Effect of irrigation fluid temperature on core body temperature and inflammatory response during arthroscopic shoulder surgery

• Published in: Archives of orthopaedic and trauma surgery 2015-08, Vol.135 (8), p.1131-1139
• Main Authors: Pan, Xiaoyun, Ye, Luyou, Liu, Zhongtang, Wen, Hong, Hu, Yuezheng, Xu, Xinxian
• Format: Article
• Language: English
• Subjects: Adult; Aged; Arthroscopy; Arthroscopy and Sports Medicine; Body Temperature; Cytokines; Cytokines - analysis; Female; Hot Temperature; Humans; Hypothermia - etiology; Intraoperative Care; Male; Medicine; Medicine & Public Health; Middle Aged; Orthopedics; Pain, Postoperative - etiology; Prospective Studies; Shivering; Shoulder; Shoulder Joint - surgery; Surgery; Therapeutic Irrigation - methods; Visual Analog Scale
• ISSN: 0936-8051; 1434-3916
• DOI: 10.1007/s00402-015-2246-2

Purpose This study was designed to evaluate the influence of irrigation fluid on the patients’ physiological response to arthroscopic shoulder surgery. Methods Patients who were scheduled for arthroscopic shoulder surgery were prospectively included in this study. They were randomly assigned to receive warm arthroscopic irrigation fluid (Group W, n  = 33) or room temperature irrigation fluid (Group RT, n  = 33) intraoperatively. Core body temperature was measured at regular intervals. The proinflammatory cytokines TNF-α, IL-1, IL-6, and IL-10 were measured in drainage fluid and serum. Results The changes of core body temperatures in Group RT were similar with those in Group W within 15 min after induction of anesthesia, but the decreases in Group RT were significantly greater after then. The lowest temperature was 35.1 ± 0.4 °C in Group RT and 35.9 ± 0.3 °C in Group W, the difference was statistically different ( P