Comparison of the efficacy of a forced-air warming system and circulating-water mattress on core temperature and post-anesthesia shivering in elderly patients undergoing total knee arthroplasty under spinal anesthesia.
10.4097/kjae.2014.66.5.352
- Author:
Hye Young KIM
1
;
Kyu Chang LEE
;
Myeong Jong LEE
;
Mi Na KIM
;
Ji Sub KIM
;
Won Sang LEE
;
Jung Hwa LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Chungju Hospital, Konkuk University Medical School, Chungju, Korea. hae1127@kku.ac.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Shivering;
Spinal anesthesia;
Temperature
- MeSH:
Aged*;
Anesthesia, Spinal*;
Arthroplasty*;
Body Temperature;
Humans;
Incidence;
Knee*;
Rectum;
Shivering*;
Tympanic Membrane
- From:Korean Journal of Anesthesiology
2014;66(5):352-357
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In the present study, we compared changes in body temperature and the occurrence of shivering in elderly patients undergoing total knee arthroplasty under spinal anesthesia during warming with either a forced-air warming system or a circulating-water mattress. METHODS: Forty-six patients were randomly assigned to either the forced-air warming system (N = 23) or circulating-water mattress (N = 23) group. Core temperature was recorded using measurements at the tympanic membrane and rectum. In addition, the incidence and intensity of post-anesthesia shivering and verbal analogue score for thermal comfort were simultaneously assessed. RESULTS: Core temperature outcomes did not differ between the groups. The incidence (13.0 vs 43.5%, P < 0.05) and intensity (20/2/1/0/0 vs 13/5/3/2/0, P < 0.05) of post-anesthesia shivering was significantly lower in the forced-air system group than in the circulating-water mattress group. CONCLUSIONS: The circulating-water mattress was as effective as the forced-air warming system for maintaining body temperature. However, the forced-air warming system was superior to the circulating-water mattress in reducing the incidence of post-anesthesia shivering.
