Methods of patient warming during abdominal surgery

Keeping abdominal surgery patients warm is common and warming methods are needed in power outages during natural disasters. We aimed to evaluate the efficacy of low-cost, low-power warming methods for maintaining normothermia in abdominal surgery patients. Patients (n = 160) scheduled for elective a...

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Published in:PloS one 2012-07, Vol.7 (7), p.e39622-e39622
Main Authors: Shao, Li, Zheng, Hong, Jia, Feng-Ju, Wang, Hui-Qin, Liu, Li, Sun, Qi, An, Meng-Ying, Zhang, Xiu-Hua, Wen, Hao
Format: Article
Language:English
Subjects:
Abdomen
Abdomen - surgery
Abdominal surgery
Analysis
Anesthesia
Anesthesiology
Bedding and Linens
Blood transfusion
Blood transfusions
Body Temperature
Clinical trials
Control methods
Dressings
Electric power
Female
Fever
Fluid
Fluids
Heating
Hot Temperature - therapeutic use
Humans
Hyperthermia
Hypothermia - prevention & control
Infections
Infusion
Intraoperative Complications - prevention & control
Ischemia
Literature reviews
Low cost
Male
Mean temperatures
Medical dressings
Medicine
Methods
Natural disasters
Patients
Physiology
Power failures
Prospective Studies
Rectum
Researchers
Shivering
Surgery
Surgical dressings
Teaching hospitals
Transfusion
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cited_by cdi_FETCH-LOGICAL-c692t-9d62fda2181de8b0f5fa8e51bc42f2c740d1ef8ee58334a690f914006b3af0173
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container_issue 7
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container_title PloS one
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creator Shao, Li
Zheng, Hong
Jia, Feng-Ju
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Sun, Qi
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Zhang, Xiu-Hua
Wen, Hao
description Keeping abdominal surgery patients warm is common and warming methods are needed in power outages during natural disasters. We aimed to evaluate the efficacy of low-cost, low-power warming methods for maintaining normothermia in abdominal surgery patients. Patients (n = 160) scheduled for elective abdominal surgery were included in this prospective clinical study. Five warming methods were applied: heated blood transfusion/fluid infusion vs. unheated; wrapping patients vs. not wrapping; applying moist dressings, heated or not; surgical field rinse heated or not; and applying heating blankets or not. Patients' nasopharyngeal and rectal temperatures were recorded to evaluate warming efficacy. Significant differences were found in mean temperatures of warmed patients compared to those not warmed. When we compared temperatures of abdominal surgery patient groups receiving three specific warming methods with temperatures of control groups not receiving these methods, significant differences were revealed in temperatures maintained during the surgeries between the warmed groups and controls. The value of maintaining normothermia in patients undergoing abdominal surgery under general anesthesia is accepted. Three effective economical and practically applicable warming methods are combined body wrapping and heating blanket; combined body wrapping, heated moist dressings, and heating blanket; combined body wrapping, heated moist dressings, and warmed surgical rinse fluid, with or without heating blanket. These methods are practically applicable when low-cost method is indeed needed.
doi_str_mv 10.1371/journal.pone.0039622
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We aimed to evaluate the efficacy of low-cost, low-power warming methods for maintaining normothermia in abdominal surgery patients. Patients (n = 160) scheduled for elective abdominal surgery were included in this prospective clinical study. Five warming methods were applied: heated blood transfusion/fluid infusion vs. unheated; wrapping patients vs. not wrapping; applying moist dressings, heated or not; surgical field rinse heated or not; and applying heating blankets or not. Patients' nasopharyngeal and rectal temperatures were recorded to evaluate warming efficacy. Significant differences were found in mean temperatures of warmed patients compared to those not warmed. When we compared temperatures of abdominal surgery patient groups receiving three specific warming methods with temperatures of control groups not receiving these methods, significant differences were revealed in temperatures maintained during the surgeries between the warmed groups and controls. The value of maintaining normothermia in patients undergoing abdominal surgery under general anesthesia is accepted. Three effective economical and practically applicable warming methods are combined body wrapping and heating blanket; combined body wrapping, heated moist dressings, and heating blanket; combined body wrapping, heated moist dressings, and warmed surgical rinse fluid, with or without heating blanket. 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subjects Abdomen
Abdomen - surgery
Abdominal surgery
Analysis
Anesthesia
Anesthesiology
Bedding and Linens
Blood transfusion
Blood transfusions
Body Temperature
Clinical trials
Control methods
Dressings
Electric power
Female
Fever
Fluid
Fluids
Heating
Hot Temperature - therapeutic use
Humans
Hyperthermia
Hypothermia - prevention & control
Infections
Infusion
Intraoperative Complications - prevention & control
Ischemia
Literature reviews
Low cost
Male
Mean temperatures
Medical dressings
Medicine
Methods
Natural disasters
Patients
Physiology
Power failures
Prospective Studies
Rectum
Researchers
Shivering
Surgery
Surgical dressings
Teaching hospitals
Transfusion
title Methods of patient warming during abdominal surgery
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