Effect of a new heated and humidified breathing circuit with a fluid-warming device on intraoperative core temperature: a prospective randomized study.

Abstract:

BACKGROUND:The effect of the Mega Acer kit(@), a new heated and humidified breathing circuit (HHBC) containing a fluid-warming device, was investigated on intraoperative core temperature (T c). METHODS:A total of 102 patients undergoing elective craniotomies were randomly divided into three groups based on the breathing circuit used: a conventional breathing circuit (group C, n = 34), a Fisher & Paykel HHBC (group F, n = 34), and the Mega (group M, n = 34). From baseline to the end of the surgery, T c and infusion fluid temperature (T f) were recorded at 15-min intervals. If T c became lower than 35.5 °C, a forced-air warmer was used. RESULTS:Baseline temperatures were 36.7 ± 0.3, 36.6 ± 0.2, and 36.6 ± 0.2 °C in groups C, M, and F, respectively. T c at the end of surgery dropped from baseline values by 1.0 ± 0.4, 0.5 ± 0.5, and 0.8 ± 0.5 °C in groups C, M, and F, respectively. From 60 min of post-induction to the end of surgery, T c was higher in group M than group C (p < 0.05). From 105 min of post-induction to the end of surgery, T c was higher in group M than group F (p < 0.05). The number of patients receiving forced-air warmer and total forced-air warmer using time were significantly lower in group M than groups C and F (p < 0.05). T f was higher in group M than groups C and F throughout the study period (31.0 ± 1.0 vs. 23.5 ± 0.5 and 24.0 ± 0.4 °C; p < 0.01). CONCLUSIONS:The Mega significantly reduced the drop in intraoperative T c by delivering warm fluids, compared with the other breathing circuits tested. TRIAL REGISTRATION:Clinicaltrials.gov identifier: NCT01831843.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Kim E,Lee SY,Lim YJ,Choi JY,Jeon YT,Hwang JW,Park HP

doi

10.1007/s00540-015-1994-z

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

499-507

issue

4

eissn

0913-8668

issn

1438-8359

journal_volume

29

pub_type

杂志文章,随机对照试验
  • Regional anesthesia for laparoscopic surgery: a narrative review.

    abstract::Laparoscopic surgery has advanced remarkably in recent years, resulting in reduced morbidity and shorter hospital stay compared with open surgery. Despite challenges from the expanding array of laparoscopic procedures performed with the use of pneumoperitoneum on increasingly sick patients, anesthesia has remained lar...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-013-1736-z

    authors: Vretzakis G,Bareka M,Aretha D,Karanikolas M

    更新日期:2014-06-01 00:00:00

  • Microglial activation involved in morphine tolerance is not mediated by toll-like receptor 4.

    abstract:PURPOSE:Morphine is a powerful analgesic but its effect is often diminished owing to the development of tolerance. It has been suggested that morphine activates microglia through its action on the toll-like receptor 4 (TLR4) in the spinal cord, leading to suppression of the morphine effect. However, it has not been exa...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-012-1469-4

    authors: Fukagawa H,Koyama T,Kakuyama M,Fukuda K

    更新日期:2013-02-01 00:00:00

  • The hemodynamic and metabolic changes in prostaglandin E1-induced hypotension in dogs--a comparative study with trimetaphan-induced hypotension.

    abstract::The hemodynamic and metabolic changes in hypotensive state induced with prostaglandin E1 (PGE1) or trimetaphan (TMT) infusion were investigated in dogs. Mean arterial pressure was decreased by about 50% with 1.58 microg/kg/min of PGE1 or 45 microg/kg/min of TMT. Heart rate, pulmonary capillary wedge pressure and centr...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054090030210

    authors: Nam YT,Takahashi S,Tominaga M,Yoshitake J

    更新日期:1989-09-01 00:00:00

  • Spinal anesthesia for surgery longer than 60 min in infants: experience from the first 2 years of a spinal anesthesia program.

    abstract:PURPOSE:Spinal anesthesia (SA) is being increasingly used in infants to avoid the potential negative neurocognitive effects of general anesthesia (GA). However, SA has been reported to provide a relatively short duration of surgical anesthesia. METHODS:We retrospectively reviewed SA cases for surgical procedures lasti...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-2517-5

    authors: Trifa M,Tumin D,Whitaker EE,Bhalla T,Jayanthi VR,Tobias JD

    更新日期:2018-08-01 00:00:00

  • Management of postoperative atrial fibrillation.

    abstract::The impact of postoperative atrial fibrillation (PAF) on patient outcomes has prompted intense investigation into the optimal methods for prevention and treatment of this complication. In the prevention of PAF, β-blockers and amiodarone are particularly effective and are recommended by guidelines. However, their use r...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-012-1330-9

    authors: Omae T,Kanmura Y

    更新日期:2012-06-01 00:00:00

  • High-dose intraoperative remifentanil infusion increases early postoperative analgesic consumption: a prospective, randomized, double-blind controlled study.

    abstract:PURPOSE:The purpose of this study was to determine whether intraoperative infusion of remifentanil induces acute tolerance to opioids, and compare the postoperative pain and opioid consumption by the effect site concentrations of remifentanil. METHODS:One hundred and ninety-eight patients undergoing gastrectomy were r...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-018-2569-6

    authors: Kim D,Lim HS,Kim MJ,Jeong W,Ko S

    更新日期:2018-12-01 00:00:00

  • Presynaptic M1, M2, and A1 receptors play roles in tetanic fade induced by pancuronium or cisatracurium.

    abstract:PURPOSE:We investigated whether presynaptic facilitatory M1 and/or inhibitory M2 muscarinic receptors contributed to pancuronium- and cisatracurium-induced tetanic fade. METHODS:Phrenic nerve-diaphragm muscle preparations of rats were indirectly stimulated with tetanic frequency (75 +/- 3.3 Hz; mean +/- SD). Doses of ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-009-0790-z

    authors: Bornia EC,Bando E,Machinski M Jr,Pereira MW,Alves-Do-Prado W

    更新日期:2009-01-01 00:00:00

  • Thoracoscopic sympathectomy: endobronchial anesthesia vs endotracheal anesthesia with intrathoracic CO2 insufflation.

    abstract:PURPOSE:To compare clinical advantages and hemodynamic and respiratory changes during one lung-collapsed ventilation (OLCV) using a double-lumen tube (DLT) or a single-lumen tube (SLT) with intrathoracic CO(2) insufflation, in patients undergoing thoracic sympathectomy (TS) under general anesthesia. METHODS:One hundre...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s540-002-8088-z

    authors: El-Dawlatly A,Al-Dohayan A,Riyad W,Thalaj A,Delvi B,Al-Saud S

    更新日期:2002-01-01 00:00:00

  • The effects of sevoflurane on lidocaine-induced convulsions.

    abstract::The influence of sevoflurane on lidocaine-induced convulsions was studied in cats. The convulsive threshold (mean +/- SD) was 41.4 +/- 6.5 mg. l(-1) with lidocaine infusion (6 mg.kg(-1).min(-1)), increasing significantly to 66.6 +/- 10.9 mg. l(-1) when the end-tidal concentration of sevoflurane was 0.8%. However, the ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050060

    authors: Karasawa F

    更新日期:1991-01-01 00:00:00

  • Postoperative cognitive dysfunction after noncardiac surgery: effects of metabolic syndrome.

    abstract:PURPOSE:Vascular risk factors, including metabolic syndrome, are known to contribute to the development of cognitive dysfunction. We tested the hypothesis that patients with metabolic syndrome are more likely to develop cognitive dysfunction after noncardiac surgery. METHODS:Age- and education-balanced patients (n = 6...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1137-0

    authors: Hudetz JA,Patterson KM,Amole O,Riley AV,Pagel PS

    更新日期:2011-06-01 00:00:00

  • Metabolic acidosis with hemodilution due to massive absorption of normal saline as bladder irrigation fluid following holmium laser enucleation of prostate.

    abstract::Holmium laser enucleation of prostate (HoLEP) is being performed with increasing frequency as a minimally invasive alternative to transurethral resection of the prostate (TURP) for the surgical management of benign prostatic hyperplasia (BPH). HoLEP offers the advantage of use of normal saline for irrigation, instead ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-016-2256-4

    authors: Dodd SE,Jankowski CJ,Krambeck AE,Gali B

    更新日期:2016-12-01 00:00:00

  • Plasma vasopressin response to contrast medium during cardiac catheterization in infants and children.

    abstract::Fifteen infants and children (M = 7, F = 8), aged from 0 to 13 years, who underwent cardiac catheterization and cardioangiography under ketamine-diazepam anesthesia were the subjects of this study. The effect of a contrast medium, isolamate sodium (66.8%) on the plasma somolality and vasopressin concentration was stud...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050203

    authors: Yamashita M,Horigome H,Kudo T,Matsuki A

    更新日期:1991-04-01 00:00:00

  • Anesthetic management for ascending aorta replacement in a patient who refused autologous transfusion for religious reasons.

    abstract::We report on the anesthetic management of a 69-year-old female Jehovah's Witness undergoing cardiopulmonary bypass to replace the ascending aorta; the patient refused transfusion of stored autologous or allogeneic blood products for religious reasons. The strategy involved preoperative hematopoiesis with recombinant h...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-009-0764-1

    authors: Obara S,Nakagawa M,Takahashi S,Akatu M,Isosu T,Murakawa M

    更新日期:2009-01-01 00:00:00

  • Lack of the mechanoreceptor influences on ventilatory control during halothane anesthesia in humans.

    abstract::Mechanical influences independent of chemoreceptor function on ventilatory control were studied in halothane-anesthetized, artificially ventilated patients using the technique reported by Altose et al. (Respir Physiol 66: 171-180, 1986). Contribution of mechanical factor was indirectly assessed by comparing the values...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054020060387

    authors: Kochi T,Ide T,Isono S,Mizuguchi T

    更新日期:1992-10-01 00:00:00

  • The Pringle maneuver reduces the infusion rate of rocuronium required to maintain surgical muscle relaxation during hepatectomy.

    abstract:INTRODUCTION:We investigated the continuous infusion rates of rocuronium necessary to obtain the surgical muscle relaxation before, during, and after the Pringle maneuver on patients who underwent hepatectomy. METHODS:Fifteen patients were induced by total intravenous anesthesia with propofol. After obtaining the cali...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00540-018-2498-4

    authors: Kajiura A,Nagata O,Sanui M

    更新日期:2018-06-01 00:00:00

  • Clinical characteristics of perioperative coronary spasm: reviews of 115 case reports in Japan.

    abstract:PURPOSE:Factors affecting perioperative development of coronary spasm have not been elucidated. A number of case reports describing perioperative coronary spasm have appeared in Japanese anesthesia journals, mostly published in Japanese. The purpose of this study was to investigate the contributing factors affecting pe...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s005400170034

    authors: Koshiba K,Hoka S

    更新日期:2001-01-01 00:00:00

  • A randomized comparison of the i-gel and the ProSeal laryngeal mask airway in pediatric patients: performance and fiberoptic findings.

    abstract:PURPOSE:We compared the insertion performance of the pediatric size 1.5-3 i-gel airway device with that of the ProSeal laryngeal mask airway (PLMA) in anesthetized children in a prospective, randomized, controlled manner. METHODS:We included 134 children, aged 3 months to 15 years, scheduled for elective surgery under...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-012-1477-4

    authors: Fukuhara A,Okutani R,Oda Y

    更新日期:2013-02-01 00:00:00

  • The effects of butorphanol on baroreflex control of heart rate in man.

    abstract::The effects of butorphanol injection on baroreflex control of heart rate were investigated using both pressor and depressor tests in eighteen adult patients. Baroreflex sensitivity was attenuated after butorphanol injection in the pressor test using phenylephrine, whereas it was unchanged in the depressor test using n...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054030070411

    authors: Wajima Z,Inoue T,Ogawa R

    更新日期:1993-10-01 00:00:00

  • The use of the laryngeal mask airway in pediatric anesthesia.

    abstract::Laryngeal mask airway (LMA) insertion was tried in 120 pediatric cases, from 2 months to 12 years of age. Initial indications for LMA were the same as for a face mask, except for two additional conditions; anticipation of difficulty with intubation and difficulty in management by a face mask. Size 2 LMA was used in th...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054010050160

    authors: Miyasaka K,Suzuki Y,Kondo Y,Sakai H,Nakagawa S,Asahara S

    更新日期:1991-04-01 00:00:00

  • Cardiac effects of propofol and its interaction with autonomic nervous system in isolated, cross-circulated canine atria.

    abstract:PURPOSE:The effects of propofol on sinoatrial pacemaker activity and myocardial contractility and its interaction with the autonomic nervous system were investigated in isolated, cross-circulated right atrial canine preparations. METHODS:An isolated right atrial preparation was perfused with heparinized arterial blood...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s005400050019

    authors: Nagashima Y,Furukawa Y,Hirose M,Chiba S

    更新日期:1999-01-01 00:00:00

  • The use of a needle guide kit improves the stability of ultrasound-guided techniques.

    abstract::A needle guide kit will be able to improve visibility on ultrasonic images. We examined the degree of stability using a SIVA guide. The SIVA guide is a needle guide kit in which the angle is not restricted, allowing the puncture to be made at any angle. We punctured the Blue Phantom™ with a high-frequency linear probe...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-015-2021-0

    authors: Ueshima H,Kitamura A

    更新日期:2015-10-01 00:00:00

  • Life-threatening hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization.

    abstract::We present a life-threatening case of hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization. We considered that the guidewire had punctured the right brachiocephalic vein extraluminally and the catheter inserted over the guidewire had enlarged the size of t...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-008-0696-1

    authors: Innami Y,Oyaizu T,Ouchi T,Umemura N,Koitabashi T

    更新日期:2009-01-01 00:00:00

  • Perioperative visual loss after nonocular surgery.

    abstract::Although rare, a change in visual acuity after surgery for nonocular procedures has devastating consequences. Increased recognition and discussion of this complication is reported in recent literature, most notably following spinal and cardiac surgery. Various pathologies may be responsible for perioperative visual lo...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-013-1648-y

    authors: Kitaba A,Martin DP,Gopalakrishnan S,Tobias JD

    更新日期:2013-12-01 00:00:00

  • Sedative effects of oral pregabalin premedication on intravenous sedation using propofol target-controlled infusion.

    abstract:PURPOSE:The sedative effects of pregabalin during perioperative period have not been sufficiently characterized. The aim of this study was to verify the sedative effects of premedication with pregabalin on intravenous sedation (IVS) using propofol and also to assess the influences of this agent on circulation, respirat...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00540-017-2366-7

    authors: Karube N,Ito S,Sako S,Hirokawa J,Yokoyama T

    更新日期:2017-08-01 00:00:00

  • A case report of anesthetic management of the minimally invasive Nuss operation for pectus excavatum.

    abstract::We describe the anesthetic management of a patient with pectus excavatum, receiving the minimally invasive Nuss operation, which corrects chest wall deformity by insertion of a convex steel bar (pectus bar). An 8-year-old female patient was scheduled for the Nuss operation. The manipulation of the bar in the thorax wa...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-004-0269-x

    authors: Ichizawa M,Morimura E,Tsuchiya N,Hanafusa T,Shinomura T

    更新日期:2005-01-01 00:00:00

  • Incidence of hypoxia and related events detected by pulse oximeters provided by the Lifebox Foundation in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo.

    abstract::In recent decades anesthesia safety has not been improved in low-income countries. This prospective audit describes the incidence of hypoxia and related events detected among a cohort of patients undergoing surgery in the maternity unit at Sylvanus Olympio University Teaching Hospital, Togo, West Africa, by using puls...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-015-2048-2

    authors: Sama HD,Maman AF,Walker IA

    更新日期:2015-12-01 00:00:00

  • Acetaminophen and non-steroidal anti-inflammatory drugs interact with morphine and tramadol analgesia for the treatment of neuropathic pain in rats.

    abstract:PURPOSE:Although non-steroidal anti-inflammatory drugs and acetaminophen have no proven efficacy against neuropathic pain, they are frequently prescribed for neuropathic pain patients. We examined whether the combination of opioids (tramadol and morphine) with indomethacin or acetaminophen produce favorable effects on ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-014-1953-0

    authors: Shinozaki T,Yamada T,Nonaka T,Yamamoto T

    更新日期:2015-06-01 00:00:00

  • Left-molar approach for direct laryngoscopy: is it easy?

    abstract:PURPOSE:For direct laryngoscopy, we compared midline and left-molar approaches with respect to ease of intubation, using a Macintosh blade. We investigated the relationship between failure of the left-molar approach and preoperative risk factors for difficult intubation. METHODS:With local ethics committee approval, 2...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-008-0694-3

    authors: Cuvas O,Basar H,Gursoy N,Culhaoglu S,Demir A

    更新日期:2009-01-01 00:00:00

  • Lateral Trendelenburg with the injected side down after the block improves the efficacy of the axillary approach to brachial plexus block.

    abstract:PURPOSE:We hypothesized that, after axillary block, positioning the patient in a lateral position with the injected side down and simultaneously in a 20° Trendelenburg position will increase the success rate and quality of the block. METHODS:Fifty patients with chronic renal failure (ASA 2-3) scheduled for arterioveno...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-013-1766-6

    authors: Salih Sevdi M,Gunday I,Arar C,Colak A,Turan N

    更新日期:2014-08-01 00:00:00

  • Erector spinae plane block versus retrolaminar block for postoperative analgesia after breast surgery: a randomized controlled trial.

    abstract:PURPOSE:The newly introduced erector spinae plane block (ESPB) has given anesthesiologists an alternative regional anesthetic technique for thoracic analgesia. Although ESPB and retrolaminar block (RLB) have similar puncture sites, no clinical study comparing ESPB and RLB has been reported. The aim of this study was to...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02855-y

    authors: Sotome S,Sawada A,Wada A,Shima H,Kutomi G,Yamakage M

    更新日期:2021-02-01 00:00:00