{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T16:59:22Z","timestamp":1784221162804,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T00:00:00Z","timestamp":1579478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004343","name":"3M","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004343","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine the clinical effectiveness and safety of the Orve\u00a0+\u00a0wrap\u00ae thermal blanket.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Inadvertent perioperative hypothermia is a common problem in postanaesthetic care units and can have significant effects on patients\u2019 postoperative morbidity. Despite its commercial availability, there is no clinical evidence on the effectiveness of Orve\u00a0+\u00a0wrap\u00ae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A single centre prospective, open\u2010label, noninferiority randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Postoperative hypothermic (35.0\u201335.9\u00b0C) patients who had undergone elective surgery were randomised to receive either Orve\u00a0+\u00a0wrap\u00ae or Forced Air Warming during their PACU stay. Patient temperatures were recorded every 10\u00a0min using zero\u2010heat\u2010flux thermometry. This study is reported using CONSORT Extension checklist for noninferiority and equivalence trials.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between December 2016\u2013October 2018, 129 patients were randomised to receive either Orve\u00a0+\u00a0wrap\u00ae blanket (<jats:italic>n<\/jats:italic>\u00a0=\u00a065, 50.3%) or Forced Air Warming (<jats:italic>n<\/jats:italic>\u00a0=\u00a064, 49.7%). The mean 60\u2010min postoperative temperature of patients receiving Orve\u00a0+\u00a0wrap\u00ae blanket was 36.2 and 36.3\u00b0C for the patients receiving Forced Air Warming. The predefined noninferiority margin of a mean difference in temperature of 0.3\u00b0C was not reached between the groups at 60\u00a0min. Additionally, there were no statistical differences between adverse event rates across these groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the context of this study, warming patients with the Orve\u00a0+\u00a0wrap\u00ae was noninferior to Forced Air Warming. There were comparable rates of associated postoperative consequences of warming (shivering, hypotension, arrhythmias or surgical site infections)<jats:bold>,<\/jats:bold>between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The Orve\u00a0+\u00a0wrap\u00ae potentially provides an alternative warming method to Forced Air Warming for patients requiring short\u2010term postoperative warming. However, there are still a number of unknowns regarding the Orve\u00a0+\u00a0wrap\u00ae performance and further exploration is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15159","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T09:20:35Z","timestamp":1577784035000},"page":"1085-1093","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["An open\u2010label, randomised controlled trial on the effectiveness of the Orve\u00a0+\u00a0wrap<sup>\u00ae<\/sup>versus Forced Air Warming in restoring normothermia in the postanaesthetic care unit"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2598-9965","authenticated-orcid":false,"given":"Neil","family":"Smith","sequence":"first","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Abernethy","sequence":"additional","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5228-2623","authenticated-orcid":false,"given":"Victoria","family":"Allgar","sequence":"additional","affiliation":[{"name":"Hull and York Medical School York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Foster","sequence":"additional","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Martinson","sequence":"additional","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Stones","sequence":"additional","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,20]]},"reference":[{"issue":"6","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD009908.pub2","article-title":"Thermal insulation for preventing in\u2010advertent perioperative hypothermia","author":"Alderson P.","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"1","key":"e_1_2_8_3_1","first-page":"27","article-title":"Benchmarking inadvertent perioperative hypothermia guidelines with the National Institute for Health and Clinical Excellence","volume":"32","author":"Al\u2010Qahtani A. 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