Heated wire humidification circuit attenuates the decrease of core temperature during general anesthesia in patients undergoing arthroscopic hip surgery.
10.4097/kjae.2017.70.6.619
- Author:
Sooyong PARK
1
;
Seok Hwa YOON
;
Ann Misun YOUN
;
Seung Hyun SONG
;
Ja Gyung HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea. seohwy@cnu.ac.kr
- Publication Type:Original Article
- Keywords:
Arthroscopy;
Body temperature;
General anesthesia;
Hypothermia
- MeSH:
Anesthesia, General*;
Arthroscopy;
Body Temperature;
Heating;
Hip*;
Hot Temperature*;
Humans;
Hypothermia;
Incidence;
Methods;
Respiration;
Shivering;
Stethoscopes
- From:Korean Journal of Anesthesiology
2017;70(6):619-625
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Intraoperative hypothermia is common in patients undergoing general anesthesia during arthroscopic hip surgery. In the present study, we assessed the effect of heating and humidifying the airway with a heated wire humidification circuit (HHC) to attenuate the decrease of core temperature and prevent hypothermia in patients undergoing arthroscopic hip surgery under general anesthesia. METHODS: Fifty-six patients scheduled for arthroscopic hip surgery were randomly assigned to either a control group using a breathing circuit connected with a heat and moisture exchanger (HME) (n = 28) or an HHC group using a heated wire humidification circuit (n = 28). The decrease in core temperature was measured from anesthetic induction and every 15 minutes thereafter using an esophageal stethoscope. RESULTS: Decrease in core temperature from anesthetic induction to 120 minutes after induction was lower in the HHC group (–0.60 ± 0.27℃) compared to the control group (–0.86 ± 0.29℃) (P = 0.001). However, there was no statistically significant difference in the incidence of intraoperative hypothermia or the incidence of shivering in the postanesthetic care unit. CONCLUSIONS: The use of HHC may be considered as a method to attenuate intraoperative decrease in core temperature during arthroscopic hip surgery performed under general anesthesia and exceeding 2 hours in duration.
