Abstract
Intraoperative hypothermia is difficult to avoid and may present a significant clinical risk during the early postoperative phase. We evaluated a forced-air system [Bair Hugger, OR-type (BH)] for warming intraoperative patients with open abdominal surgery. Twenty patients received BH warming [BH(+) group] and another 20 patients, who served as controls, did not [BH(−) group]. Patients in both groups also received circulating blanket warming. Tempertures were measured at 30-min intervals throughout the operation in the rectum and on the tip of the index finger opposite the nail bed. The average operation time was 168.8±16.2 min. Rectal and fingertip temperatures in the BH(+) group were significantly higher than those in the BH(−) group, and central-peripheral temperature gradients in the BH(+) group were significantly smaller than those in the BH(−) group during the study, except at 180 min. No shivering occurred in either group. Therefore, BH is an effective warming device during open abdominal surgery.
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References
Flacke W (1963) Temperature regulation and anesthesia. Int Anesthesiol Clin 2:43–54
Vaughan RW, Vaughan MS (1988) Temperature: our most neglected perioperative monitor. Semin Anesth 7:38–46
Sessler DI, Israel D, Ponzos RS, et al. (1988) Spontaneous post-anesthetic tremor does not resemble thermoregulatory shivering. Anesthesiology 68:843–850
Sessler DI, Moayeri A (1990) Skin-surface warming: heat flux and central temperature. Anesthesiology 73:218–224
Lennon RL, Hosking MP, Conover MA, et al. (1990) Evaluation of a forced-air system for warming hypothermic postoperative patients. Anesth Analg 70:424–427
Sessler DI, Olofsson CI, Rubinstein EH, et al. (1988) The thermoregulatory threshold in humans during halothane anesthesia. Anesthesiology 68:836–842
Vaughan MS, Vaughan RW, Cork RC (1981) Postoperative hypothermia in adults: relationship of age, anesthesia, and shivering to rewarming. Anesth Analg 60:746–751
Vaughan MS (1984) Shivering in the recovery room. Curr Rev R R Nurse 6:2–7
Presson RG, Haselby KA, Bezruczko AP, et al. (1990) Evaluation of a new high-efficiency blood warmer for children. Anesthesiology 73:173–176
Weeks DB, Ramsey FM (1983) Laboratory investigation of six artificial noses for use during endotracheal anesthesia. Anesth Analg 62:758–763
Morris RH, Kumar A (1972) The effect of warming blankets on maintenance of body temperature of the anesthetized, paralyzed adults patient. Anesthesiology 36:408–411
Morris RH, Wilkey BR (1970) The effects of ambient temperature on patient temperature during surgery not involving body cavities. Anesthesiology 32:102–107
Morris RH (1971) Influence of ambient temperature on patient temperature during intraabdominal surgery. Ann Surg 173:230–233
Frank SM, Beattie C, Christopherson R, et al. (1992) Epidural versus general anesthesia, ambient operating room temperature, and patient age as predictors of inadvertent hypothermia. Anesthesiology 77:252–257
Goldberg MJ, Roe CF (1966) Temperature changes during anesthesia and operations. Arch Surg 93:365–369
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Matsukawa, T., Kashimoto, S., Nakamura, T. et al. Effects of a forced-air system (Bair Hugger, OR-type) on intraoperative temperature in patients with open abdominal surgery. J Anesth 8, 25–27 (1994). https://doi.org/10.1007/BF02482748
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DOI: https://doi.org/10.1007/BF02482748