Bair Hugger

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Bair Hugger model 875

Bair Hugger is a forced-air warming (FAW) system used in the medical field to maintain a patient's body temperature during surgery. Developed by Dr. Scott D. Augustine in 1987, the Bair Hugger system has become a critical component in perioperative care, helping to prevent hypothermia in surgical patients, which can lead to increased bleeding, infection rates, and longer hospital stays.

Overview[edit | edit source]

The Bair Hugger system works by filtering air and then gently forcing it through disposable warming blankets that are draped over or placed under the patient. These blankets have channels that ensure the warm air is distributed evenly across the patient's body. The temperature of the air can be adjusted according to the patient's needs, allowing for precise temperature control.

Clinical Importance[edit | edit source]

Maintaining normothermia (normal body temperature) during surgery is vital for patient outcomes. Hypothermia, defined as a core body temperature below 36°C (96.8°F), can impair blood clotting, increase the risk of surgical site infections, and extend the duration of hospitalization. The Bair Hugger system helps mitigate these risks by providing consistent, controllable warmth to the patient.

Controversy[edit | edit source]

Despite its widespread use and benefits, the Bair Hugger system has been the subject of controversy. Some studies and lawsuits have claimed that the use of forced-air warming systems can increase the risk of surgical site infections, particularly in procedures such as joint replacements. Critics argue that the airflow can potentially spread contaminants present in the operating room. However, extensive research and clinical trials have largely supported the safety and efficacy of Bair Hugger, with many experts concluding that the benefits of maintaining normothermia outweigh the potential risks.

Models and Usage[edit | edit source]

There are various models of the Bair Hugger system, designed to cater to different surgical procedures and patient needs. These include underbody blankets, overbody blankets, and specialized blankets for use in pediatric care. The system is versatile, being applicable in a wide range of surgical settings, from general surgery to orthopedics and beyond.

Conclusion[edit | edit source]

The Bair Hugger system represents a significant advancement in perioperative care, offering an effective solution for managing patient body temperature. While debates regarding its safety continue, the consensus among healthcare professionals underscores its importance in improving surgical outcomes. As technology advances, further improvements and alternatives to the Bair Hugger system may emerge, continuing the evolution of patient care in the operating room.


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Contributors: Prab R. Tumpati, MD