The effects of warming intravenous fluids on intraoperative hypothermia and postoperative shivering during prolonged abdominal surgery
- 1 August 1996
- journal article
- Published by Wiley in Acta Anaesthesiologica Scandinavica
- Vol. 40 (7), 779-782
- https://doi.org/10.1111/j.1399-6576.1996.tb04532.x
Abstract
Background: The infusion of several liters of crystalloid solution at room temperature may significantly contribute to intraoperative hypothermia because warming fluid to core temperature requires body heat. The aim of this study was to evaluate the effect of delivering warmed intravenous (IV) fluid to the patient on preventing intraoperative hypothermia. Methods: Intraoperative core and mean skin temperatures were measured during prolonged abdominal surgery in 18 patients randomly divided into two groups according to intraoperative IV fluid management. In 9 patients (control group) all IV fluids infused were at room temperature. In the other 9 patients (group receiving warmed fluids) all IV fluids were warmed using an active IV fluid tube-warming system. In all 18 patients a warming blanket covered the skin surface available for cutaneous warming. Intraoperative changes in total body heat content (kJ) were calculated from core and mean skin temperatures. Results: At the end of surgery, core temperature was 36.7±0.2°C in the group receiving warmed fluids and 35.8±0.2°C in the control group (PP<0.05). Conclusion: In conclusion, infusion of warmed fluids, combined with skin-surface warming, helps to prevent hypothermia and reduces the incidence of postoperative shivering.Keywords
This publication has 19 references indexed in Scilit:
- Mild hypothermia during isoflurane anesthesia decreases resistance to E. coli dermal infection in guinea pigsActa Anaesthesiologica Scandinavica, 1994
- Leg Warming Minimizes Core Hypothermia During Abdominal SurgeryAnesthesia & Analgesia, 1993
- Evaluation of a New Fluid Warmer Effective at Low to Moderate Flow RatesAnesthesiology, 1993
- Unintentional Hypothermia Is Associated with Postoperative Myocardial IschemiaAnesthesiology, 1993
- Oxygen Uptake during Recovery Following Naloxone Relationship with Intraoperative Heat LossAnesthesiology, 1992
- The effect of peripheral hypothermia on a vecuronium‐induced neuromuscular blockActa Anaesthesiologica Scandinavica, 1991
- Mild Intraoperative Hypothermia Increases Duration of Action and Spontaneous Recovery ofVecuronium Blockade during Nitrous Oxide-Isoflurane Anesthesia in HumansAnesthesiology, 1991
- Hypothermia-induced Reversible Platelet DysfunctionAnnals of Surgery, 1987
- Effects of a Thermal Ceiling on Postoperative HypothermiaActa Anaesthesiologica Scandinavica, 1985