1. THERMAWRAP®
Thermawrap®
Overview Presentation

2. 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.

4. 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.

5. 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.

7. Effects of Using Thermawrap®

8. 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.

9. 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.

10. 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).

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

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

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

18. THERMAWRAP®
Head Covers
Adult and paediatric

19. THERMAWRAP®
Blankets

20. Pulse Oximeter Mitts/Boots
THERMAWRAP®
Pulse Oximeter Mitts/Boots

21. 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.

22. 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.

23. 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.

24. 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.

25. 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.

26. 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.

27. 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.

28. Thermawrap® Dispenser Box

29. 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

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

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