

  5. Background: epidemiology • 2.5 million procedures per year involve anaesthetising for 30 minutes or longer. • This anaesthesia carries a risk of inadvertent hypothermia • 70% of patients undergoing routine surgery may be hypothermic on admission to the recovery room • Active warming is associated with a reduction in surgical site infections of at least 25%

  6. Background:Inditherm mattress • The Inditherm mattress has the following features: • flexible, carbon-based conductive polymer technology • moulds to the patient’s shape • low-voltage • reusable • control unit prevents overheating • fabric: latex-free, nylon, non-microporous polyurethane coating • The Inditherm mattress can be used on its own or with other warming methods

  7. Guidance (1) • The case for adopting the Inditherm patient warming mattress in the NHS is supported by the evidence. • The clinical evidence suggests that: • the effectiveness of the Inditherm patient warming mattress in maintaining patient core body temperature above 36°C is similar to that of forced air warming • the Inditherm mattress may have practical advantages.

  8. Guidance (2) The Inditherm patient warming mattress should be considered for use in patients undergoing operations that carry a risk of inadvertent hypothermia

  9. Practical considerations: 1 • Retaining straps • Sealed outer cover • Flexible polymer heating surface • Pressure relief pad The layers of the Inditherm Patient warming mattress:

  10. Practical considerations: 2 • No evidence of safety issues • Quality of X-ray images is not affected by the Inditherm mattress • The Inditherm mattress can be left on the operating table between patients • Different mattress sizes available to suit different clinical situations • Clean the Inditherm mattress the same way as a normal operating table mattress

  11. Costs and savings for the NHS

  12. Costs and savings: device and equipment costs

  13. Costs and savings: postoperative complications

  14. Discussion • What is our current approach to patient warming? • How are we going to appraise the options to decide if we need to change? • How can we encourage our colleagues to use this technology? • How will eligible patients be identified? • What can we do to facilitate use of the Inditherm mattress within our organisation?

  15. Accessing the guidance and implementation tools online • Guidance • Costing tools • Podcast • Factsheet • available from: www.nice.org.uk/MTG7 • NICE clinical guideline 65 is available from: www.nice.org.uk/guidance/CG65

  16. What do you think? • Did the implementation tool you accessed today meet your requirements, and will it help you to put the NICE guidance into practice? • We value your opinion and are looking for ways to improve our tools. Please complete a short evaluation form. • If you have problems accessing or using this tool, please email implementation@nice.org.uk To open the links in this slide set right click over the link and choose ‘open link’

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