Ángel Becerra1,2, Lucía Valencia1, Jesús Villar3,4,5, Aurelio Rodríguez-Pérez1,2. 1. Department of Anesthesiology, Hospital Universitario de Gran Canaria Doctor Negrín, 35010 Las Palmas de Gran Canaria, Spain. 2. Department of Medical and Surgical Sciences, Universidad de Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain. 3. CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, 28029 Madrid, Spain. 4. Research Unit, Hospital Universitario de Gran Canaria "Doctor Negrín", 35010 Las Palmas de Gran Canaria, Spain. 5. Keenan Research Center for Biomedical Sciences at the Li-Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON M5B 1W8, Canada.
Abstract
BACKGROUND: Pre-warming prevents perioperative hypothermia. We evaluated the current clinical practice of pre-warming and its effects on temperature drop and postoperative complications; Methods: This prospective, observational pilot study examines clinical practice in a tertiary hospital on 99 patients undergoing laparoscopic urological surgery. Pre-warming was performed in the pre-anesthesia room. Patients were classified into three groups: P 0 (non-prewarmed), P 5-15 (pre-warming 5-15 min) and P > 15 (pre-warming 15-30 min). Tympanic temperature was recorded in the pre-anesthesia room, prior to anesthesia induction, and in the PACU. Esophageal temperature was recorded intraoperatively. The occurrence of shivering, pain intensity, length of stay in PACU, and postoperative complications during hospital stay were also recorded; Results: After pre-warming, between-group difference in body temperature was higher in P > 15 than in P 0 (0.4 °C, 95% CI 0.14-0.69, p = 0.004). Between P 5-15 and P 0 difference was 0.2 °C (95% CI 0.04-0.55, p = 0.093). Temperature at the end of surgery was higher in pre-warmed groups [mean between-group difference 0.5 °C (95% CI 0.13-0.81, p = 0.007) for P 5-15; 0.9 °C (95% CI 0.55-1.19, p < 0.001) for P > 15]. Pain and shivering was less common in pre-warmed groups. Postoperative transfusions and surgical site infections were lower in P > 15; Conclusion: Short-term pre-warming prior to laparoscopic urological surgery decreased temperature perioperative drop and postoperative complications.
BACKGROUND: Pre-warming prevents perioperative hypothermia. We evaluated the current clinical practice of pre-warming and its effects on temperature drop and postoperative complications; Methods: This prospective, observational pilot study examines clinical practice in a tertiary hospital on 99 patients undergoing laparoscopic urological surgery. Pre-warming was performed in the pre-anesthesia room. Patients were classified into three groups: P 0 (non-prewarmed), P 5-15 (pre-warming 5-15 min) and P > 15 (pre-warming 15-30 min). Tympanic temperature was recorded in the pre-anesthesia room, prior to anesthesia induction, and in the PACU. Esophageal temperature was recorded intraoperatively. The occurrence of shivering, pain intensity, length of stay in PACU, and postoperative complications during hospital stay were also recorded; Results: After pre-warming, between-group difference in body temperature was higher in P > 15 than in P 0 (0.4 °C, 95% CI 0.14-0.69, p = 0.004). Between P 5-15 and P 0 difference was 0.2 °C (95% CI 0.04-0.55, p = 0.093). Temperature at the end of surgery was higher in pre-warmed groups [mean between-group difference 0.5 °C (95% CI 0.13-0.81, p = 0.007) for P 5-15; 0.9 °C (95% CI 0.55-1.19, p < 0.001) for P > 15]. Pain and shivering was less common in pre-warmed groups. Postoperative transfusions and surgical site infections were lower in P > 15; Conclusion: Short-term pre-warming prior to laparoscopic urological surgery decreased temperature perioperative drop and postoperative complications.
Entities:
Keywords:
active warming; body temperature; hypothermia; laparoscopic surgery; perioperative complications; pre-warming; urology
Authors: Sven Wagenaar; Johanna H Nederhoed; Arjan W J Hoksbergen; H Jaap Bonjer; Willem Wisselink; Gabrielle H van Ramshorst Journal: Eur Urol Date: 2017-03-03 Impact factor: 20.096
Authors: Shawn S Forbes; Cagla Eskicioglu; Avery B Nathens; Darlene S Fenech; Claude Laflamme; Richard F McLean; Robin S McLeod Journal: J Am Coll Surg Date: 2009-08-20 Impact factor: 6.113
Authors: Ryan Perlman; Jeannie Callum; Claude Laflamme; Homer Tien; Barto Nascimento; Andrew Beckett; Asim Alam Journal: Crit Care Date: 2016-04-20 Impact factor: 9.097