THERMAWRAP® Thermawrap® Overview Presentation

THERMAWRAP® What is Thermawrap®? A simple draping system to prevent patient heat loss Combined polyethylene film with particulate aluminium on a polyester fleece backing Easy to use and inexpensive.

How does Thermawrap® work? The polyethylene minimises convective heat loss from all areas covered Convective heat loss can account for up to 33% of patient heat loss during surgery The aluminium controls radiant heat loss from all areas covered Radiant heat loss can account for 50% of patient heat loss during surgery The polyester fleece backing provides a comfortable non-slip surface to allow draping.

How does Thermawrap® work? Remember the following: the polyethylene (PE) film minimises convective heat loss it insulates the patient. the particulate aluminium (within the PE matrix) prevents radiant heat loss it reflects heat back to the patient.

Effects of Using Thermawrap®

Why prevent hypothermia? THERMAWRAP® Why prevent hypothermia? “hypothermia” is one of the most serious issues facing both the surgical and anaesthetic team when treating their patients Most hypothermia is ‘mild’ and can be associated with patient heat loss from exposure to ambient room temperature and from delivery of un-warmed fluid during surgery Malignant hypothermia is more commonly associated with patient cooling resulting from ‘shock’ from drugs.

Why prevent hypothermia? THERMAWRAP® Why prevent hypothermia? Patients who suffer intra-operative hypothermia can also suffer postoperative cardio-pulmonary stress Reducing the risk of intra-operative hypothermia reduces the risk of post-operative infection and promotes faster wound healing All patients should be protected from the pain and serious side effects of hypothermia There is considerable expense in treating hypothermic patients.

Other Complications of Hypothermia THERMAWRAP® Other Complications of Hypothermia Post-operative shivering associated with increased metabolic rates Fluctuating blood pressure in response to the drugs delivered to the patient Difficulty with vascular access due to vasoconstriction Poor drug delivery due to vasoconstriction Decreased blood pressure as the patient warms and his blood vessels dilate (known as vaso-dilation) Inaccurate SaO2 readings (pulse oximetry) caused by vasoconstriction in body extremities (fingers, toes).

Frequently Asked Questions THERMAWRAP® Frequently Asked Questions Are there any clinical papers on Thermawrap®? Lilly RB. Inadvertent hypothermia: A real problem. ASA Refresher Courses in Anesthesiology 15:3, 1987 Murphy MT, Lipton JM. Reduction of perioperative heat loss using a reflective drape. Presentation in Scientific Exhibit at the American Society of Anesthesiologists and the American College of Surgeons' 1986 Annual Meetings.

Frequently Asked Questions THERMAWRAP® Frequently Asked Questions Which patients should we use Thermawrap® on? Because Thermawrap® is inexpensive and no training is required it can be used on all patients Can I use Thermawrap® with my Bair Hugger system? Yes. Thermawrap® should be placed over the Bair Hugger warming blanket where it will reflect heat back towards the patient Can we use Thermawrap® during surgery? Yes. Thermawrap® is non-conductive and radiolucent making It safe for use with diathermy and all x-ray equipment.

Frequently Asked Questions THERMAWRAP® Frequently Asked Questions When should we cover the patient? We know patients begin losing body heat pre- operatively, therefore Thermawrap® is most effective when placed before anaesthesia induction or preferably in the hospital ward Which side goes toward the patient? Either way. However, if the fleece side is towards the patient it is more comfortable for the patient and will drape better.

Frequently Asked Questions THERMAWRAP® Frequently Asked Questions Are some body areas more important to cover than others? Some parts of the body lose a disproportionate amount of heat The head is more vascular and loses more heat than the arm Body extremities, such as arms and legs are less vascular than the head but will still be vaso-constricted This has implications for pulse oximetry and vascular access For these areas, head covers, leggings and hand covers are available.

How do I use Thermawrap® Simply cover as much of the patient as possible, before the patient has started to cool down Keep as much of the patient covered as possible during surgery There are no contraindications for using Thermawrap® and it is safe for use with ALL patients and ALL procedures.

Where can I use Thermawrap® Theatre Day Surgery PACU/Recovery Areas Intensive Care A&E

What designs are available THERMAWRAP® What designs are available Head covers Blankets Pulse oximeter mitts/boots Leggings.

THERMAWRAP® Head Covers Adult and paediatric

THERMAWRAP® Blankets

Pulse Oximeter Mitts/Boots THERMAWRAP® Pulse Oximeter Mitts/Boots

Thermawrap® Thermawrap® is a single use device Designed to be durable enough to last from induction through surgery and on to recovery For infection control it is unwise to reuse the drapes on a second patient - this is reflected in the pricing.

How you should introduce the product …. THERMAWRAP® How you should introduce the product …. Thermawrap® prevents heat loss It is safe for all patients and all procedures It is not an active system with all the training and maintenance costs. There are no capital equipment costs It is very effective and relatively inexpensive If I can have a trial order I will come and do some training with the nursing staff.

How to sell Thermawrap® Five Step Process Introduce Thermawrap® with a short and simple presentation/ demonstration Take a pulse oximeter mitt and ask the customer to try it on while you are talking to them.

THERMAWRAP® Step 2 – Product Trial Be an active part of the trial; encourage them to cover all possible body areas Ask that tympanic temperature measurements are recorded, before the drapes are applied and at regular intervals during use Talk to and coach all staff especially those in PACU who will be responsible for managing hypothermic patients Being there means the trial takes place in a controlled manner.

Step 3- First Stock Orders THERMAWRAP® Step 3- First Stock Orders Having proven Thermawrap® as an effective method to keep patients warm “assume” they are ready to place their first stock order Recommend they establish a protocol where all patients get Thermawrap® or at least all whose procedure is over 1 hour.

Step Four – In Servicing THERMAWRAP® Step Four – In Servicing Insist on being allowed access to talk to the users Reinforce the rules: cover as early as possible cover as much as possible.

THERMAWRAP® Step 5 – The follow up Repeat the in-service as much as the customer will allow, this will ensure repeat orders Suggest levels for standing orders.

Thermawrap® Dispenser Box

Thermawrap® in Summary A quality, simple, affordable solution to the serious problem of patient hypothermia Requiring no capital investment or costly maintenance Convenient to use from the dispenser box

Competitors to Thermawrap® Bair Hugger from Augustine Medical Forced air warming

Other Competitors Thermadrape from Vital Signs Granulab THERMAWRAP® Other Competitors Thermadrape from Vital Signs Granulab Local manufacturers.