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unige:74382 
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Benefits of intraoperative skin surface warming in cardiac surgical patients |
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| Authors | ||
| Published in | British Journal of Anaesthesia. 1998, vol. 80, no. 3, p. 318-23 | |
| Abstract | We have investigated patients undergoing cardiac surgery with hypothermic bypass to see if the addition of skin surface warming during systemic rewarming on bypass (heated group, n = 43) would improve perioperative thermal balance compared with conventional management without skin warming (control group, n = 43) in an open, randomized, controlled study. Intraoperative skin warming with a water mattress and forced warm air over the face, neck and shoulders attenuated the afterdrop in nasopharyngeal temperature after weaning from bypass (2.3 (1.2) degrees C and 1.3 (0.5) degrees C in the control and heated groups, respectively) (P < 0.05) and resulted in higher rectal temperature 4 h after surgery. Despite similar standard coagulation tests, heated patients had lower blood loss via the chest tubes (600 (264) ml vs 956 (448) ml in control patients) (P < 0.05) and less requirements for i.v. colloid infusion (1662 (404) ml vs 1994 (389) ml) (P < 0.05). There was a significant inverse correlation between rectal temperature on arrival in the ICU and postoperative blood loss (r = 0.57, P < 0.001). These data suggest that additional skin surface warming with a water mattress and forced warm air helped to preserve perioperative thermal balance and may contribute to reduced bleeding after cardiac surgery. | |
| Keywords | Adult — Aged — Aged, 80 and over — Blood Coagulation — Blood Loss, Surgical/prevention & control — Cardiopulmonary Bypass — Female — Heating — Hemodynamics — Humans — Hypothermia, Induced — Intraoperative Care — Male — Middle Aged — Skin Temperature — Thoracic Surgical Procedures — Water-Electrolyte Balance | |
| Identifiers | DOI: 10.1093/bja/80.3.318 PMID: 9623431 | |
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| Research groups | Chirurgie cardio-vasculaire (105) Dysfonctions cardio-pulmonaires et cérébrales (278) | |
| Citation (ISO format) | HOHN, Laurent et al. Benefits of intraoperative skin surface warming in cardiac surgical patients. In: British Journal of Anaesthesia, 1998, vol. 80, n° 3, p. 318-23. https://archive-ouverte.unige.ch/unige:74382 |
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