Infusion of Warm Fluid During Abdominal Surgery Prevents Hypothermia and Postanaesthetic Shivering

Автор: YOU Zhi-jian, XU Hong-xia, CAO Song-mei

Журнал: International Journal of Engineering and Manufacturing(IJEM) @ijem

Статья в выпуске: 5 vol.1, 2011 года.

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BACKGROUND: Perioperative hypothermia is a frequent occurrence and can lead to several complications. The aim of this study is to evaluate the efficacy of warm fluid in maintaining normal core temperature during the intraoperative period. METHODS: We studied 30 American Society of Anesthesiologists (ASA) physical status I or II adult patients who required general anesthesia for abdominal surgery. In control group (n=15), fluids were infused at room temperature; in test group (n=15), fluids were infused at 37°C. Core temperature was measured at the tympanic site. During recovery, shivering was evaluated by an independent observer. RESULTS: The two groups did not differ significantly in patient characteristics. In control group, core temperature decreased to 35.5±0.3°C during the first 3 hours, and then stabilized at the end of anesthesia. In test group, core temperature decreased during the first 60 min, but increased to 36.9±0.3°C at the end of anesthesia. In control group, 8 patients shivered at grade ≥2. In test group, none of the patients reached grade ≥ 2 (P < 0.01). CONCLUSIONS: Infusion of warm fluid is effective to keep patients nearly normothermic and prevent postanaesthetic shivering. It may provide an easy and effective method for perioperative hypothermia prevention.

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Temperature, Fluid, Abdominal

Короткий адрес: https://sciup.org/15014214

IDR: 15014214

Список литературы Infusion of Warm Fluid During Abdominal Surgery Prevents Hypothermia and Postanaesthetic Shivering

  • Young VL, Watson ME. Prevention of perioperative hypothermia in plastic surgery. Aesthet Surg J. 2006;26: 551-71.
  • Burger L, Fitzpatrick J. Prevention of inadvertent perioperative hypothermia. Br J Nurs. 2009;18:1115-9.
  • Putzu M, Casati A. Clinical complications, monitoring and management of perioperative mild hypothermia: anesthesiological features. Acta Biomed. 2007;78:163-9.
  • Kurz A, Sessler DI. Heat balance and distribution during the core-temperature plateau in anesthetized humans. Anesthesiology. 1995;83:491-9.
  • Frank SM, Beattie C, Christopherson R, et al. Epidural versus general anesthesia, ambient operating room temperature, and patient age as predictors of inadvertent hypothermia. Anesthesiology. 1992;77:252-7.
  • Eberhart LH, Döderlein F, Eisenhardt G, et al. Independent risk factors for postoperative shivering. Anesth Analg. 2005;101:1849-57.
  • Recommended practices for the prevention of unplanned perioperative hypothermia. In: Perioperative Standards and Reeommended Praetiees. Denver, CO: AORN, Inc;2008:407-420.
  • Gentilello LM, Cortes V, Moujaes S, et al. Continuous arteriovenous rewarming: experimental results and thermodynamic model simulation of treatment for hypothermia. J Trauma. 1990;30:1436-49.
  • Janicki PK, Stoica C, Chapman WC, et al. Water warming garment versus forced air warming system in prevention of intraoperative hypothermia during liver transplantation: a randomized controlled trial. Anesthesiology. 2002;2:7-11.
  • Dal D, Kose A. Efficacy of prophylactic ketamine in preventing postoperative shivering. Br J Anaesth. 2005;95:189-92.
  • Hasper D, Nee J. Tympanic temperature during therapeutic hypothermia. Available at: www.bmj.com. Accessed June 26, 2010.
  • Hooper VD, Chard R, Clifford T, et al. ASPAN’s evidence-based clinical practice guideline for the promotion of perioperative normothermia. J Perianesth Nurs. 2009;24:271-87.
  • Smith CE, Gerdes E, Sweda S, et al. Warming intravenous fluids reduces perioperative hypothermia in women undergoing ambulatory gynecological surgery. Anesth Analg. 1998;87:37-41.
  • Smith CE, Desai R. Preventing hypothermia: convective and intravenous fluid warming versus convective warming alone. J Clin Anesth. 1998;10:380-5.
  • Alfonsi P. Postanaesthetic shivering, Epidemiology, pathophysiology and approaches to prevention and management. Minerva Anestesiol. 2003;69:438-42.
  • CYNTHIA A, PAULIKAS. Prevention of unplanned perioperative hypothermia. AORN J. 2008;88:358-64.
  • Schmied H, Kurz A. Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. Lancet. 1996; 347:289-92.
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