Conductive warming and insulation reduces perioperative hypothermia

• Authors: Thorsten Perl , Anke Rhenius , Christoph Eich , Michael Quintel , Daniel Heise , Anselm Bräuer
• Languages of publication: EN

Abstracts

EN

Keywords

EN

Conductive warming; Insulation; Head and neck surgery; Perioperative hypothermia; oesophageal temperature; Randomised controlled trial

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2012
• Volume: 7
• Issue: 3
• Pages: 284-289

Dates

published

1 - 6 - 2012

online

29 - 3 - 2012

Contributors

author

Thorsten Perl

• Department of Anaesthesiology, Emergency and Intensive Care Medicine, Georg-August University Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Germany

author

Anke Rhenius

• Department of Anaesthesiology, Emergency and Intensive Care Medicine, Georg-August University Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Germany

author

Christoph Eich

• Department of Paediatric Anaesthesia, Department of Anaesthesia, Paediatric Intensive Care and Emergency Medicine, Kinderkrankenhaus auf der Bult, Janusz-Korczak-Allee 12, D-30173, Hannover, Germany

author

Michael Quintel

• Department of Anaesthesiology, Emergency and Intensive Care Medicine, Georg-August University Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Germany

author

Daniel Heise

• Department of Anaesthesiology, Emergency and Intensive Care Medicine, Georg-August University Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Germany

author

Anselm Bräuer

• Department of Anaesthesiology, Emergency and Intensive Care Medicine, Georg-August University Göttingen, Robert-Koch-Str. 40, D-37075, Göttingen, Germany

References

• [1] Abelha FJ, Castro MA, Neves AM, Landeiro NM, Santos CC. Hypothermia in a surgical intensive care unit. BMC Anesthesiology 2005; 5: 7–17 http://dx.doi.org/10.1186/1471-2253-5-7[Crossref]
• [2] Karalapillai D, Story DA, Calzavacca P, Licari E, Liu YL, Hart GK. Inadvertent hypothermia and mortality in postoperative intensive care patients: retrospective audit of 5050 patients. Anaesthesia 2009; 64: 968–972 http://dx.doi.org/10.1111/j.1365-2044.2009.05989.x[Crossref][WoS]
• [3] Mitchell AM, Kennedy RR. Preoperative core temperatures in elective surgical patients show an unexpected skewed distribution. Can J Anaesth 2001; 48: 850–853 http://dx.doi.org/10.1007/BF03017348[Crossref]
• [4] Sessler DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology 2008; 109: 318–338 http://dx.doi.org/10.1097/ALN.0b013e31817f6d76[Crossref]
• [5] Sessler DI. Complications and treatment of mild perioperative hypothermia. Anesthesiology 2001; 95: 531–543 http://dx.doi.org/10.1097/00000542-200108000-00040[Crossref]
• [6] Agrawal N, Sewell DA, Griswold ME, Frank SM, Hessel TW, Eisele DW. Hypothermia during head and neck surgery. Laryngoscope 2003; 113: 1278–1282 http://dx.doi.org/10.1097/00005537-200308000-00002[Crossref]
• [7] Sumer BD, Myers LL, Leach J, Truelson JM. Correlation between intraoperative hypothermia and perioperative morbidity in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg 2009; 135: 682–686 http://dx.doi.org/10.1001/archoto.2009.65[Crossref]
• [8] Bräuer A, Perl T, Uyanik Z, English MJM, Weyland W, Braun U. Perioperative thermal insulation: Only little clinically important differences? Br J Anaesth 2004; 92: 836–840 http://dx.doi.org/10.1093/bja/aeh156[Crossref]
• [9] Andrzejowski J, Hoyle J, Eapen G, Turnbull D. Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia. Br J Anaesth 2008; 101: 627–631 http://dx.doi.org/10.1093/bja/aen272[WoS][Crossref]
• [10] Brandt S, Oguz R, Huttner H et al. Resistive-polymer versus forced-air warming: comparable efficacy in orthopedic patients. Anesth Analg 2010; 110: 834–838 http://dx.doi.org/10.1213/ANE.0b013e3181cb3f5f[Crossref][WoS]
• [11] De Witte JL, Demeyer C, Vandemaele E. Resistive-heating or forced-air warming for the prevention of redistribution hypothermia. Anesth Analg 2010; 110: 829–833 http://dx.doi.org/10.1213/ANE.0b013e3181cb3ebf[Crossref][WoS]
• [12] Wagner K, Swanson E, Raymond CJ, Smith CE. Comparison of two convective warming systems during major abdominal and orthopedic surgery: [Comparaison de deux systemes de chauffage par convection pendant des chirurgies abdominales et orthopediques majeures]. Canadian Journal of Anesthesia 2008; 55: 358–363 http://dx.doi.org/10.1007/BF03021491[Crossref]
• [13] Matsukawa T, Sessler DI, Sessler AM et al. Heat flow and distribution during induction of general anesthesia. Anesthesiology 1995; 82: 662–673 http://dx.doi.org/10.1097/00000542-199503000-00008[Crossref]
• [14] NICE. Inadvertent perioperative hypothermia. The management of inadvertent perioperative hypothermia in adults. NICE Clinical Guideline 65. www.nice.org.uk/CG065 (assessed 01 May 2011)
• [15] Kurz A, Plattner O, Sessler DI, Huemer G, Redl G, Lackner F. The threshold for thermoregulatory vasoconstriction during nitrous oxide/isoflurane anesthesia is lower in elderly than in young patients. Anesthesiology 1993; 79: 465–469 http://dx.doi.org/10.1097/00000542-199309000-00008[Crossref]
• [16] Vaughan MS, Vaughan RW, Cork RC. Postoperative hypothermia in adults: relationship of age, anesthesia, and shivering to rewarming. Anesth Analg 1981; 60: 746–751 http://dx.doi.org/10.1213/00000539-198110000-00010[Crossref]
• [17] Kurz A, Sessler DI, Narzt E, Lenhardt R, Lackner F. Morphometric influences on intraoperative core temperature changes. Anesth Analg 1995; 80: 562–567 [PubMed]
• [18] Moorthy SS, Radpour S. Management of anesthesia in geriatric patients undergoing head and neck surgery. Ear Nose Throat J 1999; 78: 496–498 [PubMed]
• [19] Frank SM, Fleisher LA, Breslow MJ et al. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial. JAMA 1997; 277: 1127–1134 http://dx.doi.org/10.1001/jama.1997.03540380041029[Crossref]
• [20] Frank SM, Beattie C, Christopherson R et al. Unintentional hypothermia is associated with postoperative myocardial ischemia. The Perioperative Ischemia Randomized Anesthesia Trial Study Group. Anesthesiology 1993; 78: 468–746
• [21] Chiang S, Cohen B, Blackwell K. Myocardial infarction after microvascular head and neck reconstruction. Laryngoscope 2002; 112: 1849–1852. http://dx.doi.org/10.1097/00005537-200210000-00027[Crossref]
• [22] Rajagopalan S, Mascha E, Sessler DI. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology 2008; 108: 71–77 http://dx.doi.org/10.1097/01.anes.0000296719.73450.52[Crossref]
• [23] Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group [see comments]. N Engl J Med 1996; 334: 1209–1215 http://dx.doi.org/10.1056/NEJM199605093341901[Crossref]
• [24] Melling AC, Ali B, Scott EM, Leaper DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. Lancet 2001; 358: 876–880 http://dx.doi.org/10.1016/S0140-6736(01)06071-8[Crossref]
• [25] Kurz A, Kurz M, Poeschl G, Faryniak B, Redl G, Hackl W. Forced-air warming maintains intraoperative normothermia better than circulating-water mattresses. Anesth Analg 1993; 77: 89–95
• [26] Negishi C, Hasegawa K, Mukai S, Nakagawa F, Ozaki M, Sessler DI. Resistive-heating and forced-air warming are comparably effective. Anesth Analg 2003; 96: 1683–1687 http://dx.doi.org/10.1213/01.ANE.0000062770.73862.B7[Crossref]
• [27] Bräuer A, Pacholik L, Perl T, English MJM, Weyland W, Braun U. Conductive heat exchange with a gel-coated circulating water mattress. Anesth Analg 2004; 99: 1742–1746 http://dx.doi.org/10.1213/01.ANE.0000136777.71814.7A[Crossref]
• [28] English MJ, Farmer C, Scott WA. Heat loss in exposed volunteers. J Trauma 1990; 30: 422–425 [Crossref]
• [29] Torossian A. Survey on intraoperative temperature management in Europe. Eur J Anaesthesiol 2007; 24: 668–675 http://dx.doi.org/10.1017/S0265021507000191[Crossref]

Identifiers

DOI

10.2478/s11536-011-0166-2