Cooling Vest May Reduce Heat Stress During Surgery

Status Completed

Clinical Trial Summary

The investigators will propose a randomized cross-over trial using a uniform and strongly balanced 4-period design in which will include four operations for each surgeon. Surgeons will be randomized to 1 of 4 sequences: ABBA, BAAB, AABB or BBAA. The design is "uniform" in that each treatment appears the same number of times within each sequence (uniform within sequence) and if each treatment appears the same number of times within each period (uniform within each period). It is strongly balanced with respect to first-order carryover effects because each treatment precedes every other treatment, including itself, the same number of times

Clinical Trial Description

The subjects will be randomly assigned to use either the CoolSource™ cooling vest (worn between scrubs) and a conventional surgical gown for each of 4 surgeries. Sequence of treatments within the subjects will be randomized (ABBA, BAAB, AABB or BBAA), and determined using the PLAN procedure in SAS, such that each surgeon will wear vest and non-vest twice. The sequencing will not be shared with any study personnel. Allocation for each case will be concealed with a web-based system that will be accessed only shortly before surgery. The investigators will target an ambient temperature of 21°C ± 1°C, and try to maintain the same temperature of each of the four study cases for each surgeon. The CoolSource vest holds six reusable cooling packs located bilaterally on the shoulders, angled flank along the base of the rib cage, and along each side of the spine, mid-back. The vest will be donned over hospital-issued scrubs after all temperature sensing devices have been applied and before surgical hand scrubbing. The subjects will wear the vest throughout surgery, and for a few additional minutes while postoperative assessments are made (details below). The weight of the disposable cooling vest is 1 kg which is evenly distributed over both shoulders. The cooling packs have an insulated cover to reduce condensation or sweating while seated inside the vest pocket. The flexible frozen reusable cooling packs will be inserted into each of the six pockets and the vest belt will be tied to hold the cooling packs securely. The disposable cooling vests will be discarded after each case, and the cooling packs returned to a freezer. ;

Study Design

Related Conditions & MeSH terms

Body Temperature Changes

Clinical Trial Details

NCT number	NCT04511208
Study type	Interventional
Source	The Cleveland Clinic
Contact
Status	Completed
Phase	N/A
Start date	August 25, 2020
Completion date	February 25, 2022

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT02948920` - Single Bolus Intravenous Ephedrine Attenuates Reduction of Core Body Temperature in Patients Undergoing Spinal Anesthesia for Arthroscopic Knee and Ankle Surgery	N/A
Completed	`NCT03368040` - Comparison Between Non-invasive Heat-flux and Invasive Core Temperature Monitoring
Completed	`NCT05140707` - Effect of Virtual Reality on Pain, Anxiety, and Vital Signs of the Patients Undergoing Port Catheter Implantation	N/A
Completed	`NCT02769468` - Effect of Probe Placement in Delivery Room on Temperature at the Admission of Premature Infants?	N/A
Not yet recruiting	`NCT01863927` - The Effect of Ventilated Vest on Thermoregulation During Exercise in Hot Environment	N/A
Completed	`NCT03815708` - Heat Stress in Wheelchair Sports
Completed	`NCT04463537` - The Effect of Auricle Position on Tympanic Thermometry	N/A
Completed	`NCT02518815` - Preoperative Warming Prevents Postoperative Hypothermia in Laparoscopic Gynecologic Surgery. A Randomized Control Trial	N/A
Completed	`NCT02998463` - Facilitating Skin-to-Skin Contact In the Postnatal Period	N/A
Recruiting	`NCT03068143` - Postoperative Temperature Monitoring In Brain Trauma	N/A
Completed	`NCT04311268` - Follow Fever to Decide	N/A
Completed	`NCT04332224` - Efficacy of Blanketrol III and Arctic Sun in Cooling Non-shivering Humans	N/A
Recruiting	`NCT06230172` - Early Weaning From Incubator To Crib	N/A
Completed	`NCT02502877` - Core Temperature Variations During Midazolam vs Propofol Sedation for Neuraxial Anesthesia	N/A
Not yet recruiting	`NCT05430997` - Hypothermia Risk Prediction Combined With Active Insulation Management in Geriatric Surgery	N/A
Completed	`NCT05179681` - High-Flow Oxygen Preserve Intraoperative Body Temperature
Completed	`NCT01950026` - Temperature Skin Check After Cryotherapy Application	Phase 3
Completed	`NCT04985617` - The Effects of Active Warming on Temperature on Core Body and Thermal Comfort	N/A
Withdrawn	`NCT01011855` - Radiant Warmer Trial	N/A
Active, not recruiting	`NCT06042270` - Firefighter Thermoregulatory Responses in Active Fire With Betaine Supplementation	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.