Intra-operative rewarming with Hot Dog(®) resistive heating and forced-air heating: a trial of lower-body warming.

Abstract:

:Resistive heating is an alternative to forced-air warming which is currently the most commonly used intra-operative warming system. We therefore tested the hypothesis that rewarming rates are similar with Hot Dog(®) (Augustine Biomedical) resistive and Bair Hugger(®) (Arizant) forced-air heating systems. We evaluated 28 patients having major maxillary tumour surgery. During the establishment of invasive monitoring, patients became hypothermic, dropping their core temperature to about 35 °C. They were then randomly assigned to rewarming with lower-body resistive (n = 14) or forced-air (n = 14) heating, with each system set to 'high'. Our primary outcome was the rewarming rate during active heating over a core temperature range from 35 to 37 °C. Morphometric characteristics were comparable in both groups. Temperature increased at twice the rate in patients assigned to forced-air warming, with an estimated mean (SE) slope of 0.49 (0.03) °C.h(-1) vs 0.24 (0.02) °C.h(-1) (p < 0.001). Resistive heating warmed at half the rate of forced air.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Röder G,Sessler DI,Roth G,Schopper C,Mascha EJ,Plattner O

doi

10.1111/j.1365-2044.2011.06722.x

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

667-74

issue

8

eissn

0003-2409

issn

1365-2044

journal_volume

66

pub_type

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