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Effects of preinduction and intraoperative warming during major laparotomy

We have investigated the influence of active warming before and during operation on blood loss, transfusion requirements, duration of stay in the post-anaesthesia care unit (PACU) and perioperative costs in 40 patients undergoing major abdominal surgery. Patients were allocated randomly to one of tw...

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Bibliographische Detailangaben
Hauptverfasser: Bock, Matthias (VerfasserIn) , Müller, J. (VerfasserIn) , Bach, Alfons (VerfasserIn) , Böhrer, Hubert (VerfasserIn) , Martin, Eike (VerfasserIn) , Motsch, Johann (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 1998
In: British journal of anaesthesia
Year: 1998, Jahrgang: 80, Heft: 2, Pages: 159-163
ISSN:1471-6771
DOI:10.1093/bja/80.2.159
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/bja/80.2.159
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0007091217405344
Volltext
Verfasserangaben:M Bock, J Müller, A Bach, H Böhrer, E Martin, J Motsch
Beschreibung
Zusammenfassung:We have investigated the influence of active warming before and during operation on blood loss, transfusion requirements, duration of stay in the post-anaesthesia care unit (PACU) and perioperative costs in 40 patients undergoing major abdominal surgery. Patients were allocated randomly to one of two groups: in the study group (n = 20), patients were actively warmed using forced air for 30 min before induction of general anaesthesia and during anaesthesia. Passive protection against heat loss consisted of circulating water mattresses, blankets and fluid warming devices, and was used both in the active warming group and in the control group (n = 20). At the end of surgery the change in core temperature was significantly less in the group of actively warmed patients (0.5 (SD 0.8) degree C vs 1.5 (0.8) degree C; P < or = 0.01). Blood loss and transfusion requirements were less in the actively warmed patients, who had a shorter duration of stay in the PACU (94 (SD 42) min vs 217 (169) min; P < or = 0.01) and a 24% reduction in total anaesthetic costs.
Beschreibung:Elektronische Reproduktion der Druck-Ausgabe 13. Dezember 2017
Gesehen am 14.11.2023
Beschreibung:Online Resource
ISSN:1471-6771
DOI:10.1093/bja/80.2.159

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