Warmed humidified inspired oxygen accelerates postoperative rewarming

被引：5

作者：

Frank, SM ^{[1
]}

Hesel, TW ^{[1
]}

El-Rahmany, HK ^{[1
]}

Tran, KM ^{[1
]}

Bamford, OS ^{[1
]}

机构：

[1] Johns Hopkins Hosp, Johns Hopkins Med Inst, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21287 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2000年 / 12卷 / 04期

关键词：

hypothermia; perioperative; temperature; warming;

D O I：

10.1016/S0952-8180(00)00156-2

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Study Objective: To investigate the efficacy of warmed, humidified inspired oxygen (O-2) for the treatment of mildly hypothermic postoperative patients. Design: Prospective, randomized, unblinded clinical trial. Setting: Postanesthesia care unit in a tertiary care hospital Patients and Interventions: 30 ASA physical status I, II, and III patients following intraabdominal surgical procedures were randomly assigned to receive either routine O-2 therapy (control group, n = 15), or warmed (42 degrees C) humidified O-2 (treatment group, n = 15)for the initial 90 postoperative minutes. Measurements: Core (tympanic) temperature, dry month score and shivering score. Main Results: Tympanic temperature was similar in both groups on admission (approximate to 35.8 degrees C). Rewarming rate in the first postoperative hour was greater in the treatment group (0.7 +/- 0.1 degrees C . hr(-1)) compared to the control group (0.4 +/- 0.1 degrees C . hr(-1)) (p = 0.03). Patients receiving the warmed humidified O-2 had a lower incidence of dry mouth compared to the control group (p = 0.03). The incidence of shivering was lord and similar in both groups. Conclusions: Warming and humidifying inspired O-2 hastens recovery from hypothermia in postoperative patients. (C) 2000 by Elsevier Science Inc.

引用

页码：283 / 287

页数：5

共 19 条

[1]

BISSONNETTE B, 1989, ANESTH ANALG, V69, P783

[2]

BURTON AC, 1935, J NUTR, V9, P264

[3] Forced-air warming decreases vasodilator requirement after coronary artery bypass surgery [J].

El-Rahmany, HK ;

Frank, SM ;

Schneider, GM ;

El-Gamal, NA ;

Vannier, CA ;

Ammar, R ;

Okasha, AS .

ANESTHESIA AND ANALGESIA, 2000, 90 (02) :286-291

[4]

ERETH MH, 1992, AVIAT SPACE ENVIR MD, V63, P1065

[5] Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events - A randomized clinical trial [J].

Frank, SM ;

Fleisher, LA ;

Breslow, MJ ;

Higgins, MS ;

Olson, KF ;

Kelly, S ;

Beattie, C .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (14) :1127-1134

[6] UNINTENTIONAL HYPOTHERMIA IS ASSOCIATED WITH POSTOPERATIVE MYOCARDIAL-ISCHEMIA [J].

FRANK, SM ;

BEATTIE, C ;

CHRISTOPHERSON, R ;

NORRIS, EJ ;

PERLER, BA ;

WILLIAMS, GM ;

GOTTLIEB, SO ;

MEINERT, C ;

ROCK, P ;

PARKER, S ;

YATES, H ;

WILLIAMS, GM ;

BRESLOW, M ;

ROSENFELD, B ;

TAYLOR, D ;

BRASFIELD, B ;

BOURKE, D ;

BEZIRDJIAN, P ;

PAUL, S ;

ACHUFF, S ;

BUCHMAN, T ;

HEITMILLER, E ;

NYHAN, D ;

SITZMAN, J ;

STEVENSON, RJ .

ANESTHESIOLOGY, 1993, 78 (03) :468-476

[7] CORE HYPOTHERMIA AND SKIN-SURFACE TEMPERATURE-GRADIENTS - EPIDURAL VERSUS GENERAL-ANESTHESIA AND THE EFFECTS OF AGE [J].

FRANK, SM ;

SHIR, Y ;

RAJA, SN ;

FLEISHER, LA ;

BEATTIE, C .

ANESTHESIOLOGY, 1994, 80 (03) :502-508

[8] EPIDURAL VERSUS GENERAL-ANESTHESIA, AMBIENT OPERATING-ROOM TEMPERATURE, AND PATIENT AGE AS PREDICTORS OF INADVERTENT HYPOTHERMIA [J].

FRANK, SM ;

BEATTIE, C ;

CHRISTOPHERSON, R ;

NORRIS, EJ ;

ROCK, P ;

PARKER, S ;

KIMBALL, AW .

ANESTHESIOLOGY, 1992, 77 (02) :252-257

[9] MULTIVARIATE DETERMINANTS OF EARLY POSTOPERATIVE OXYGEN-CONSUMPTION IN ELDERLY PATIENTS [J].

FRANK, SM ;

FLEISHER, LA ;

OLSON, KF ;

GORMAN, RB ;

HIGGINS, MS ;

BRESLOW, MJ ;

SITZMANN, JV ;

BEATTIE, C .

ANESTHESIOLOGY, 1995, 83 (02) :241-249

[10] THE CATECHOLAMINE, CORTISOL, AND HEMODYNAMIC-RESPONSES TO MILD PERIOPERATIVE HYPOTHERMIA - A RANDOMIZED CLINICAL-TRIAL [J].

FRANK, SM ;

HIGGINS, MS ;

BRESLOW, MJ ;

FLEISHER, LA ;

GORMAN, RB ;

SITZMANN, JV ;

RAFF, H ;

BEATTIE, C .

ANESTHESIOLOGY, 1995, 82 (01) :83-93

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