{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:22:47Z","timestamp":1793316167788,"version":"4.5.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Introduction: Patients with major burn injuries are particularly susceptible to hypothermia. The ability to maintain and rapidly increase ambient temperatures may reduce the impact of hypothermia and the hypermetabolic response. The purpose of this study was to determine ambient patient room temperatures in a burn intensive care unit (ICU) and to evaluate our ability to adjust these temperatures. Methods: The ambient temperatures of 9 burn ICU patient rooms were recorded hourly over a 6-month period in an American Burn Association-verified burn centre. Temperatures were recorded using wall-mounted smart sensors, transmitted to a mobile smartphone application via Bluetooth, and then exported to Excel for analysis. On 2 predetermined dates, thermostats in all rooms were simultaneously set to maximum, and monitored over 3\u2005h. This represented a sound change initiative, and replicated a medical order to increase the ambient temperature during critical stages of patient care. Results: We recorded 4394 individual hourly temperature measurements for each of the 9 rooms. The mean ambient temperature was 23.5\u2009\u00b1\u20090.3\u2005\u00b0C (range 22.8-24). After intervention 1, ambient temperatures increased &lt;2\u2005\u00b0C in 7 rooms and by only 2\u2005\u00b0C-3\u2005\u00b0C in the other 2 rooms. The overall mean increase in temperature over 3\u2005h across all rooms was 1.03\u2005\u00b0C\u2009\u00b1\u20091.19\u2005\u00b0C (range \u22120.88 to 3.26). Following intervention 2, temperatures could be increased by \u22652\u2005\u00b0C in only 2 rooms with an overall mean increase in temperature of only 0.76\u2005\u00b0C\u2009\u00b1\u20090.99\u2005\u00b0C (range \u22120.29 to 2.43) across all rooms. Conclusions: The burn ICU rooms were relatively cool and our ability locally to adjust ambient temperatures quickly was limited. Burn centres should have regular facility assessments to assess whether ambient temperatures can be adjusted expeditiously when required.<\/jats:p>","DOI":"10.1177\/22925503221078689","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T08:51:09Z","timestamp":1644569469000},"page":"358-365","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Ambient Room Temperatures in a Burn Intensive Care Unit\u2014A Quality Improvement Project"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6821-1267","authenticated-orcid":false,"given":"Alan","family":"Rogers","sequence":"first","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"},{"name":"Department of Surgery, Division of Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Ho","sequence":"additional","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"},{"name":"Department of Surgery, Division of Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Mosa","sequence":"additional","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"},{"name":"Department of Surgery, Division of Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Cartotto","sequence":"additional","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"},{"name":"Department of Surgery, Division of Plastic, Reconstructive & Aesthetic Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,11]]},"reference":[{"key":"bibr1-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2009.05.001"},{"key":"bibr2-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0000000000000371"},{"key":"bibr3-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199604000-00009"},{"key":"bibr4-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1975.38.4.593"},{"key":"bibr5-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197508000-00012"},{"key":"bibr6-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540380041029"},{"key":"bibr7-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199706123362407"},{"key":"bibr8-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5631"},{"key":"bibr9-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198702000-00012"},{"key":"bibr10-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199210000-00007"},{"key":"bibr11-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1097\/01.anes.0000296719.73450.52"},{"key":"bibr12-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2017.10.001"},{"key":"bibr13-22925503221078689","doi-asserted-by":"publisher","DOI":"10.7196\/samj.7327"},{"key":"bibr14-22925503221078689","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irx034"},{"key":"bibr15-22925503221078689","unstructured":"Alberta Innovates. 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