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A comparison of the Effects of Intravenous Fluid Warming and Skin Surface Warming on Peri-operative Body Temperature and Acid Base Balance of Elderly Patients with Abdominal Surgery  

Park, Hyo-Sun (Department of Nursing, Gachon University Gil Medical Center)
Yoon, Hae-Sang (Department of Nursing, Gachon University of Medicine & Science)
Publication Information
Journal of Korean Academy of Nursing / v.37, no.7, 2007 , pp. 1061-1072 More about this Journal
Abstract
Purpose: The purpose of this study was to compare the effects of intravenous fluid warming and skin surface warming on peri-operative body temperature and acid base balance of abdominal surgical patients under general anesthesia. Method: Data collection was performed from January 4th, to May 31, 2004. The intravenous fluid warming(IFW) group(30 elderly patients) was warmed through an IV line by an Animec set to $37^{\circ}C$. The skin surface warming(SSW) group(30 elderly patients) was warmed by a circulating-water blanket set to $38^{\circ}C$ under the back and a 60W heating lamp 40 cm above the chest. The warming continued from induction of general anesthesia to two hours after completion of surgery. Collected data was analyzed using Repeated Measures ANOVA, and Bonferroni methods. Results: SSW was more effective than IFW in preventing hypothermia(p= .043), preventing a decrease of $HCO_3{^-}$(p= .000) and preventing base excess(p= .000) respectively. However, there was no difference in pH between the SSW and IFW(p= .401) groups. Conclusion: We conclude that skin surface warming is more effective in preventing hypothermia, and $HCO_3{^-}$ and base excess during general anesthesia, and returning to normal body temperature after surgery than intravenous fluid warming; however, skin surface warming wasn't able to sustain a normal body temperature in elderly patients undergoing abdominal surgery under general anesthesia.
Keywords
Hypothermia; Body temperature; Acid base balance;
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1 Abelha, F. J., Castro, M. A., Neves, A., M., Landeiro, N. M., & Santos, C. C. (2005). Hypothermia in surgical intensive care unit. BMC Anesthesiol, 5(7), 1-10   DOI
2 Cereda, M., & Maccioli, G. A. (2004). Intraoperative temperature monitering. Int Anesthesiol Clin, 42(2), 41-54   DOI   ScienceOn
3 Kongsayreepong, S., Chaibundit, C., Chadpaibocl, J., Komoltri, C., Suraseranivongse, S., Suwannanonda, P., Raksamanee, E., Noocharcen, P., Silapadech, A. Q., Parakamodom, S., Pum-In, C., & Sojeoyya, L. (2003). Predictor of core hypothermia and the surgical intensive care unit. Anesth Analg, 96(3), 826-833   PUBMED
4 Lenhardt, R., Marker, E., Goll, V., Tschernich, B., Kurz, A., Sessler, D. I., Narzt, IE., & Lackner, F. (1997). Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesthesiology, 87(6), 1318-1328   DOI   ScienceOn
5 Leslie, K., & Sessler, D. I. (2003). Perioperative hypothermia in the high-risk surgical patient. Best Pract Res Clin Anesthesiol, 17(4), 485-498   DOI   ScienceOn
6 Ozaki, M., Sessler, D. I., & Matsukawa, T. (1997). The threshold for thermoregulatory vaso-constriction during nitrous oxide/sevoflurane anesthesia is reduced in the elderly. Anesth Analg, 84, 1029-1033   DOI
7 Sessler, D. I. (2001). Complications and treatment of mild hypothermia. Anesthesiology, 95(2), 531-543   DOI   ScienceOn
8 Winkler, M., Akca, O., Birkenberg, B., Hetz, H., Scheck, L Arkilic, C., Kabon, B., Marker, E., Grubl, A., Czepan. R., Greher, M., Goll, Y., Gottsauner-Wolf, F., Kurz, A., & Sessler, D. I. (2000). Aggressive warming reduces blood loss during hip arthroplasty. Anesth Analg, 91(4), 978-984   DOI   ScienceOn
9 Camus, Y., Delva, E., Bossard, A. E., Chandon, M., & Lienhart, A. (1997). Prevention of hypothermia by cutaneous warming with new electric blankets during abdominal surgery. Br J Anaesth., 79(6), 796-797   DOI   PUBMED   ScienceOn
10 Rohrer, M. J., & Natale, A. M. (1992). Effect of hypothermia on the coagulation cascade. Crit Care Med, 30(10), 1402-1405
11 Matsukawa, T., Sessler, D. I., Sessler, A. M., Schroeder, H., Ozaki., M., Kurz, A., &: Cheng, C. (1995). Heat flow and distribution during induction of general anesthesia. Anesthesiology, 82(3), 662-673   DOI   PUBMED   ScienceOn
12 Kasai, T., Hirose, M., Matsukawa, T., Takamata, A., Yaegashi, K., & Tanaka, Y. (2003). Preoperative blood pressure and catecholamines related to hypothermia during general anesthesia. Acta Anesthesiol Scand. 47, 208-212   DOI   ScienceOn
13 Hynson, J. M., Sessler, D. I., Moayeri, A., & McGuire, J. (1993). Absence of nonshivering thermogenesis in anesthetized humans. Anesthesiology, 82, 695-703
14 Sessler, D. I. (1994) Consequencies and treatment of hypothermia. Anesthesiol Clin North America. 12, 425-456
15 Matsuzaki, Y., Matsukawa, T., Ohki, K., Yamamoto, Y., Nakamura, M., & Oshibuchi, T. (2003). Warming by resistive heating maintains perioperative normothermia as well as forced air heating. Br J Anaesth, 90(5). 689-691   DOI   ScienceOn
16 Sessler, D. I., & Moayeri, A. (1990). Skin surface warming: Heat flux and central temperature. Anesthesiol, 73(2), 218-224   DOI   ScienceOn
17 Kasai, T., Hirose, M., Yaegashi, K., Matsukawa, T., Takamata, A., & Tanaka, Y. (2002). Preoperative risk factors of intraoperative hypothermia in major surgery under general anesthesia. Anesth Analg, 95(5), 1381-1383   DOI
18 Vaughan, M. S., Vaughan, R. W., & Cork, R. C. (1981). Postoperative hypothermia in adults relationship of age, anesthesia, and shivering to rewarming. Anesth Analg, 60(10),746-751   PUBMED
19 Flores-Maldonado, A., Guzman-Llaney, Y., Casteneda-Zarate, S., Pech-Colli, J., Alvarez-Nemegyei, J., Cervera-Saenz, M., Canto-Rubio, A., & Teraazas-Olguin, M. A. (1997). Risk factors for mild intraoperative hypothermia. Arch Med Res, 28(4), 587-590   PUBMED
20 Crino, M. H., & Nagel, E. L. (1968). Thermal burns caused by warming blankets in the operating room. Anesthesiology, 29, 149-151   DOI   ScienceOn
21 Reuler, J. B. (1978). Hypothermia: Pathophysiology, clmical settings, and management. Ann Intern Med, 89(4), 519-527   DOI   PUBMED   ScienceOn
22 Just, B., Trevien, V., Delva, E., & Lienhart, A. (1993). Prevention of intraoperative hypothermia oy preoperative skin-surface warming. Anesthesiology, 79(2), 214-218   DOI   ScienceOn
23 Frank, S. M., Fleisher, L. A., Breslow, M. J., Higgins, M. S., Olson, K. F., Kelly, S., & Beattie, C. (1997). Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events: A randomized clinical trial. JAMA. 277(14), 1127-1134   DOI
24 Vander, A. J., Shermar, J. H., & Luciano, D. S. (2004). Human physiology: The mechanisms of body junction (8th ed.). New York: McGraw-Hill
25 Macario, A., & Dexter, F. (2002). What are the most important risk factors for a patient's developing intraoperative hypothermia? Anesth Analg, 94(1), 215-220   DOI
26 Eberhart, L. H. J., Doderlein, F., Eisenhardt, G., Kranke, P., Sessler, D. I., Torossian, A., Wulf, H., & Morin, A., M. (2005). Independent risk factors for postoperative shivering. Anesth Analg, 101, 1849-1857   PUBMED
27 Kurz, A., Sessler, D. I., & Lenhardt, R. (1996). Perioperative normothermia to reduce the incidence of surgical wound infection and shorten hospitalization. N Engl J Med, 334(19), 1209-1215   DOI   ScienceOn