The Effect of Forced-Air Warming During Arthroscopic Shoulder Surgery With General Anesthesia

Purpose The aim of this study was to compare the change in body temperature between the cotton blanket group and forced-air warming blanket group during arthroscopic shoulder surgery. In both groups irrigation fluid at room temperature (22°C) was used. Methods We randomly assigned 44 American Societ...

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Veröffentlicht in:Arthroscopy 2009-05, Vol.25 (5), p.510-514
Hauptverfasser: Yoo, Hyung Seok, M.D, Park, Sung Wook, M.D, Yi, Jae Woo, M.D, Kwon, Moo Il, M.D, Rhee, Yong Girl, M.D
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container_end_page 514
container_issue 5
container_start_page 510
container_title Arthroscopy
container_volume 25
creator Yoo, Hyung Seok, M.D
Park, Sung Wook, M.D
Yi, Jae Woo, M.D
Kwon, Moo Il, M.D
Rhee, Yong Girl, M.D
description Purpose The aim of this study was to compare the change in body temperature between the cotton blanket group and forced-air warming blanket group during arthroscopic shoulder surgery. In both groups irrigation fluid at room temperature (22°C) was used. Methods We randomly assigned 44 American Society of Anesthesiologists physical status I and II patients scheduled for elective shoulder arthroscopic surgery to receive 1 cotton blanket (group I, n = 22) or a forced-air warming blanket (group II, n = 22). Body temperatures were measured with an esophageal stethoscope, which was inserted immediately after intubation. Results A significant difference in body temperatures was observed at 60 minutes after induction ( P = .0192), 90 minutes after induction ( P = .0004), 120 minutes after induction ( P = .0003), and 150 minutes after induction ( P = .0228). Shivering on arrival in the postanesthesia care unit was found in 15 patients in group I (68.1%) and only 1 patient in group II (4.5%). Conclusions We conclude that forced-air warming is significantly more efficient than a cotton blanket alone at maintaining perioperative normothermia during arthroscopic shoulder surgery. Level of Evidence Level I, randomized controlled trial.
doi_str_mv 10.1016/j.arthro.2008.10.022
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In both groups irrigation fluid at room temperature (22°C) was used. Methods We randomly assigned 44 American Society of Anesthesiologists physical status I and II patients scheduled for elective shoulder arthroscopic surgery to receive 1 cotton blanket (group I, n = 22) or a forced-air warming blanket (group II, n = 22). Body temperatures were measured with an esophageal stethoscope, which was inserted immediately after intubation. Results A significant difference in body temperatures was observed at 60 minutes after induction ( P = .0192), 90 minutes after induction ( P = .0004), 120 minutes after induction ( P = .0003), and 150 minutes after induction ( P = .0228). Shivering on arrival in the postanesthesia care unit was found in 15 patients in group I (68.1%) and only 1 patient in group II (4.5%). Conclusions We conclude that forced-air warming is significantly more efficient than a cotton blanket alone at maintaining perioperative normothermia during arthroscopic shoulder surgery. Level of Evidence Level I, randomized controlled trial.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2008.10.022</identifier><identifier>PMID: 19409309</identifier><identifier>CODEN: ARTHE3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Anesthesia ; Anesthesia, General ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arthroscopic shoulder surgery ; Arthroscopy ; Bedding and Linens ; Biological and medical sciences ; Body Temperature ; Body Temperature Regulation ; Cotton Fiber ; Endoscopy ; Equipment Design ; Forced-air warming ; General anesthesia ; General anesthesia. Technics. Complications. Neuromuscular blocking. 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In both groups irrigation fluid at room temperature (22°C) was used. Methods We randomly assigned 44 American Society of Anesthesiologists physical status I and II patients scheduled for elective shoulder arthroscopic surgery to receive 1 cotton blanket (group I, n = 22) or a forced-air warming blanket (group II, n = 22). Body temperatures were measured with an esophageal stethoscope, which was inserted immediately after intubation. Results A significant difference in body temperatures was observed at 60 minutes after induction ( P = .0192), 90 minutes after induction ( P = .0004), 120 minutes after induction ( P = .0003), and 150 minutes after induction ( P = .0228). Shivering on arrival in the postanesthesia care unit was found in 15 patients in group I (68.1%) and only 1 patient in group II (4.5%). Conclusions We conclude that forced-air warming is significantly more efficient than a cotton blanket alone at maintaining perioperative normothermia during arthroscopic shoulder surgery. Level of Evidence Level I, randomized controlled trial.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia, General</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Arthroscopic shoulder surgery</subject><subject>Arthroscopy</subject><subject>Bedding and Linens</subject><subject>Biological and medical sciences</subject><subject>Body Temperature</subject><subject>Body Temperature Regulation</subject><subject>Cotton Fiber</subject><subject>Endoscopy</subject><subject>Equipment Design</subject><subject>Forced-air warming</subject><subject>General anesthesia</subject><subject>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Arthroscopic shoulder surgery</topic><topic>Arthroscopy</topic><topic>Bedding and Linens</topic><topic>Biological and medical sciences</topic><topic>Body Temperature</topic><topic>Body Temperature Regulation</topic><topic>Cotton Fiber</topic><topic>Endoscopy</topic><topic>Equipment Design</topic><topic>Forced-air warming</topic><topic>General anesthesia</topic><topic>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. 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Conclusions We conclude that forced-air warming is significantly more efficient than a cotton blanket alone at maintaining perioperative normothermia during arthroscopic shoulder surgery. Level of Evidence Level I, randomized controlled trial.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19409309</pmid><doi>10.1016/j.arthro.2008.10.022</doi><tpages>5</tpages></addata></record>
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subjects Adult
Anesthesia
Anesthesia, General
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Arthroscopic shoulder surgery
Arthroscopy
Bedding and Linens
Biological and medical sciences
Body Temperature
Body Temperature Regulation
Cotton Fiber
Endoscopy
Equipment Design
Forced-air warming
General anesthesia
General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation
Humans
Investigative techniques, diagnostic techniques (general aspects)
Materials Testing
Medical sciences
Middle Aged
Mild hypothermia
Orthopedics
Shoulder Joint - surgery
title The Effect of Forced-Air Warming During Arthroscopic Shoulder Surgery With General Anesthesia
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