Reducing Implant Infection in Orthopaedics (RIIiO): Results of a Pilot Study Comparing the Influence of Forced Air and Resistive Fabric Warming Technologies on Post-Operative Infections following Orthopaedic Implant Surgery
We report results of a pilot study in patients over the age of 65 undergoing hemiarthroplasty following fractured neck of femur.AimTo establish the recruitment and data management strategies needed for a full trial comparing post-operative infection rates associated with forced air versus resistive fabric warming.MethodsParticipants were randomised 1:1 in permuted blocks to forced air or resistive fabric warming. Hypothermia was defined as a temperature of
Condition: Inadvertent Perioperative Hypothermia Intervention: Procedure: convective active warming Sponsors: St. Marien-Hospital Düren; Institute for Occupational, Social and Environmental Medicine, RWTH Aachen University; Department of Anaesthesiology and Intensive Care Medicine, Hospital Düren Active, not recruiting
In this study, we combined computational kinetic modeling and in vitro experimentation to investigate the effects of multifactorial coagulopathy on thrombin, the central enzyme in the coagulation system. METHODS: We measured thrombin generation in platelet-poor plasma from 10 healthy volunteers using the calibrated automated thrombogram assay (CAT). We considered 3 temperature levels (31°C, 34°C, and 37°C), 3 pH levels (6.9, 7.1, and 7.4), and 3 degrees of dilution with normal saline (no dilution, 3-fold dilution, and 5-fold dilution). We measured thrombin-generation time courses for all possible combinati...
We report the anaesthetic management of left thoracoscopic sympathectomy in a 5-year-old child with LQTS and epicardial pacemaker in situ. It is very challenging to isolate the lung on one hand and prevent the predisposition to torsadogenic potential on the other.
BACKGROUND In our outpatient post anaesthesia unit patients reported that they were feeling cold with or without shivering. Anaesthetic agents cause reduced thermoregulation, initially by redistribution of blood flow from core to periphery, later by negative balance between thermogenesis and heat loss. Even mild peri-operative hypothermia increases the risk of surgical wound infections, bleeding, impaired cardiac function, shivering, and decreases comfort. OBJECTIVE(S) We aimed to evaluate which of our current active warming measures, self-warming blanket or forced-air-warming blanket, were most effective in preventin...
ACCIDENTAL hypothermia from immersion in icy water or exposure to cold is a recognized cause of cardiorespiratory arrest. Hypothermia confers protection during ischemia, and prolonged resuscitation efforts are warranted. These can be aided with some form of extracorporeal rewarming, and full recovery is possible in up to 50% of patients.1
Dr Mike Cadogan Brian Arthur Sellick Brian Arthur Sellick (1918 – 1996) British anaesthetist. Best known for his description of the Sellick manoeuvre and hypothermia in cardiac surgery
Abstract BACKGROUND: Inadvertent perioperative hypothermia is common in patients undergoing off-pump coronary artery bypass grafting (OPCAB). We investigated the association between early postoperative body temperature and all-cause mortality in patients undergoing OPCAB. METHODS: We reviewed the electronic medical records of 1714 patients who underwent OPCAB (median duration of follow-up, 47 months). Patients were divided into 4 groups based on body temperature at the time of intensive care unit admission after surgery (moderate-to-severe hypothermia,
Conclusion: The AA infusion can be used as an alternative to FAW in preventing intraoperative hypothermia under general anaesthesia especially in places where FAW system is unavailable.
This study aimed to determine how dosing of a labor epidural to provide anesthesia for cesarean section would affect mean body temperature and cutaneous vasomotor tone, hypothesizing that active cutaneous vasodilation would be blocked and therefore mean body temperature would increase.
General (GA)- and epidural-anesthesia may cause a drop in body-core-temperature (BCTdrop), and hypothermia, which may alter tissue oxygenation (StO2) and microperfusion after cytoreductive surgery for ovarian can...