Oesophageal thermal tube for intraoperative hypothermia in liver transplantation

Acta Anaesthesiologica Scandinavica
A SteibJ C Otteni

Abstract

In order to prevent the occurrence of major hypothermia during liver transplantation, with its deleterious effects on intraoperative cardiovascular activity and on postoperative graft functioning, this study evaluated the benefit of an oesophageal rewarmer, used during surgery, in addition to the usual methods of warming (OR temperature at 22 degrees C, rewarming of fluids and blood, heating mattress, heat and moisture exchanger). We compared 10 patients with an oesophageal rewarmer (OeR group) to 10 patients without (Control group). The anaesthetic procedure was similar in all cases. Rectal (RT) and pulmonary artery (PT) temperatures were recorded during the three phases of surgery (pre-anhepatic, anhepatic, postanhepatic phase) and their time course was analysed with non-parametric tests. The two groups were comparable with regard to duration of surgery, blood and fluid requirements and veno-venous bypass flow rate. The RT decreased similarly in both groups, but was significantly higher in the OeR group at peritoneum closure (P < 0.01). The PT was higher in the OeR group after onset of venous shunting (P < 0.05) and during the third phase of surgery (P < 0.01). Three incidents (one leakage and two herniations of the latex tub...Continue Reading

References

Jul 1, 1992·Critical Care Medicine·A SteibJ C Otteni
Oct 1, 1991·Anesthesiology·D I Sessler
Jan 1, 1991·Anaesthesia·M M ImrieG M Hall
Mar 1, 1990·British Journal of Anaesthesia·M M Imrie, G M Hall
Oct 1, 1990·Acta Anaesthesiologica Scandinavica·B Eckerbom, C E Lindholm
Apr 1, 1990·Journal of Clinical Monitoring·M N Siegel, N Gravenstein
Aug 1, 1988·Journal of Hepatology·R MoreauC Sicot
Feb 1, 1988·Anaesthesia and Intensive Care·A M Holloway
Nov 1, 1986·Acta Anaesthesiologica Scandinavica·P E LønningF Abyholm
May 1, 1987·Acta Anaesthesiologica Scandinavica·P O JoachimssonB Hansson
May 1, 1986·Acta Anaesthesiologica Scandinavica·G KristensenH Gravesen
Nov 1, 1985·Acta Anaesthesiologica Scandinavica·G KristensenH Jordening
May 31, 1980·Lancet·I M LedinghamA M Macdonald

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Citations

Oct 29, 1998·Liver Transplantation and Surgery : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·G NeelakantaR W Busuttil
Apr 5, 2016·Expert Review of Medical Devices·Melissa NaimanErik Kulstad
Feb 17, 2015·BMC Anesthesiology·Erik B KulstadDaniel Mark Courtney
Dec 29, 2017·Anesthesia and Analgesia·Prathima KalasbailDaniel I Sessler
Oct 24, 2017·Therapeutic Hypothermia and Temperature Management·John DingleyElavazhagan Chakkarapani
Jan 1, 1997·Annales Françaises D'anesthèsie Et De Rèanimation·J M RousseauJ P Bonsignour

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