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EFFICIENCY OF BLANKETS WITH ACTIVE SELF-HEATING TECHNOLOGY IN THE POST-SURGERY PERIOD

https://doi.org/10.21292/2078-5658-2015-12-5-24-30

Abstract

The trail was conducted with the purpose to compare two heating devices in the groups of patients who had surgery due to varicose veins of the lower extremities with spinal anesthesia with intravenous sedation in the  intra- and post-operative periods. It was found out that warming with the help of blankets with active self-heating technology is more efficient for prevention and treatment of intra-operative hypothermia compared to resistive mattresses. The article includes discussion of mechanisms of intra-operative hypothermia development, its negative effects and measures for its prevention and treatment. Recommendations on the use of this equipment are given.

 

About the Authors

S. P. Kozlov
Russian Surgery Research Center named after B. V. Petrovsky, Moscow
Russian Federation


V. M. Kraynik
Russian Surgery Research Center named after B. V. Petrovsky, Moscow
Russian Federation


References

1. Kozlov S.P., Svetlov V.А. Intraoperatsionnye teplopoteri i ikh korrektsiya. Аnesteziologiya: natsional’noe rukovodstvo. [Intra¬operative heat losses and their management. Anesthesiology. National Guidelines]. Ed. by А.А. Bunyatyan, V.M. Mizikov. Moscow, GEOTAR¬Media Publ., 2011, Ch. 13, pp. 252¬262.

2. Lemeneva N.V., Kozlov S.P., Svetlov V.А. Heat factor as one of the indicators of adequate anesthesia in surgeries for tissue auto¬transplantation. V kn.: Materialy 4-go Vserossiyskogo s»ezda anesteziologov i reanimatologov. [In: Materials of the 4th All¬Russian Conference of Anesthesiologists and Emergency Physicians]. June 9¬10, 1994, Moscow, 1994. pp. 113.

3. Len’kin А.I., Zakharov V.I., Smetkin А.А. et al. The impact of perfusion temperature mode on the oxygen transportation and cerebral oxygenation in the complex surgery on cardiac valves. Vestnik Anasteziol. i Reanimatol., 2012, vol. 9, no. 5, pp. 8¬15. (In Russ.)

4. Mikhel’son V.А., Sepbaeva А.D., Zhirkova Yu.V. Temperature status in sur geries in newborns. Vestnik Anasteziol. i Reanimatol., 2009, vol. 6, no. 4, pp. 34¬38. (In Russ.)

5. Svetlov V.A. Аnesteziologicheskoe obespechenie rekonstruktivnykh i plasticheskikh operatsiy s mikrokhirurgicheskoy tekhnikoy. Diss. dokt. med. nauk. [Anasthesiological support fir reconstructive and plastic surgeries with micro-surgical equipment. Doct. Diss.]. Moscow, 1989. 48 p.

6. Bickler P., Sessler D.I. Efficiency of airway heat and moisture exchangers in anaesthetized humans. Anesth. Analg., 1990, vol. 71, no. 4, pp. 415¬418.

7. Brandes I.F., Müller C., Perl T. et al. Efficacy of a novel warming blanket: prospective randomized trial. Anaesthesist., 2013, vol. 62, no. 2, pp. S.137 – S.142.

8. Buggy D.J., Crossley A.W. Thermoregulation, mild perioperative hypothermia and postanaesthetic shivering. Br. J. Anaesth., 2000, vol. 84, no. 5, pp. b615–b628.

9. Campbell G., Alderson P., Smith A.F. et al. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane Database Syst Rev., 2015, vol. 13, no. 4, CD009891. doi: 10.1002/14651858. CD009891.pub2.

10. de Witte J.L., Demeyer C., Vandemaele E. Resistive¬heating or forced¬air warming for the prevention of redistribution hypothermia. Anesth. Analg., 2010, vol. 110, no. 3, pp. 829¬833.

11. Felies M., Poppendieck S., Nave H. Perioperative normothermia depends on intraoperative warming procedure, extent of the surgical intervention and age of the experimental animal. Life Sci., 2005, vol. 77, no. 25, pp. 3133¬3140.

12. Greif R., Rajek A., Laciny S. et al. Resistive heating is a more effective treatment for accidental hypothermi a than metallic¬foil insulation. Ann. Emerg. Med., 2000, vol. 35, no. 4, pp. 337¬345.

13. Hynson J., Sessler D.I. Intraoperative warming therapies: A comparison of three devices. J. Clin. Anesth., 1992, vol. 4, no. 3, pp. 194¬199.

14. Just B., Trevien V., Delva E. et al. Prevention of intraoperative hypothermia by preoperative skin¬surface warming. Anesthesiology, 1993, vol. 79, no. 2, pp. 214¬218.

15. Kiekkas P., Poulopoulou M., Papahatzi A. et al. Effects of hypothermia and shivering on standard PACU monitoring of patients. AANAJ, 2005, vol. 73, no. 1, pp. 47¬53.

16. Kurz A., Daniel I., Sessler D. I., Lenhardt R. Perioperative normothermia to reduce the incidence of surgical¬wound infection and shorten hospitalization. New Engl. J. Med., 1996, vol. 334, no. 19, pp. 1209¬1216.

17. Lenhardt R. Monitoring and thermal management. Best Pract. & Res. Clin. Anesth., 2003, vol. 17, no. 4, pp. 569¬581.

18. Leslie K., Sessler D.I. Perioperative hypothermia in the high risk surgical patient. Best Pract. & Res. Clin. Anaest., 2003, vol. 17, no. 4, pp. 485¬498.

19. Matsukawa T., Sessler D., Christensen R. et al. Heat flow and distribution during epidural anesthesia. Anesthesiology, 1995, vol. 83, no. 5, pp. 961¬967.

20. Matsukawa T., Sessler D., Sessler A. et al. Heat flow and distribution during induction of general anesthesia. Anesthesiology, 1995, vol. 82, no. 3, pp. 662¬673.

21. Matsuzaki Y., Matsukawa T., Ohki K. et al. Warming by resistive heating maintains perioperative normothermia as well as forced air heating. British J. Anaesthesia, 2003, vol. 90, no. 5, pp. 689¬691.

22. Negishi C., Hasegawa K., Mukai S. et al. Resistive heating and forced¬air warming are comparably effective. Anesth. Analg., 2003, vol. 96, no. 6, pp. 1683-1687.

23. Putzu M., Casati A., Berti M. et al. Clinical complications, monitoring and management of perioperative mild hypothermia: anesthesiological features. Acta Biomed., 2007, vol. 78, no. 3, pp. 163¬169.

24. Sessler D.I. Consequences and treatment of perioperative hypothermia. Anesth. Clin. North Am., 1994, vol. 12, pp. 425¬456.

25. Silva A.B., Peniche Ade C. Perioperative hypothermia and incidence of surgical wound infection: a bibliographic study. Einstein (Sao Paulo), 2014, vol. 12, no. 4, pp. 513¬517.

26. Sun Z., Honar H., Sessler D.I. et al. Intraoperative core temperature patterns, transfusion requirement, and hospital duration in patients warmed with forced air. Anesthesiology, 2015, vol. 122, no. 2, pp. 276¬285.

27. Tisherman S., Bullock M.R., Provencio J. et al. Intraoperative Temperature Management. Ther. Hypothermia Temp. Manag., 2015, vol. 5, no. 2, pp. 68¬72.

28. Torossian A. The thermoregulation in Europe, Monitoring and Managing Patient Temperature (TEMMP) study group. Survey on intraoperative temperature management in Europe. Eur. J. Anaesthesiol., 2007, vol. 24, no. 8, pp. 668¬685.

29. Yamakage M., Namiki A. Intravenous fluid administration and management of body temperature. Masui., 2004, vol. 53, no. 1, pp. 10¬22.

30. Yang L., Huang C.Y., Zhou Z.B. et al. Risk factors for hypothermia in patients under general anesthesia: Is there a drawback of laminar airflow operating rooms? A prospective cohort study. Int. J. Surg., 2015, vol. 13, pp. S1743–S9191 (15)00362¬3. doi: 10.1016/j.ijsu.2015.06.079. [Epub ahead of print].


Review

For citations:


Kozlov S.P., Kraynik V.M. EFFICIENCY OF BLANKETS WITH ACTIVE SELF-HEATING TECHNOLOGY IN THE POST-SURGERY PERIOD. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2015;12(5):24-30. (In Russ.) https://doi.org/10.21292/2078-5658-2015-12-5-24-30



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