Perioperative warming with a thermal gown prevents maternal temperature loss during elective cesarean section. A randomized clinical trial

Decrease in body temperature is common during general and regional anesthesia. Forced-air warming intraoperative during cesarean section under spinal anesthesia seems not able to prevent it. The hypothesis considers that active warming before the intraoperative period avoids temperature loss during...

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Bibliographic Details
Published in:Brazilian journal of anesthesiology (Elsevier) 2016-09, Vol.66 (5), p.451-455
Main Authors: de Bernardis, Ricardo Caio Gracco, Siaulys, Monica Maria, Vieira, Joaquim Edson, Mathias, Lígia Andrade Silva Telles
Format: Article
Language:English
Subjects:
Adult
Anestesia
Anesthesia
Anesthesia, Epidural
Anesthesia, Obstetrical
Anesthesia, Spinal
ANESTHESIOLOGY
Body Temperature
Cesarean section
Cesarean Section - methods
Cesariana
Complicações no intraoperatório/prevenção e controle
Cuidados no perioperatório
Elective Surgical Procedures
Espinhal
Female
Humans
Hypothermia - prevention & control
Intraoperative Complications - prevention & control
Intraoperative complications/prevention and control
Perioperative care
Pregnancy
Rewarming - instrumentation
Rewarming - methods
Spinal
Temperatura corporal
Tympanic Membrane
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Summary:Decrease in body temperature is common during general and regional anesthesia. Forced-air warming intraoperative during cesarean section under spinal anesthesia seems not able to prevent it. The hypothesis considers that active warming before the intraoperative period avoids temperature loss during cesarean. Forty healthy pregnant patients undergoing elective cesarean section with spinal anesthesia received active warming from a thermal gown in the preoperative care unit 30min before spinal anesthesia and during surgery (Go, n=20), or no active warming at any time (Ct, n=20). After induction of spinal anesthesia, the thermal gown was replaced over the chest and upper limbs and maintained throughout study. Room temperature, hemoglobin saturation, heart rate, arterial pressure, and tympanic body temperature were registered 30min before (baseline) spinal anesthesia, right after it (time zero) and every 15min thereafter. There was no difference for temperature at baseline, but they were significant throughout the study (p
ISSN:0104-0014
1806-907X
0104-0014
DOI:10.1016/j.bjane.2014.12.007