CRIVITS, MIES

De Hert, Stefan

REYNTJENS, KOEN

Wouters, Patrick

English

M. Crivits

K. Reyntjens

P. Wouters

S. De Hert

Crossref

European Journal of Anaesthesiology

Comparison of two forced-air warming devices for the prevention of hypothermia during abdominal surgery in the Lloyd-Davies position

Ghent University Academic Bibliography

Prevention of peri-operative hypothermia may be challenging especially in situations where positioning of the patient  leaves minimal body surface area  available for warming strategies.   This is the case for the Lloyd-Davies position. Comparison of two forced-air warming devices for the prevention of hypothermia during abdominal surgery in the Lloyd-Davies position. M. Crivits; K. Reyntjens; P. Wouters and S. De Hert University of Ghent, Dept of Anaesthesiology, Ghent, Belgium Goal of the Study Upperbody blanket Underbody mattress Background Materials & Methods • Forty-four patients undergoing surgery in Lloyd-Davies position • Combined general and epidural anesthesia were randomly allocated to 2 treatment arms:                                 GROUP  A: Underbody forced air mattress                                Vs                          GROUP  B: Upperbody forced air blanket                                                   by Mistral®                                                by Bair Hugger®   • From time of induction core temperature was monitored with an esophageal probe and recorded every 15 minutes.  • Temperatures over time in the different groups were analyzed using two-way analysis of variance for repeated measurements.  • Data are expressed as mean with standard deviation.  Results Temperatures at T30, T45 and T60 were higher in group A than in group B     (P<0.05) • All patients were included in a period of 24 months. • One patient was excluded because of malfunction of the thoracic epidural. • Finally, data of 21 patients in group A and 23 patients in group B were used for analysis. • There were no differences in patient characteristics between groups • Early onset forced air underbody mattress may partially protect against post induction redistribution hypothermia.  • Patient installation requires some training and  additional effort.  • Poor performance in obese patients and after installation of pillow for surgical exposure.  Conclusion Discussion The forced-air warming underbody seems to provide better early temperature maintenance than the routinely used forced-air warming upperbody. Vs 34,83535,235,435,635,83636,236,4T0 T15 T30 T45 T60 T75Temperature in °C Time Group AGroup B

https://biblio.ugent.be/publication/6855214/file/6855223

Comparison of two forced-air warming devices for the prevention of hypothermia during abdominal surgery in the Lloyd-Davies position

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Ghent University Academic Bibliography