Abstract:
BACKGROUND:Perioperative hypothermia is a common complication during general anesthesia. Although rewarming of patients before surgery has been used as a preventive measure and some guidelines recommend it, the implementation of prewarming for every surgical patient is cumbersome. Therefore, we sought to determine the efficacy of two novel prewarming methods that could facilitate prewarming in daily practice. METHODS:This was a prospective, randomized, multi-center, controlled study. After IRB approval and informed consent, 90 patients undergoing surgery of 30-120 min duration with general anesthesia were randomly assigned to three groups: 1) standard preoperative insulation (Group A); 2) passive preoperative insulation with a commercial prewarming suit (Group B); 3) active preoperative prewarming with a forced-air warmer connected to a prewarming suit (Group C). All patients received warmed IV fluids and intraoperative forced air warming after induction of anesthesia. Oral temperatures were recorded in the preoperative and postoperative periods. Intraoperative core temperatures were measured with an esophageal probe. RESULTS:Repeated-measures analysis of variance (ANOVA) and post hoc Scheffé's test identified a significantly higher core temperature in the actively prewarmed group (Group C) compared to both passive groups (A, B) at 15, 30, 45, 60, and 75 min (P<0.05) after induction of anesthesia and at the end of surgery. During the first 30 min after admission at PACU, also higher oral temperatures were measured in Group C, compared with both passive insulation groups. CONCLUSION:In our study active prewarming with a forced-air warmer and an insulating prewarming suit achieves significantly higher core temperatures during anesthesia and at the end of surgery and avoids hypothermia at the end of surgery compared to commercial or conventional insulation techniques.
journal_name
Minerva Anestesioljournal_title
Minerva anestesiologicaauthors
Perl T,Peichl LH,Reyntjens K,Deblaere I,Zaballos JM,Bräuer Asubject
Has Abstractpub_date
2014-04-01 00:00:00pages
436-43issue
4eissn
0375-9393issn
1827-1596pii
R02Y9999N00A0722journal_volume
80pub_type
杂志文章,多中心研究,随机对照试验abstract::Spontaneous thrombolysis is a quite rare event. It's not predictable through a clinical examination of the patient, but there are some markers that are supposed to be diagnostic because of the high percentage of their occurrence in coincidence with spontaneous thrombolysis. The goal of the authors is to describe a cas...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
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abstract:AIM:Pain resulting from nerve lesions is classically referred to as a ''burning pain''. Both the axonal damage and sensitization of unmyelinated C-fibres have been considered as the possible generators of this sensation. The aim of this study was to verify the hypothesis that hot-burning sensations are produced by the ...
journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 历史文章,杂志文章,评审
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pub_type: 临床试验,杂志文章
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更新日期:2002-06-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 杂志文章,评审
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2011-05-01 00:00:00
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 杂志文章
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journal_title:Minerva anestesiologica
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 信件
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journal_title:Minerva anestesiologica
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