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 |
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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. Premedication. Surgical preparation. Sedation ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Materials Testing ; Medical sciences ; Middle Aged ; Mild hypothermia ; Orthopedics ; Shoulder Joint - surgery</subject><ispartof>Arthroscopy, 2009-05, Vol.25 (5), p.510-514</ispartof><rights>Arthroscopy Association of North America</rights><rights>2009 Arthroscopy Association of North America</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-9114f9f4835bc5e1dfd8ae11ec112e9c9f3fd8c0a04e908507b391d1406d1a6f3</citedby><cites>FETCH-LOGICAL-c445t-9114f9f4835bc5e1dfd8ae11ec112e9c9f3fd8c0a04e908507b391d1406d1a6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arthro.2008.10.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21420353$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19409309$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoo, Hyung Seok, M.D</creatorcontrib><creatorcontrib>Park, Sung Wook, M.D</creatorcontrib><creatorcontrib>Yi, Jae Woo, M.D</creatorcontrib><creatorcontrib>Kwon, Moo Il, M.D</creatorcontrib><creatorcontrib>Rhee, Yong Girl, M.D</creatorcontrib><title>The Effect of Forced-Air Warming During Arthroscopic Shoulder Surgery With General Anesthesia</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><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.</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. Sedation</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Materials Testing</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mild hypothermia</subject><subject>Orthopedics</subject><subject>Shoulder Joint - surgery</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkkGP0zAQhS0EYsvCP0DIF7ilzNhOGl-QqmV3QVqJQxftCVmuM964pEmxE6T-exxagcSF00ijN-95Pg9jrxGWCFi93y1tHNs4LAVAnVtLEOIJW2ApqkIKiU_ZAlZKFzVU8oK9SGkHAFLW8jm7QK1AS9AL9u2-JX7tPbmRD57fDNFRU6xD5A827kP_yD9OcS7r32HJDYfg-KYdpq6hyDdTfKR45A9hbPkt9RRtx9c9pbGlFOxL9szbLtGrc71kX2-u768-FXdfbj9fre8Kp1Q5FhpRee1VLcutKwkb39SWEMkhCtJOe5k7Diwo0lCXsNpKjQ0qqBq0lZeX7N3J9xCHH1NON_uQHHWd7WmYkqlWqKuVkFmoTkKXd0mRvDnEsLfxaBDMjNXszAmrmbHO3Yw1j705-0_bPTV_h84cs-DtWWCTs52Ptnch_dEJVAJkOed_OOko0_gZKJrkAvWZeYj5C0wzhP-95F8D14U-5MzvdKS0G6bYZ9IGTRIGzGY-gfkCoM4mUlfyF5hSrJs</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Yoo, Hyung Seok, M.D</creator><creator>Park, Sung Wook, M.D</creator><creator>Yi, Jae Woo, M.D</creator><creator>Kwon, Moo Il, M.D</creator><creator>Rhee, Yong Girl, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>The Effect of Forced-Air Warming During Arthroscopic Shoulder Surgery With General Anesthesia</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-9114f9f4835bc5e1dfd8ae11ec112e9c9f3fd8c0a04e908507b391d1406d1a6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia, General</topic><topic>Anesthesia. 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. Sedation</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Materials Testing</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mild hypothermia</topic><topic>Orthopedics</topic><topic>Shoulder Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoo, Hyung Seok, M.D</creatorcontrib><creatorcontrib>Park, Sung Wook, M.D</creatorcontrib><creatorcontrib>Yi, Jae Woo, M.D</creatorcontrib><creatorcontrib>Kwon, Moo Il, M.D</creatorcontrib><creatorcontrib>Rhee, Yong Girl, M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoo, Hyung Seok, M.D</au><au>Park, Sung Wook, M.D</au><au>Yi, Jae Woo, M.D</au><au>Kwon, Moo Il, M.D</au><au>Rhee, Yong Girl, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Forced-Air Warming During Arthroscopic Shoulder Surgery With General Anesthesia</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>25</volume><issue>5</issue><spage>510</spage><epage>514</epage><pages>510-514</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>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.</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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