Effect of forced-air warming system in prevention of postoperative hypothermia in elderly patients: A Prospective controlled trial.

Abstract:

BACKGROUND:Postoperative hypothermia in elderly patients is a well-known serious complication as it impairs wound healing, induces coagulopathy, increases the risk of blood loss, enhances oxygen consumption, and precipitates cardiac arrhythmias. We conducted this randomized controlled trial to evaluate the effect of a forced-air warming system on rewarming elderly patients undergoing total knee or hip arthroplasty. METHODS:We recruited 243 elderly patients undergoing total knee or hip arthroplasty between May and December 2016. They were divided into three groups according to a computer-generated randomization table: group C (n = 78, rewarmed with only a regular blanket), group F1 (n = 82, rewarmed with a forced-air warming system set at 38°C), and group F2 (n = 83, rewarmed with a forced-air warming system set at 42°C). The nasopharyngeal temperature was recorded every 5 min for the first half hour, then every 10 min up to the end of the PACU (postanesthesia care unit) stay. The primary outcome was the rewarming time. The rewarming rate, increase in nasopharyngeal temperature (compared to the start of rewarming), hemodynamics, recovery time, and incidences of adverse effects were recorded. RESULTS:No significant differences were found among the three groups in terms of the baseline clinical characteristics, use of narcotic drugs, intraoperative temperature, and hemodynamics (P > .05). Compared with the elderly patients in groups C and F1, both the heart rate and mean arterial pressure of those in group F2 were significantly increased 20 min after arrival at the PACU (P < .05). Patients in group F2 had the shortest rewarming time (35.89 ± 6.45 min, P < .001), highest rewarming efficiency (0.028 ± 0.001°C/min, P < .001), and fastest increased nasopharyngeal temperature among the three groups. Moreover, the elderly patients in group F2 had lower incidences of arrhythmia and shivering (P < .05). CONCLUSIONS:The use of a forced-air warming system set at 42°C was shown to be the most effective way of rewarming elderly patients with postoperative hypothermia.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Xu H,Xu G,Ren C,Liu L,Wei L

doi

10.1097/MD.0000000000015895

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e15895

issue

22

eissn

0025-7974

issn

1536-5964

pii

00005792-201905310-00080

journal_volume

98

pub_type

杂志文章,随机对照试验

相关文献

MEDICINE文献大全
  • A Case Report of Renal Sympathetic Denervation for the Treatment of Polymorphic Ventricular Premature Complexes: Expanding Horizons.

    abstract::Premature ventricular complexes are very common, appearing most frequently in patients with hypertension, obesity, sleep apnea, and structural heart disease. Sympathetic hyperactivity plays a critical role in the development, maintenance, and aggravation of ventricular arrhythmias. Recently, Armaganijan et al reported...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002287

    authors: Kiuchi MG,Vitorio FP,Silva GRD,Paz LMR,Souto GLL

    更新日期:2015-12-01 00:00:00

  • Preoperative infrarenal abdominal aorta balloon catheter occlusion combined with Bakri tamponade reduced maternal morbidity of placenta increta/percreta.

    abstract:BACKGROUND:Placenta increta/percreta is an increasingly common and life-threatening obstetric complication. It poses a management challenge to clinicians. The present study aimed to evaluate efficacy and safety of preoperative placement of infrarenal abdominal aorta balloon catheter (IAABC) alone or combined with Bakri...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008114

    authors: Zeng C,Yang M,Ding Y,Yu L,Deng W,Hu Y,Gong X

    更新日期:2017-09-01 00:00:00

  • Feasibility of measuring urethral pressure during female midurethral slings: Case report.

    abstract:RATIONALE:Stress urinary incontinence (SUI) refers to the involuntary leakage of urine when abdominal pressure increases. Midurethral slings (MUS) have become the main surgical method for treating SUI, but no quantitative standard for the degree of sling tightness during operation exists. We achieved this quantitative ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021100

    authors: Meng LF,Wang M,Zhang W,Liu XD,Zhang YG

    更新日期:2020-07-10 00:00:00

  • Novel peroral cholangioscopy-directed lithotripsy using an ultraslim upper endoscope for refractory Mirizzi syndrome: A case report.

    abstract:RATIONALE:Mirizzi syndrome (MS) is an uncommon condition characterized by common hepatic duct (CHD) compression by an impacted gallbladder or cystic duct stones or adjacent inflammation. To date, a standardized therapeutic strategy for MS has not been established yet, owing to its complex clinical presentation. Thus, r...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022649

    authors: Li J,Guo SJ,Zhang JC,Wang HY,Li K,Xu CS,Wang XF

    更新日期:2020-11-06 00:00:00

  • Association study of gut flora in Wilson's disease through high-throughput sequencing.

    abstract::In this study, we analyzed the difference of intestinal flora polymorphisms between Wilson's disease (WD) patients and healthy people by high-throughput sequencing technology, and explored the correlation between WD and intestinal flora polymorphism.A total of 22 cases of WD patients and 22 healthy persons as control ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011743

    authors: Geng H,Shu S,Dong J,Li H,Xu C,Han Y,Hu J,Han Y,Yang R,Cheng N

    更新日期:2018-08-01 00:00:00

  • Prevalence of actinic keratosis in patients attending the dermatology outpatient clinic.

    abstract::Actinic keratoses (AKs) are precancerous epidermal lesions that develop on sensitive, frequently sun-exposed skin surfaces. There are very little data regarding AK prevalance. The aim of this study was to investigate the prevalence of AK and related conditions among patients in a dermatology outpatient clinic.Patients...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016465

    authors: Yaldiz M

    更新日期:2019-07-01 00:00:00

  • Computed tomographic findings of chest injuries following cardiopulmonary resuscitation: More complications for prolonged chest compressions?

    abstract::Chest injuries are common and inevitable complications of chest compressions during cardiopulmonary resuscitation (CPR). This study aimed to investigate lung parenchymal and thoracic skeletal injuries after CPR by using computed tomography (CT) and to analyze the correlation between the duration of CPR and related com...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021685

    authors: Jang SJ,Cha YK,Kim JS,Do HH,Bak SH,Kwack WG

    更新日期:2020-08-14 00:00:00

  • Manifestations and outcomes of nocardia infections: Comparison of immunocompromised and nonimmunocompromised adult patients.

    abstract::Nocardia is a ubiquitous environmental pathogen that causes infection primarily following inhalation into the lungs. It is generally thought to cause infection primarily in immunocompromised patients, but nonimmunocompromised individuals are also at risk of infection. We sought to compare risk factors, clinical manife...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012436

    authors: Steinbrink J,Leavens J,Kauffman CA,Miceli MH

    更新日期:2018-10-01 00:00:00

  • Characteristics of late-onset spondyloarthritis in Japan: A retrospective cohort study.

    abstract::Spondyloarthritis may be increasingly present in older patients as life expectancy increases. We investigated clinical differences between early-onset and late-onset spondyloarthritis in Japan.We retrospectively reviewed 114 patients consecutively diagnosed with spondyloarthritis. The clinical course of each patient w...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014431

    authors: Endo Y,Fujikawa K,Koga T,Mizokami A,Mine M,Tsukada T,Uetani M,Kawakami A

    更新日期:2019-02-01 00:00:00

  • A clinical prediction rule for acute bilirubin encephalopathy in neonates with extreme hyperbilirubinemia: A retrospective cohort study.

    abstract::To establish a clinical prediction rule for acute bilirubin encephalopathy (ABE) in term/near-term neonates with extreme hyperbilirubinemia.A retrospective cohort study was conducted between January 2015 and December 2018. Six hundred seventy-three out of 26,369 consecutive neonates with extreme hyperbilirubinemia wer...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019364

    authors: Zhang F,Chen L,Shang S,Jiang K

    更新日期:2020-02-01 00:00:00

  • Complications associated with Brucella melitensis infection: a study of 530 cases.

    abstract::We carried out a prospective study of 530 patients older than 14 years of age with brucellosis. We describe the incidence and clinical features of the focal forms of the disease, analyzing some of the possible factors associated with their appearance. One hundred sixty-nine patients (31.9%) had a focal form or complic...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/00005792-199607000-00003

    authors: Colmenero JD,Reguera JM,Martos F,Sánchez-De-Mora D,Delgado M,Causse M,Martín-Farfán A,Juárez C

    更新日期:1996-07-01 00:00:00

  • Utility of PET/CT in the diagnosis and staging of extranodal natural killer/T-cell lymphoma: a systematic review and meta-analysis.

    abstract::The role of 18F-fuorodexoyglucose-positron emission tomography/computed tomography (18F-FDG-PET/CT) in the staging of Hodgkin lymphoma (HL) and aggressive B-cell non-Hodgkin lymphomas (NHL) has been demonstrated extensively. Nevertheless, the role of PET/CT in the diagnosis, staging, prognosis, and treatment evaluatio...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000000258

    authors: Zhou X,Lu K,Geng L,Li X,Jiang Y,Wang X

    更新日期:2014-12-01 00:00:00

  • Prognostic Role of Neutrophil-to-Lymphocyte Ratio in Prostate Cancer: A Systematic Review and Meta-analysis.

    abstract::Inflammation is increasingly reported to be associated with the prognosis of patients with cancers. And the prognostic role of neutrophil-to-lymphocyte ratio (NLR) in patients with prostate cancer (PCa) remains inconsistent. Therefore, we conducted this systematic review and meta-analysis to obtain a more reliable ass...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000002544

    authors: Yin X,Xiao Y,Li F,Qi S,Yin Z,Gao J

    更新日期:2016-01-01 00:00:00

  • Recurrence of anti-MDA5 antibody-positive clinically amyopathic dermatomyositis after long-term remission: A case report.

    abstract:RATIONALE:Among all dermatomyositis (DM) patients, antimelanoma differentiation-associated gene 5 antibody (anti-MDA5 Ab) positive patients have significantly poor short-term mortality, whereas they experience less relapses over the long term after the remission. We report the case of a patient with anti-MDA5 Ab-positi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011024

    authors: Endo Y,Koga T,Ishida M,Fujita Y,Tsuji S,Takatani A,Shimizu T,Sumiyoshi R,Igawa T,Umeda M,Fukui S,Nishino A,Kawashiri SY,Iwamoto N,Ichinose K,Tamai M,Nakamura H,Origuchi T,Kuwana M,Hosono Y,Mimori T,Kawakami A

    更新日期:2018-06-01 00:00:00

  • Isolated subacute combined degeneration in late-onset cobalamin C deficiency in children: Two case reports and literature review.

    abstract:RATIONALE:Subacute combined degeneration (SCD) is a disease caused by decreased vitamin B12 intake or metabolic disorders. It is more common in the elderly and rarely seen in children. Here, we report 2 pediatric cases of SCD in late-onset cobalamin C (CblC) deficiency. PATIENT CONCERNS:The patients complained of unst...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017334

    authors: Cui J,Wang Y,Zhang H,Cui X,Wang L,Zheng H

    更新日期:2019-09-01 00:00:00

  • Comparison of postoperative coagulation profiles and outcome for sugammadex versus pyridostigmine in 992 living donors after living-donor hepatectomy.

    abstract::Donor safety is the major concern in living donor liver transplantation, although hepatic resection may be associated with postoperative coagulopathy. Recently, the use of sugammadex has been gradually increased, but sugammadex is known to prolong prothrombin time (PT) and activated partial thromboplastin time (aPTT)....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010129

    authors: Moon YJ,Kim SH,Kim JW,Lee YK,Jun IG,Hwang GS

    更新日期:2018-03-01 00:00:00

  • Sexual behavior of female adolescents on the spread of HIV/AIDS and other STDs in Carriacou.

    abstract::This article explores information relating to female adolescents knowledge, attitudes, and behaviors toward human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) in Carriacou. The authors aimed at finding out whether adolescent females in Carriacou receive adequate information about HIV and...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004800

    authors: Patrice-Coy C,Johnson EJ,Boodram CAS

    更新日期:2016-09-01 00:00:00

  • Feasibility of C2 Vertebra Screws Placement in Patient With Occipitalization of Atlas: A Tomographic Study.

    abstract::Occipitalization of atlas (OA) is a congenital disease with the possibility of anomalous bony anatomies and the C2 pedicle screw insertion is technically challenging. However, there are no existing literatures clarified the dimensions and angulations of the C2 pedicles, lamina and lateral masses for screw insertion in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001492

    authors: Ji W,Liu X,Huang W,Huang Z,Li X,Chen J,Wu Z,Zhu Q

    更新日期:2015-09-01 00:00:00

  • Propofol-based palliative sedation in terminally ill children with solid tumors: A case series.

    abstract:RATIONALE:The palliative sedation therapy is defined as the intentional reduction of the alert state, using pharmacological tools. Propofol is a short-acting general anesthetic agent, widely used for induction and maintenance of general anesthesia and rarely employed in palliative care. PATIENT CONCERNS AND DIAGNOSES:...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015615

    authors: Miele E,Angela M,Cefalo MG,Del Bufalo F,De Pasquale MD,Annalisa S,Spinelli GP,Luigi S

    更新日期:2019-05-01 00:00:00

  • Peripheral tuberculous lymphadenitis: epidemiology, diagnosis, treatment, and outcome.

    abstract::We reviewed 106 patients referred to our institution for treatment of peripheral tuberculous adenitis to establish the epidemiologic, clinical, and pathologic manifestations of this disease. Tuberculous lymphadenitis occurred predominantly in young, foreign-born women a mean of 5 years after arrival in the United Stat...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/01.md.0000189090.52626.7a

    authors: Polesky A,Grove W,Bhatia G

    更新日期:2005-11-01 00:00:00

  • Bacterial pneumonia in the elderly.

    abstract::Bacterial pneumonia in the elderly is common, and causes more morbidity and mortality than in the younger adult. As patients live longer with more underlying disease and more iatrogenic disease, the incidence of nosocomial pneumonia will probably rise. Adequate sterilization of inhalation therapy equipment can reduce ...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00005792-198309000-00002

    authors: Verghese A,Berk SL

    更新日期:1983-09-01 00:00:00

  • The effect of care intervention for obese patients with type II diabetes.

    abstract::The incidence of type II diabetes mellitus (T2DM) is increasing worldwide and affecting the quality of people's life. This study was designed to evaluate the effect of care intervention on body weight and glycemic parameters in obese T2DM patients.One hundred twenty-six obese T2DM cases were randomly divided into 2 gr...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000007524

    authors: Jiang X,Fan X,Wu R,Geng F,Hu C

    更新日期:2017-10-01 00:00:00

  • A new sensitive and accurate model to predict moderate to severe obstructive sleep apnea in patients with obesity.

    abstract::Obstructive sleep apnea (OSA) has a high prevalence in patients with obesity. Only patients with clinical symptoms of OSA are admitted to polysomnography; however, many patients with OSA are asymptomatic. We aimed to create and validate a population-based risk score that predicts the severity of OSA in patients with o...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016687

    authors: Ahlin S,Manco M,Panunzi S,Verrastro O,Giannetti G,Prete A,Guidone C,Berardino ADM,Viglietta L,Ferravante A,Mingrone G,Mormile F,Capristo E

    更新日期:2019-08-01 00:00:00

  • Diagnostic performance of serum pepsinogen assay for the prediction of atrophic gastritis and gastric neoplasms: Protocol for a systematic review and meta-analysis.

    abstract:BACKGROUND:Serum pepsinogen assay (sPGA) combining concentration of pepsinogen I (PG I), and the ratio of PG I/II is the noninvasive biomarker for predicting chronic atrophic gastritis (CAG) and neoplasms reflecting mucosal secretory status. Although various cut-off values have been suggested, PG I ≤70 ng/mL and PG I/I...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014240

    authors: Bang CS,Lee JJ,Baik GH

    更新日期:2019-01-01 00:00:00

  • Differentiation of direct and indirect socioeconomic effects on suicide attempts in South Korea.

    abstract::Despite the wide recognition of the inverse association between socioeconomic position (SEP) and suicidal behaviors, its underlying process and potential mediators are little known. This study investigated the pathway from SEP to suicide attempts with attention to potential mediators.From the Korean Health and Nutriti...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009331

    authors: Ki M,Seong Sohn E,An B,Lim J

    更新日期:2017-12-01 00:00:00

  • The Effect and Feasibility Study of Transforaminal Percutaneous Endoscopic Lumbar Discectomy Via Superior Border of Inferior Pedicle Approach for Down-Migrated Intracanal Disc Herniations.

    abstract::Transforaminal percutaneous endoscopic lumbar discectomy (PELD) is gradually regarded as an effective alternative to posterior open surgery. However, migrated herniations bring a great technical challenge even for experienced surgeons due to the absence of the appropriate approaching guideline. We aimed to describe a ...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000002899

    authors: Ying J,Huang K,Zhu M,Zhou B,Wang Y,Chen B,Teng H

    更新日期:2016-02-01 00:00:00

  • Prognostic factors for patients with World Health Organization grade III meningiomas treated at a single center.

    abstract::We analyzed the characteristics of patients with World Health Organization (WHO) grade III meningioma to identify factors that may predict tumor recurrence and overall survival (OS).We retrospectively reviewed the patients diagnosed with WHO grade III meningioma who were surgically treated at our institute between 200...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007385

    authors: Shan B,Zhang J,Song Y,Xu J

    更新日期:2017-06-01 00:00:00

  • Successful treatment of disseminated intravascular coagulation by recombinant human soluble thrombomodulin in patients with acute myeloid leukemia.

    abstract::Disseminated intravascular coagulation (DIC) is a life-threatening condition that frequently occurs in patients with hematologic malignancies. Currently, recombinant human soluble thrombomodulin (rTM) is a therapeutic DIC drug that is manufactured and sold in Japan only. We evaluated the efficacy of rTM compared to th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012981

    authors: Ookura M,Hosono N,Tasaki T,Oiwa K,Fujita K,Ito K,Lee S,Matsuda Y,Morita M,Tai K,Negoro E,Kishi S,Iwasaki H,Ueda T,Yamauchi T

    更新日期:2018-11-01 00:00:00

  • Clinical implication of maximal voluntary ventilation in myotonic muscular dystrophy.

    abstract::Patients with myotonic muscular dystrophy type 1 (DM1) tend to exhibit earlier respiratory insufficiency than patients with other neuromuscular diseases at similar or higher forced vital capacity (FVC). This study aimed to analyze several pulmonary function parameters to determine which factor contributes the most to ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015321

    authors: Suh MR,Kim DH,Jung J,Kim B,Lee JW,Choi WA,Kang SW

    更新日期:2019-05-01 00:00:00

  • Impact of a change in duration of prophylactic antibiotics on infectious complications after radical cystectomy with a neobladder.

    abstract::A profound number of prophylactic antibiotics are used after radical cystectomy with an ileal orthotopic neobladder (RCIONB) despite a negative effect of infection control. We investigated the impact of short-term prophylactic antibiotic use on infectious complications after RCIONB.We retrospectively reviewed data fro...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013196

    authors: Kim CJ,Kim KH,Song W,Lee DH,Choi HJ

    更新日期:2018-11-01 00:00:00