The effect of heated humidifier in the prevention of intra-operative hypothermia. 1994

T Y Chen, and K T Chen, and D P Chang, and F C Yeh, and C L Chang
Department of Anesthesia, National Chen-Kung University Medical College and Hospital, Taiwan, R.O.C.

Unintentional hypothermia is common in patients undergoing "routine anesthesia in surgery". The aims of the study were to estimate the difference of changes of body temperature during abdominal and limb operations and to evaluate the effectiveness of the heated humidifier for reducing intraoperative heat loss. Forty-three patients were randomly being allocated into 3 groups. Group I consisted of 14 patients undergoing abdominal operation without the use of heated humidifier. Another 22 patients were being assigned as group II to have a heated humidifier on the inspiratory limb of the breathing circuit. The inspired gas was warmed to 39 degrees C and the relative humidity was 90%. 7 patients undergoing limb operation were attributed to group III without using heated humidifier to humidify and warm up the inspired gas. For body temperature monitoring, the probe was placed on the patient's nasopharynx and the temperature was measured immediately before induction of anesthesia, post-intubation, and then once again every 15 minutes up to 3 hours after induction. All patients in the 3 groups showed a rapid decrease of body temperature in the first hour and then the hypothermic change was slow down. The lowest level of body temperature was reached at about 2 hours after induction. Patients undergoing abdominal operation decreased body temperature greater than those undergoing limb operation for about 2 degrees C after 3 hours of anesthesia and surgery. Warming and humidifying the inspired gas effectively reduced the heat loss. We concluded that abdominal operation induce hypothermia more than limb operation. The use of heated humidifier was effective in maintaining body temperature.

UI MeSH Term Description Entries
D007035 Hypothermia Lower than normal body temperature, especially in warm-blooded animals. Hypothermia, Accidental,Accidental Hypothermia,Accidental Hypothermias,Hypothermias,Hypothermias, Accidental
D007431 Intraoperative Complications Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure. Peroperative Complications,Surgical Injuries,Complication, Intraoperative,Complication, Peroperative,Injuries, Surgical,Complications, Intraoperative,Complications, Peroperative,Injury, Surgical,Intraoperative Complication,Peroperative Complication,Surgical Injury
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006358 Hot Temperature Presence of warmth or heat or a temperature notably higher than an accustomed norm. Heat,Hot Temperatures,Temperature, Hot,Temperatures, Hot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006813 Humidity A measure of the amount of WATER VAPOR in the air. Humidities
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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