Leg warming minimizes core hypothermia during abdominal surgery.

Abstract:

:The efficacy of leg skin warming in preventing hypothermia and shivering was evaluated in two separate prospective, randomized trials in patients undergoing abdominal surgery. In the first trial, 22 patients were randomized to receive no hypothermia prevention (control group) or active warming with an electric warming blanket (electric blanket group). In the second trial 33 patients were randomized to receive no hypothermia prevention (control group) or forced-air warming (Bair Hugger group) or forced-air warming with insulation of the air blanket from the environment (insulated Bair Hugger group). The core and skin temperatures were measured and changes in body heat content calculated. In the first trial, core temperature was 34.6 +/- 0.3 degrees C at the end of surgery in the control group vs 36.4 +/- 0.1 degrees C in the electric warming blanket group (P < 0.001). Shivering occurred in nine control patients and in one warmed patient (P < 0.05). In the second trial, core temperature was 35.1 +/- 0.2 degrees C at the end of surgery in the control group, 36.3 +/- 0.1 degrees C in the Bair Hugger group (P < 0.01) and 37.1 +/- 0.1 degrees C in the insulated Bair Hugger group (P < 0.01 versus control; P < 0.05 versus Bair Hugger). Shivering occurred in one patient of each warmed group and in seven of the control group (P < 0.05). Skin-surface warming limited to the legs provides sufficient heat (ranging 34 to 43 watts) to counterbalance heat losses during abdominal surgery.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Camus Y,Delva E,Just B,Lienhart A

doi

10.1213/00000539-199311000-00021

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

995-9

issue

5

eissn

0003-2999

issn

1526-7598

journal_volume

77

pub_type

临床试验,杂志文章,随机对照试验
  • Immunoreactive substance P is decreased in saliva of patients with chronic back pain syndromes.

    abstract::Substance P, a neuropeptide associated with pain perception, is widely distributed in the central nervous system and is decreased in the cerebrospinal fluid of chronic pain patients as compared with that of healthy human volunteers. In this study, we have demonstrated the presence of immunoreactive substance P in sali...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199001000-00010

    authors: Parris WC,Kambam JR,Naukam RJ,Rama Sastry BV

    更新日期:1990-01-01 00:00:00

  • The efficacy of tranexamic acid versus placebo in decreasing blood loss in pediatric patients undergoing repeat cardiac surgery.

    abstract::The antifibrinolytic drug, tranexamic acid, decreases blood loss in adult patients undergoing cardiac surgery. However, its efficacy has not been extensively studied in children. Using a prospective, randomized, double-blind study design, we examined 41 children undergoing repeat sternotomy for repair of congenital he...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199705000-00008

    authors: Reid RW,Zimmerman AA,Laussen PC,Mayer JE,Gorlin JB,Burrows FA

    更新日期:1997-05-01 00:00:00

  • Sameridine is safe and effective for spinal anesthesia: a comparative dose-ranging study with lidocaine for inguinal hernia repair.

    abstract:UNLABELLED:Sameridine is a new compound with local anesthetic and analgesic properties when injected intrathecally. We studied the anesthetic and analgesic efficacy of three doses of isobaric sameridine (15, 20, and 23 mg) compared with 100 mg of hyperbaric lidocaine for spinal anesthesia in 140 healthy male patients u...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00000539-199904000-00025

    authors: Mulroy MF,Greengrass R,Ganapathy S,Chan V,Heierson A

    更新日期:1999-04-01 00:00:00

  • Influence of Remifentanil on the Control Performance of the Bispectral Index Controlled Bayesian-Based Closed-Loop System for Propofol Administration.

    abstract:BACKGROUND:This study investigated the clinical performance of a model-based, patient-individualized closed-loop (CL) control system for propofol administration using the bispectral index (BIS) as a controlled variable during the induction and maintenance of anesthesia with propofol and remifentanil and studied the inf...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000004208

    authors: Neckebroek M,Boldingh JHL,De Smet T,Struys MMRF

    更新日期:2020-06-01 00:00:00

  • The efficacy of thoracic epidural neostigmine infusion after thoracotomy.

    abstract::Few anesthesia studies have explored perioperative continuous epidural infusion of neostigmine. We examined such a regimen in thoracotomy patients. Ninety patients were randomized to one of three groups in this double-blind trial. Before anesthesia induction, an epidural catheter was inserted in all patients at T5-8 l...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/01.ane.0000184812.94185.b3

    authors: Chia YY,Chang TH,Liu K,Chang HC,Ko NH,Wang YM

    更新日期:2006-01-01 00:00:00

  • The additive antinociceptive interaction between WIN 55,212-2, a cannabinoid agonist, and ketorolac.

    abstract::Combinations of nonsteroidal antiinflammatory drugs (NSAIDs) and opioids are widespread in the management of pain, allowing better analgesia with reduced side effects. Cannabinoids are promising analgesic drugs that have pharmacological properties similar to those of opioids. However, the beneficial effects of cannabi...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000194587.94260.1d

    authors: Ulugöl A,Ozyigit F,Yesilyurt O,Dogrul A

    更新日期:2006-02-01 00:00:00

  • Sevoflurane or halothane anesthesia: can we tell the difference?

    abstract:UNLABELLED:This study was performed to evaluate the ability of anesthesiologists to differentiate between sevoflurane, a newer, more expensive anesthetic, and halothane. A total of 113 assessments were made by 36 anesthesiologists on 58 children, aged 6 mo to 6 yr, scheduled for bilateral myringotomy and tube placement...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199712000-00004

    authors: Bacher A,Burton AW,Uchida T,Zornow MH

    更新日期:1997-12-01 00:00:00

  • Noninfectious Fever in the Near-Term Pregnant Rat Induces Fetal Brain Inflammation: A Model for the Consequences of Epidural-Associated Maternal Fever.

    abstract:BACKGROUND:Women laboring with epidural analgesia experience fever much more frequently than do women who chose other forms of analgesia, and maternal intrapartum fever is associated with numerous adverse consequences, including brain injury in the fetus. We developed a model of noninfectious inflammatory fever in the ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000002479

    authors: Segal S,Pancaro C,Bonney I,Marchand JE

    更新日期:2017-12-01 00:00:00

  • The effect of ketamine or thiamylal on succinylcholine-induced myoglobinemia under halothane anesthesia in adults.

    abstract::We studied the effect of intravenous (IV) thiamylal or ketamine on the increases in serum myoglobin, creatine kinase (CK), and potassium induced by succinylcholine under halothane anesthesia. Ninety patients were divided into three groups. In Group O, succinylcholine (1.0 mg/kg) was administered after an the inhaled i...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199511000-00021

    authors: Noguchi I,Sankawa H,Andou M

    更新日期:1995-11-01 00:00:00

  • Preoperative Warming Versus no Preoperative Warming for Maintenance of Normothermia in Women Receiving Intrathecal Morphine for Cesarean Delivery: A Single-Blinded, Randomized Controlled Trial.

    abstract:BACKGROUND:Rates of hypothermia for women undergoing spinal anesthesia for cesarean delivery are high and prevention is desirable. This trial compared the effectiveness of preoperative warming versus usual care among women receiving intrathecal morphine, which is thought to exacerbate perioperative heat loss. METHODS:...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/ANE.0000000000002026

    authors: Munday J,Osborne S,Yates P,Sturgess D,Jones L,Gosden E

    更新日期:2018-01-01 00:00:00

  • A laboratory evaluation of an auditory display designed to enhance intraoperative monitoring.

    abstract:UNLABELLED:Encouraged by the popularity of the pulse oximeter pulse-tone, we developed and tested an auditory display of six physiologic variables. The display consisted of a cardiovascular sound triggered by every heartbeat (conveying heart rate) and a respiratory sound triggered by every breath (conveying respiratory...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200202000-00025

    authors: Loeb RG,Fitch WT

    更新日期:2002-02-01 00:00:00

  • The pulmonary absorption-excretion volume effect.

    abstract::An in-vitro experiment demonstrated the concentration effect of N2O (3% versus 75%) during elimination and during uptake. Other pulmonary absorption-excretion phenomena also occur simultaneously, as paired events during uptake and then during elimination:diffusion hyperoxia and diffusion anoxia; alveolar concentration...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-197601000-00013

    authors: Rackow H,Salanitre E

    更新日期:1976-01-01 00:00:00

  • Respiratory mechanics during sevoflurane anesthesia in children with and without asthma.

    abstract:UNLABELLED:We studied lung function in children with and without asthma receiving anesthesia with sevoflurane. Fifty-two children had anesthesia induced with sevoflurane (up to 8%) in a mixture of 50% nitrous oxide in oxygen and then maintained at 3% with children breathing spontaneously via face mask and Jackson-Rees ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Habre W,Scalfaro P,Sims C,Tiller K,Sly PD

    更新日期:1999-11-01 00:00:00

  • Argon pneumoperitoneum is more dangerous than CO2 pneumoperitoneum during venous gas embolism.

    abstract:UNLABELLED:We investigated the possibility of using argon, an inert gas, as a replacement for carbon dioxide (CO2). The tolerance of argon pneumoperitoneum was compared with that of CO2 pneumoperitoneum. Twenty pigs were anesthetized with enflurane 1.5%. Argon (n = 11) or CO2 (n = 9) pneumoperitoneum was created at 15 ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-199712000-00034

    authors: Mann C,Boccara G,Grevy V,Navarro F,Fabre JM,Colson P

    更新日期:1997-12-01 00:00:00

  • A comparison of remifentanil and sufentanil as adjuvants during sevoflurane anesthesia with epidural analgesia for upper abdominal surgery: effects on postoperative recovery and respiratory function.

    abstract:UNLABELLED:We compared the recovery profile and postoperative SpO(2) after the administration of general anesthesia with either sevoflurane-remifentanil or sevoflurane-sufentanil in 30 healthy patients undergoing upper abdominal surgery. They were randomly allocated to receive general anesthesia with sevoflurane and sm...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-200011000-00040

    authors: Casati A,Albertin A,Fanelli G,Deni F,Berti M,Danelli G,Grifoni F,Torri G

    更新日期:2000-11-01 00:00:00

  • Transient postoperative neurologic deficit after lumbar laminectomy.

    abstract:UNLABELLED:New neurological deficit after spinal surgery is a rare complication that requires a quick diagnostic and therapeutic approach to reduce the risk of permanent neurological disabilities. We report a patient who presented with transient neurologic deficit after surgery for lumbar disk herniation resulting from...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000083371.57228.64

    authors: Hernández-Palazón J,Falcón-Araña LF,García-Martínez M

    更新日期:2003-11-01 00:00:00

  • Arterial hypoxemia caused by intravenous ketamine.

    abstract::Ketamine given IV in a dose of 2 mg/kg caused a significant reduction in Pao2 in 7 patients spontaneously breathing with an unassisted airway. Under the same conditions, in 7 patients, ketamine (2 mg/kg IV) preceded by diazepam (0.2 mg/kg IV) also caused a reduction in Pao2 not significantly different from that caused...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-197605000-00005

    authors: Zsigmond EK,Matsuki A,Kothary SP,Jallad M

    更新日期:1976-05-01 00:00:00

  • Propofol suppresses the cortical somatosensory evoked potential in rats.

    abstract:UNLABELLED:The dose-response curve for the effect of volatile anesthetics on the somatosensory evoked potential (SEP) is well described, but for propofol, the large dose segment of the curve is undefined. We describe the effect of increasing plasma concentrations of propofol on cortical SEPs in 18 rats. After surgical ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000090318.16879.a8

    authors: Logginidou HG,Li BH,Li DP,Lohmann JS,Schuler HG,DiVittore NA,Kreiser S,Cronin AJ

    更新日期:2003-12-01 00:00:00

  • Dopamine D2-like receptor in the nucleus accumbens is involved in the antinociceptive effect of nitrous oxide.

    abstract:BACKGROUND:The mechanism of the antinociceptive effects of nitrous oxide (N(2)O) has not been completely elucidated. On the other hand, numerous studies have indicated that mesolimbic dopaminergic neurons, which are thought to be involved in rewarding and reinforcement processes, play important roles in the supraspinal...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ane.0b013e318172b15b

    authors: Koyanagi S,Himukashi S,Mukaida K,Shichino T,Fukuda K

    更新日期:2008-06-01 00:00:00

  • Bispectral index monitoring: a comparison between normal children and children with quadriplegic cerebral palsy.

    abstract:UNLABELLED:We performed this study to compare the correlation of bispectral index (BIS) values with different sevoflurane concentrations between normal children and those with quadriplegic cerebral palsy with mental retardation (CPMR). Twenty children with CPMR (Group I) and 21 normal children (Group II) between 2 and ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200212000-00020

    authors: Choudhry DK,Brenn BR

    更新日期:2002-12-01 00:00:00

  • Time required for oral ranitidine to decrease gastric fluid acidity.

    abstract::This study documented gastric fluid acidity in ambulatory surgical patients 30-120 min after they had taken a 300-mg tablet of ranitidine, as changes specific to this relatively brief dose-to-sampling interval previously had not been delineated. At 20-120 min before outpatient surgery, ranitidine was given with 15 mL ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199112000-00018

    authors: Jacobs BR,Swift CA,Dubow HD,Kosarussavadi B,McGoldrick K,O'Connor TZ,Silverman DG

    更新日期:1991-12-01 00:00:00

  • Hemodynamic responses in brain dead organ donor patients.

    abstract::Because we have noticed dramatic hemodynamic responses in brain dead patients undergoing surgery for organ donation, we analyzed the anesthetic records of cadaver organ donors. Ten records contain complete data for heart rate, blood pressure, central venous pressure, and time of incision. Systolic pressure increased b...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Wetzel RC,Setzer N,Stiff JL,Rogers MC

    更新日期:1985-02-01 00:00:00

  • Nonlinear heart rate variability analysis may predict atrial fibrillation after coronary artery bypass grafting.

    abstract:BACKGROUND:Heart rate variability might predict arrhythmias after coronary artery bypass grafting. METHODS:Off-line processing of 10-min electrocardiogram recordings of consecutive patients provided R-R intervals for time domain, frequency domain, Poincaré, and point correlation analyses and subsequent association wit...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/01.ane.0000239330.45658.76

    authors: Chamchad D,Djaiani G,Jung HJ,Nakhamchik L,Carroll J,Horrow JC

    更新日期:2006-11-01 00:00:00

  • Local GABA(A) receptor blockade reverses isoflurane's suppressive effects on thalamic neurons in vivo.

    abstract::Many in vitro effects of volatile anesthetics are known, but the mechanisms of action are still under debate. Because suppression of sensory perception is one of the major goals of general anesthesia, we studied the effects of isoflurane on the processing of somatosensory information in anesthetized rats. Local iontop...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1097/00000539-200106000-00046

    authors: Vahle-Hinz C,Detsch O,Siemers M,Kochs E,Bromm B

    更新日期:2001-06-01 00:00:00

  • Intratracheal pulmonary ventilation (ITPV): control of positive end-expiratory pressure at the level of the carina through the use of a novel ITPV catheter design.

    abstract::A new mode of pulmonary ventilation called intratracheal pulmonary ventilation (ITPV) was studied. Briefly, a continuous flow of air/oxygen is introduced through a small catheter, the tip of which is positioned at the carina, with a diffuser mounted at its distal end. A timed expiration valve, when closed, provides fo...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199403000-00006

    authors: Kolobow T,Powers T,Mandava S,Aprigliano M,Kawaguchi A,Tsuno K,Mueller E

    更新日期:1994-03-01 00:00:00

  • A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain.

    abstract:BACKGROUND:Opioids are frequently used in chronic pain management but are associated with significant morbidity and mortality in some patient populations. An important avenue for identifying complications-including serious or rare complications-is the study of closed malpractice claims. The present study is intended to...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000002499

    authors: Abrecht CR,Brovman EY,Greenberg P,Song E,Rathmell JP,Urman RD

    更新日期:2017-11-01 00:00:00

  • Buccal pulse oximeter is more accurate than finger pulse oximeter in measuring oxygen saturation.

    abstract::Although there have been several anecdotal reports of the use of buccal pulse oximeter monitoring (Spo2) when digital Spo2 monitoring cannot be used, there have been no objective evaluations of the accuracy of buccal Spo2 monitoring. The purpose of this study was to systematically compare buccal Spo2 monitoring to bot...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: O'Leary RJ Jr,Landon M,Benumof JL

    更新日期:1992-10-01 00:00:00

  • Ischemic preconditioning attenuates pulmonary dysfunction after unilateral thigh tourniquet-induced ischemia-reperfusion.

    abstract:BACKGROUND:Acute lung injury is a recognized complication of lower limb ischemia-reperfusion that has been demonstrated experimentally and in the clinical setting of aortic surgery. The application of a tourniquet can cause lower limb ischemia-reperfusion in orthopedic surgery. We studied the effect of unilateral thigh...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/ANE.0b013e3181e368d2

    authors: Lin LN,Wang LR,Wang WT,Jin LL,Zhao XY,Zheng LP,Jin LD,Jiang LM,Xiong XQ

    更新日期:2010-08-01 00:00:00

  • Propofol stimulates noradrenalin-inhibited neurons in the ventrolateral preoptic nucleus by reducing GABAergic inhibition.

    abstract:BACKGROUND:The cellular mechanisms underlying the sedative effect of general anesthetics are not completely understood. Accumulating evidence indicates that the ventrolateral preoptic area (VLPO) of the hypothalamus plays a critical role. The VLPO contains 2 major types of neurons, the noradrenalin-inhibited GABAergic ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e318297366e

    authors: Liu YW,Zuo W,Ye JH

    更新日期:2013-08-01 00:00:00

  • Propofol versus propofol-ketamine sedation for retrobulbar nerve block: comparison of sedation quality, intraocular pressure changes, and recovery profiles.

    abstract:UNLABELLED:We compared sedation quality, intraocular pressure (IOP) changes, and recovery profiles in patients who received propofol or propofol-ketamine sedation during placement of the retrobulbar nerve block (RBB). Seventy elderly patients undergoing cataract extraction according to a prospective, randomized, double...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199908000-00013

    authors: Frey K,Sukhani R,Pawlowski J,Pappas AL,Mikat-Stevens M,Slogoff S

    更新日期:1999-08-01 00:00:00