Wiliam Sepulvado - Trivent Legal



Bair Hugger Warming Blanket Case Review

Case Report

|Parameter |Findings |PDF Ref |

|Did the patient have infection prior to the |Not available | |

|surgery? | | |

|Is there documented evidence to use of Bair |Yes |3 |

|Hugger Warming Blanket during surgery? | | |

|Time of use? |12/27/YYYY: Intraoperative |3 |

|(Intraoperative / Postoperative / Pediatric) | | |

| |07/30/YYYY: Intraoperative |98-99 |

| |09/03/YYYY: Intraoperative |221-222 |

|Total duration of surgery: |12/27/YYYY: 1320 - 1530 (2 hours) (As per anesthesia record) |11, 98-99, 221-222|

| |07/30/YYYY: 0933 - 1208 (2 hours 30 minutes) | |

| |09/03/YYYY: 1220 – 1432 (2 hours) | |

|Medical records source evidence of blanket |12/27/YYYY: Intraoperative record |3, 98-99, 221-222 |

|use | | |

|(Intraoperative record / Anesthesia record / | | |

|flow Heets, etc.) | | |

| |07/30/YYYY: Intraoperative record | |

| |09/03/YYYY: Intraoperative record | |

|Type of Surgery Performed: |12/27/YYYY: Right total hip replacement, Stryker |5-6, 46-48, |

|(Abdominal surgery / knee and hip | |113-114 |

|replacement, etc.) | | |

| |07/30/YYYY: Reimplantation of right total hip | |

| |09/03/YYYY: Irrigation and debridement of right total hip | |

|Adverse Event |06/11/YYYY: Infection of right total hip |74-75 |

|(Whether diagnosed with postoperative wound | | |

|or prosthetic infections, MRSA, bacterial | | |

|sepsis or other deep joint infections) | | |

| |08/27/YYYY: Possible infection right total hip |115 |

| |09/03/YYYY: Inflammation of right total hip without evidence of infection |113-114 |

| |07/30/YYYY: Infection right hip |329-330 |

|Labs reports documenting infections |Lab Report: |2, 118, 119, 343, |

| | |345-346 |

| |Date | |

| |Test | |

| |Result | |

| |Reference range | |

| | | |

| |05/21/YYYY | |

| |Chromium | |

| |0.7 | |

| |0.1-2.1 ug/L | |

| | | |

| | | |

| |Cobalt | |

| |5.8 | |

| |0.0-0.9 ug/L | |

| | | |

| |08/22/YYYY | |

| |Erythrocyte Sedimentation Rate | |

| |42 | |

| |0-20 mm/hr | |

| | | |

| | | |

| |CRP | |

| |49.37 | |

| |5.00-10.00 mg/L | |

| | | |

| |08/31/YYYY | |

| |Cobalt | |

| |4.8 | |

| | ................
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