Forced air warming during hysterectomy under combined epidural and general anaesthesia: Comparison of upper with lower body warming

Tang Suet Ping Shereen, Tai Li Ling, Esa Kamaruzaman, Muhammad Maaya, Jaafar Md Zain

Research output: Contribution to journalArticle

Abstract

Objective: This was a prospective and randomized study to compare upper body (UBW) with lower body (LBW) forced air warming at preventing hypothermia during hysterectomy under combined epidural and general anaesthesia. Methods: Following Research and Ethics Committee approval, 46 ASA I and II patients were recruited. The patients were randomized into either UBW or LBW group. Each patient received forced air warming using reusable warming blanket applied either to the upper or lower body (17.5% versus 14.3% total adult body surface area) respectively. Absolute core body temperature was measured using infra-red ear thermometer at baseline, 30, 60, 90, 120, 150 and 180 minutes intra-operatively. Results: The results were analyzed using IBM® SPSS Statistics Version 19.0, IBM Corp, Armonk, NY. There was no statistically significant difference at all times except at baseline core body temperature. The magnitude of temperature change between baseline and each timed measurement were also analyzed between the two groups. There was a gradual increment in magnitude of temperature change in both groups until 120 minutes. However, in the LBW group, this continued up to 180 minutes, which was statistically significant. Conclusion: Upper body was comparable to lower body forced air warming in the prevention of intra-operative hypothermia during hysterectomy under combined epidural and general anaesthesia.

Original languageEnglish
Pages (from-to)295-298
Number of pages4
JournalInternational Medical Journal
Volume22
Issue number4
Publication statusPublished - 2015

Fingerprint

Epidural Anesthesia
Hysterectomy
General Anesthesia
Air
Hypothermia
Body Temperature
Thermometers
Temperature
Research Ethics Committees
Body Surface Area
Ear
Prospective Studies

Keywords

  • core temperature
  • epidural anaesthesia
  • Forced air warming
  • general anaesthesia
  • hysterectomy
  • intra-operative hypothermia
  • lower body
  • upper body

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Forced air warming during hysterectomy under combined epidural and general anaesthesia: Comparison of upper with lower body warming",
abstract = "Objective: This was a prospective and randomized study to compare upper body (UBW) with lower body (LBW) forced air warming at preventing hypothermia during hysterectomy under combined epidural and general anaesthesia. Methods: Following Research and Ethics Committee approval, 46 ASA I and II patients were recruited. The patients were randomized into either UBW or LBW group. Each patient received forced air warming using reusable warming blanket applied either to the upper or lower body (17.5{\%} versus 14.3{\%} total adult body surface area) respectively. Absolute core body temperature was measured using infra-red ear thermometer at baseline, 30, 60, 90, 120, 150 and 180 minutes intra-operatively. Results: The results were analyzed using IBM{\circledR} SPSS Statistics Version 19.0, IBM Corp, Armonk, NY. There was no statistically significant difference at all times except at baseline core body temperature. The magnitude of temperature change between baseline and each timed measurement were also analyzed between the two groups. There was a gradual increment in magnitude of temperature change in both groups until 120 minutes. However, in the LBW group, this continued up to 180 minutes, which was statistically significant. Conclusion: Upper body was comparable to lower body forced air warming in the prevention of intra-operative hypothermia during hysterectomy under combined epidural and general anaesthesia.",
keywords = "core temperature, epidural anaesthesia, Forced air warming, general anaesthesia, hysterectomy, intra-operative hypothermia, lower body, upper body",
author = "Shereen, {Tang Suet Ping} and Ling, {Tai Li} and Esa Kamaruzaman and Muhammad Maaya and {Md Zain}, Jaafar",
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T1 - Forced air warming during hysterectomy under combined epidural and general anaesthesia

T2 - Comparison of upper with lower body warming

AU - Shereen, Tang Suet Ping

AU - Ling, Tai Li

AU - Kamaruzaman, Esa

AU - Maaya, Muhammad

AU - Md Zain, Jaafar

PY - 2015

Y1 - 2015

N2 - Objective: This was a prospective and randomized study to compare upper body (UBW) with lower body (LBW) forced air warming at preventing hypothermia during hysterectomy under combined epidural and general anaesthesia. Methods: Following Research and Ethics Committee approval, 46 ASA I and II patients were recruited. The patients were randomized into either UBW or LBW group. Each patient received forced air warming using reusable warming blanket applied either to the upper or lower body (17.5% versus 14.3% total adult body surface area) respectively. Absolute core body temperature was measured using infra-red ear thermometer at baseline, 30, 60, 90, 120, 150 and 180 minutes intra-operatively. Results: The results were analyzed using IBM® SPSS Statistics Version 19.0, IBM Corp, Armonk, NY. There was no statistically significant difference at all times except at baseline core body temperature. The magnitude of temperature change between baseline and each timed measurement were also analyzed between the two groups. There was a gradual increment in magnitude of temperature change in both groups until 120 minutes. However, in the LBW group, this continued up to 180 minutes, which was statistically significant. Conclusion: Upper body was comparable to lower body forced air warming in the prevention of intra-operative hypothermia during hysterectomy under combined epidural and general anaesthesia.

AB - Objective: This was a prospective and randomized study to compare upper body (UBW) with lower body (LBW) forced air warming at preventing hypothermia during hysterectomy under combined epidural and general anaesthesia. Methods: Following Research and Ethics Committee approval, 46 ASA I and II patients were recruited. The patients were randomized into either UBW or LBW group. Each patient received forced air warming using reusable warming blanket applied either to the upper or lower body (17.5% versus 14.3% total adult body surface area) respectively. Absolute core body temperature was measured using infra-red ear thermometer at baseline, 30, 60, 90, 120, 150 and 180 minutes intra-operatively. Results: The results were analyzed using IBM® SPSS Statistics Version 19.0, IBM Corp, Armonk, NY. There was no statistically significant difference at all times except at baseline core body temperature. The magnitude of temperature change between baseline and each timed measurement were also analyzed between the two groups. There was a gradual increment in magnitude of temperature change in both groups until 120 minutes. However, in the LBW group, this continued up to 180 minutes, which was statistically significant. Conclusion: Upper body was comparable to lower body forced air warming in the prevention of intra-operative hypothermia during hysterectomy under combined epidural and general anaesthesia.

KW - core temperature

KW - epidural anaesthesia

KW - Forced air warming

KW - general anaesthesia

KW - hysterectomy

KW - intra-operative hypothermia

KW - lower body

KW - upper body

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