A Randomized Comparison of Intraoperative PerfecTemp and Forced-Air Warming During Open Abdominal Surgery

2011 ◽  
Vol 113 (5) ◽  
pp. 1076-1081 ◽  
Author(s):  
Cameron Egan ◽  
Ethan Bernstein ◽  
Desigen Reddy ◽  
Madi Ali ◽  
James Paul ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Forced Air Warming ◽  
Open Abdominal Surgery ◽  
Forced Air

Comparison of Two Different Temperature Maintenance Strategies during Open Abdominal Surgery

2001 ◽  
Vol 95 (4) ◽  
pp. 868-874 ◽  
Author(s):  
Piotr K. Janicki ◽  
Michael S. Higgins ◽  
Jill Janssen ◽  
Raymond F. Johnson ◽  
Charles Beattie
Keyword(s):  
Abdominal Surgery ◽  
The Body ◽  
Upper Body ◽  
Whole Body ◽  
Temperature Management ◽  
Similar Frequency ◽  
Forced Air Warming ◽  
Open Abdominal Surgery ◽  
Forced Air ◽  
Warming Devices

Background A new system has been developed that circulates warm water through a whole body garment worn by the patient during surgery. In this study the authors compared two different strategies for the maintenance of intraoperative normothermia. One strategy used a new water garment warming system that permitted active warming of both the upper and lower extremities and the back. The other strategy used a single (upper body) forced-air warming system. Methods In this prospective, randomized study, 53 adult patients were enrolled in one of two intraoperative temperature management groups during open abdominal surgery with general anesthesia. The water-garment group (n = 25) received warming with a body temperature (rectal) set point of 36.8 degrees C. The forced-air-warmer group (n = 28) received routine warming therapy using upper body forced-air warming system (set on high). The ambient temperature in the operating room was maintained constant at approximately 20 degrees C. Rectal, distal esophageal, tympanic, forearm, and fingertip temperatures were recorded perioperatively and during 2 h after surgery. Extubated patients in both groups were assessed postoperatively for shivering, use of additional warming devices, and subjective thermal comfort. Results The mean rectal and esophageal temperatures at incision, 1 h after incision, at skin closure, and immediately postoperatively were significantly higher (0.4-0.6 degrees C) in the group that received water-garment warming when compared with the group that received upper body forced-air warming. The calculated 95% confidence intervals for the above differences in core temperatures were 0.7-0.1, 0.8-0.2, 0.8-0.2, and 0.9-0.1, retrospectively. In addition, 14 and 7% of patients in the control upper body forced-air group remained hypothermic (< 35.5 degrees C) 1 and 2 h after surgery, respectively. No core temperature less than 35.5 degrees C was observed perioperatively in any of the patients from the water-garment group. A similar frequency of the thermal stress events (shivering, use of additional warming devices, subjective thermal discomfort) was observed after extubation in both groups during the 2 h after surgery. Conclusions The investigated water warming system, by virtue of its ability to deliver heat to a greater percentage of the body, results in better maintenance of intraoperative normothermia that does forced-air warming applied only to the upper extremities, as is common practice.

scholarly journals Optimal Application of Forced Air Warming to Prevent Peri-Operative Hypothermia during Abdominal Surgery: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (5) ◽  
pp. 2517
Author(s):  
Yoonyoung Lee ◽  
Kisook Kim
Keyword(s):  
Systematic Review ◽  
Abdominal Surgery ◽  
Critical Appraisal ◽  
Meta Analysis ◽  
Upper Body ◽  
Cochrane Library ◽  
Randomized Controlled ◽  
Forced Air Warming ◽  
Forced Air ◽  
Full Body

Patients who undergo abdominal surgery under general anesthesia develop hypothermia in 80–90% of the cases within an hour after induction of anesthesia. Side effects include shivering, bleeding, and infection at the surgical site. However, the surgical team applies forced air warming to prevent peri-operative hypothermia, but these methods are insufficient. This study aimed to confirm the optimal application method of forced air warming (FAW) intervention for the prevention of peri-operative hypothermia during abdominal surgery. A systematic review and meta-analysis were conducted to provide a synthesized and critical appraisal of the studies included. We used PubMed, EMBASE, CINAHL, and Cochrane Library CENTRAL to systematically search for randomized controlled trials published through March 2020. Twelve studies were systematically reviewed for FAW intervention. FAW intervention effectively prevented peri-operative hypothermia among patients undergoing both open abdominal and laparoscopic surgery. Statistically significant effect size could not be confirmed in cases of only pre- or peri-operative application. The upper body was the primary application area, rather than the lower or full body. These findings could contribute detailed standards and criteria that can be effectively applied in the clinical field performing abdominal surgery.

Effects of a forced-air system (Bair Hugger, OR-type) on intraoperative temperature in patients with open abdominal surgery

1994 ◽  
Vol 8 (1) ◽  
pp. 25-27 ◽  
Author(s):  
Takashi Matsukawa ◽  
Satoshi Kashimoto ◽  
Toshihiro Nakamura ◽  
Masaki Kume ◽  
Fumio Kanda ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Open Abdominal Surgery ◽  
Air System ◽  
Forced Air

Effects of a forced-air system (Bair Hugger, OR-type) on intraoperative temperature in patients with open abdominal surgery

1994 ◽  
Vol 8 (1) ◽  
Author(s):  
Takashi Matsukawa ◽  
Satoshi Kashimoto ◽  
Toshihiro Nakamura ◽  
Masaki Kume ◽  
Fumio Kanda ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Open Abdominal Surgery ◽  
Air System ◽  
Forced Air

Forced-Air and a Novel Patient-Warming System (vitalHEAT vH2) Comparably Maintain Normothermia During Open Abdominal Surgery

2011 ◽  
Vol 112 (3) ◽  
pp. 608-614 ◽  
Author(s):  
Kurt Ruetzler ◽  
Bledar Kovaci ◽  
Elisabeth Güloglu ◽  
Barbara Kabon ◽  
Edith Fleischmann ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Open Abdominal Surgery ◽  
Forced Air

Core and thenar skin temperature variation during prolonged abdominal surgery: comparison of two sites of active forced air warming

2000 ◽  
Vol 44 (3) ◽  
pp. 249-254 ◽  
Author(s):  
C. Motamed ◽  
T. Labaille ◽  
O. Léon ◽  
J. P. Panzani ◽  
PH. Duvaldestin ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Skin Temperature ◽  
Temperature Variation ◽  
Forced Air Warming ◽  
Forced Air
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