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It was reported that the arctic sun device was slow to rewarm.
Nurse stated that the patient started rewarming this morning about 2 hours ago.
The target temperature was 36.
5c, the patient temperature was 33.
2c, the water temperature was 30.
7c and the flow rate was 3.
3 l/min.
Patient weighs 114 kgs and 4 medium arctic gel pads were in place.
Nurse stated there was one of the chest pads placed longitudinally across the chest.
The other arctic gel pads were placed appropriately.
Rewarm rate was 0.
3c/hour.
Nurse was concerned that the patient should be approximately 33.
6c, so they changed the rewarm settings several times to help the patient to reach that temperature.
The patient was not on continuous renal replacement therapy (crrt).
Explained that the patient should have at least 4 large arctic gel pads and 1 universal pad in place due to weight.
Discussed importance of adequate arctic gel pad coverage and arctic gel pad placement.
Explained how the arctic sun device uses an algorithm to provide therapy and every time the setting was changed the arctic sun device had to reconfigure the algorithm.
Advised not to change the settings.
Suggested to cover the patient's hands, head and feet and add a warm blanket if user was concerned about the slow rewarm and arctic gel pad coverage was not adequate.
Nurse stated he would obtained and placed a universal arctic gel pad on the patient.
Called nurse back in approximately 1 hour and stated that had placed 2 universal pads across the patient's exposed abdomen.
The patient temperature was 33.
4c, the flow rate was 3.
6 l/min and the water temperature was 34.
8c.
Confirmed that the arctic sun device was responding appropriately and would call back if had further questions.
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