A randomised single blinded study of the administration of pre-warmed fluid vs active fluid warming on the incidence of peri-operative hypothermia in short surgical procedures

Anaesthesia
J C AndrzejowskiG Eapen

Abstract

We compared the effect of delivering fluid warmed using two methods in 76 adult patients having short duration surgery. All patients received a litre of crystalloid delivered either at room temperature, warmed using an in-line warming device or pre-warmed in a warming cabinet for at least 8 h. The tympanic temperature of those receiving fluid at room temperature was 0.4 °C lower on arrival in recovery when compared with those receiving fluid from a warming cabinet (p = 0.008). Core temperature was below the hypothermic threshold of 36.0 °C in seven (14%) patients receiving either type of warm fluid, compared to eight (32%) patients receiving fluid at room temperature (p = 0.03). The administration of 1 l warmed fluid to patients having short duration general anaesthesia results in higher postoperative temperatures. Pre-warmed fluid, administered within 30 min of its removal from a warming cabinet, is as efficient at preventing peri-operative hypothermia as that delivered through an in-line warming system.

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Citations

Dec 3, 2014·AORN Journal·Renae Battié, Victoria M Steelman
Jun 1, 2013·AORN Journal·Victoria M Steelman, Paula R Graling
Apr 27, 2017·Plastic and Reconstructive Surgery·Claire Temple-OberleUNKNOWN ERAS Society
Apr 14, 2015·The Cochrane Database of Systematic Reviews·Gillian CampbellSheryl Warttig
Feb 26, 2019·Ecology and Evolution·Joseph B PfallerStuart F McDaniel
Jun 15, 2012·The Journal of Trauma and Acute Care Surgery·Erik R Barthel, James R Pierce
Jun 23, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Denis EhrlP Niclas Broer
Apr 4, 2015·Deutsches Ärzteblatt International·Alexander TorossianErnst-Peter Horn
Jul 13, 2021·Journal of Medical Engineering & Technology·Sarath S NairD S Nagesh
Jul 28, 2021·Anaesthesia·J C AndrzejowskiM D Wiles
Aug 28, 2021·International Journal of Environmental Research and Public Health·Simon RauchPeter Paal

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