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Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications

BACKGROUND: Perioperative hypothermia is linked to multiple postoperative complications including increased surgical bleeding, surgical site infection, myocardial events, and increased length of hospital stay. The purpose of this study is to determine the effects of forced-air warming blanket positi...

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Autores principales: Buraimoh, Morenikeji Ayodele, Nash, Alysa, Howard, Bailey, Yousaf, Imran, Koh, Eugene, Banagan, Kelley, Gelb, Daniel, Schreibman, David, Ludwig, Steven C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911670/
https://www.ncbi.nlm.nih.gov/pubmed/31893130
http://dx.doi.org/10.25259/SNI_102_2019
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author Buraimoh, Morenikeji Ayodele
Nash, Alysa
Howard, Bailey
Yousaf, Imran
Koh, Eugene
Banagan, Kelley
Gelb, Daniel
Schreibman, David
Ludwig, Steven C.
author_facet Buraimoh, Morenikeji Ayodele
Nash, Alysa
Howard, Bailey
Yousaf, Imran
Koh, Eugene
Banagan, Kelley
Gelb, Daniel
Schreibman, David
Ludwig, Steven C.
author_sort Buraimoh, Morenikeji Ayodele
collection PubMed
description BACKGROUND: Perioperative hypothermia is linked to multiple postoperative complications including increased surgical bleeding, surgical site infection, myocardial events, and increased length of hospital stay. The purpose of this study is to determine the effects of forced-air warming blanket position, above the shoulders versus under the trunk/legs, on intraoperative core body temperature and perioperative complications in elective lumbar spine surgery. METHODS: After IRB approval, patients were enrolled in a consecutive fashion and randomized to either upper body (Group I) or lower body (Group II) groups. Primary outcomes were intraoperative body temperature, incidence of hypothermia, postoperative complications, and infection. Secondary outcomes included blood loss, operative time, and length of stay. RESULTS: Seventy-four patients were included (Group I, 38; Group II, 36, mean age 60.7 years, 54% of male). Average patient follow-up was 69 ± 33.6 days in Group I and 67 ± 34.6 days in Group II. Average intraoperative body temperature was 35.7 in Group I and 35.8 in Group II (P = 0.27). Incidence of critical hypothermia (T < 35°C) was 18.4% and 11.1% in Groups I and II, respectively (P = 0.52). Incidence of mild hypothermia (T: 35°C–36°C) was 34.2% and 30.56% in Groups I and II, respectively (P = 0.81). Separately, pooled analysis comparing average body temperature and incidence infection demonstrated a relationship between mild hypothermia and infection (P = 0.03). CONCLUSION: Compared to using a lower body Bair Hugger under the patient, using standard upper body Bair Hugger may be associated with increased surgical site infection. Given equivalent body warming, we recommend using the lower body Bair Hugger to avoid infection.
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spelling pubmed-69116702019-12-31 Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications Buraimoh, Morenikeji Ayodele Nash, Alysa Howard, Bailey Yousaf, Imran Koh, Eugene Banagan, Kelley Gelb, Daniel Schreibman, David Ludwig, Steven C. Surg Neurol Int Original Article BACKGROUND: Perioperative hypothermia is linked to multiple postoperative complications including increased surgical bleeding, surgical site infection, myocardial events, and increased length of hospital stay. The purpose of this study is to determine the effects of forced-air warming blanket position, above the shoulders versus under the trunk/legs, on intraoperative core body temperature and perioperative complications in elective lumbar spine surgery. METHODS: After IRB approval, patients were enrolled in a consecutive fashion and randomized to either upper body (Group I) or lower body (Group II) groups. Primary outcomes were intraoperative body temperature, incidence of hypothermia, postoperative complications, and infection. Secondary outcomes included blood loss, operative time, and length of stay. RESULTS: Seventy-four patients were included (Group I, 38; Group II, 36, mean age 60.7 years, 54% of male). Average patient follow-up was 69 ± 33.6 days in Group I and 67 ± 34.6 days in Group II. Average intraoperative body temperature was 35.7 in Group I and 35.8 in Group II (P = 0.27). Incidence of critical hypothermia (T < 35°C) was 18.4% and 11.1% in Groups I and II, respectively (P = 0.52). Incidence of mild hypothermia (T: 35°C–36°C) was 34.2% and 30.56% in Groups I and II, respectively (P = 0.81). Separately, pooled analysis comparing average body temperature and incidence infection demonstrated a relationship between mild hypothermia and infection (P = 0.03). CONCLUSION: Compared to using a lower body Bair Hugger under the patient, using standard upper body Bair Hugger may be associated with increased surgical site infection. Given equivalent body warming, we recommend using the lower body Bair Hugger to avoid infection. Scientific Scholar 2019-11-29 /pmc/articles/PMC6911670/ /pubmed/31893130 http://dx.doi.org/10.25259/SNI_102_2019 Text en Copyright: © 2019 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Buraimoh, Morenikeji Ayodele
Nash, Alysa
Howard, Bailey
Yousaf, Imran
Koh, Eugene
Banagan, Kelley
Gelb, Daniel
Schreibman, David
Ludwig, Steven C.
Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications
title Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications
title_full Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications
title_fullStr Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications
title_full_unstemmed Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications
title_short Effect of forced-air warming blanket position in elective lumbar spine surgery: Intraoperative body temperature and postoperative complications
title_sort effect of forced-air warming blanket position in elective lumbar spine surgery: intraoperative body temperature and postoperative complications
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911670/
https://www.ncbi.nlm.nih.gov/pubmed/31893130
http://dx.doi.org/10.25259/SNI_102_2019
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