Water warming garment versus forced air warming system in prevention of intraoperative hypothermia during liver transplantation: A randomized controlled trial [ISRCTN32154832]

被引：23

作者：

Janicki P.K. ^{[1
]}

Stoica C. ^{[1
]}

Chapman W.C. ^{[2
]}

Wright J.K. ^{[2
]}

Walker G. ^{[1
]}

Pai R. ^{[1
]}

Walia A. ^{[1
]}

Pretorius M. ^{[1
]}

Pinson C.W. ^{[2
]}

机构：

[1] Department of Anesthesiology, Vanderbilt University Medical Center, Nashville

[2] Division of Hepatobiliary Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville

来源：

BMC Anesthesiology | / 2卷 / 1期

关键词：

Core Temperature; Orthotopic Liver Transplantation; Water Warming; Water Warming System; High Core Temperature;

D O I：

10.1186/1471-2253-2-7

中图分类号：

学科分类号：

摘要：

Background: The authors compared two strategies for the maintenance of intraoperative normothermia during orthotopic liver transplantation (OLT): the routine forced-air warming system and the newly developed, whole body water garment. Methods: In this prospective, randomized and open-labelled study, 24 adult patients were enrolled in one of two intraoperative temperature management groups during OLT. The water-garment group (N = 12) received warming with a body temperature (esophageal) set point of 36.8°C. The forced air-warmer group (N = 12) received routine warming therapy using upper- and lower-body forced-air warming system. Body core temperature (primary outcome) was recorded intraoperatively and during the two hours after surgery in both groups. Results: The mean core temperatures during incision, one hour after incision and during the skin closing were significantly higher (p < 0.05, t test with Bonferroni corrections for the individual tests) in the water warmer group compared to the control group (36.7 ± 0.1, 36.7 ± 0.2, 36.8 ± 0.1 vs 36.1 ± 0.4, 36.1 ± 0.4, 36.07 ± 0.4°C, respectively). Moreover, significantly higher core temperatures were observed in the water warmer group than in the control group during the placement of cold liver allograft (36.75 ± 0.17 vs 36.09 ± 0.38°C, respectively) and during the allograft reperfusion period (36.3 ± 0.26 vs 35.52 ± 0.42°C, respectively). In addition, the core temperatures immediately after admission to the SICU (36.75 ± 0.13 vs 36.22 ± 0.3°C, respectively) and at one hr (36.95 ± 0.13 vs 36.46 ± 0.2°C, respectively) were significantly higher in the water warmer group, compared to the control group, whereas the core temperature did not differ significantly afte two hours in ICU in both groups. Conclusions: The investigated water warming system results in better maintenance of intraoperative normothermia than routine air forced warming applied to upper- and lower body. © 2002 Janicki et al; licensee BioMed Central Ltd.

引用

页数：5

共 16 条

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