Tags

Type your tag names separated by a space and hit enter

Efficacy of forced-air warming and warmed intravenous fluid for prevention of hypothermia and shivering during caesarean delivery under spinal anaesthesia: A randomised controlled trial.
Eur J Anaesthesiol. 2019 06; 36(6):442-448.EJ

Abstract

BACKGROUND

Peri-operative hypothermia and shivering are frequent events in patients during caesarean delivery under spinal anaesthesia.

OBJECTIVE

We assessed the efficacy of combined pre-anaesthetic forced-air warming in combination with warmed intravenous fluid infusion for preventing hypothermia and shivering during caesarean delivery under spinal anaesthesia.

DESIGN

A randomised controlled study.

SETTING

A tertiary care teaching hospital from July 2017 to April 2018.

PATIENTS

A total of 50 pregnant women, American Society of Anaesthesiologists physical status 2, aged 20 to 45 years, scheduled for caesarean delivery under spinal anaesthesia.

INTERVENTION

Patients were enrolled and randomised into two groups: an active warming group (n = 25), which received combined pre-anaesthetic whole body forced-air warming for 15 min and prewarmed intravenous fluids, and a control group, which received no active warming or warmed fluids (C group; n = 25). Spinal anaesthesia was induced with 10 mg bupivacaine containing fentanyl (10 μg).

MAIN OUTCOME MEASURES

Tympanic membrane temperature and shivering severity were measured at baseline and every 10 min during surgery, and then every 10 min for 1 h postoperatively. Neonatal outcomes (tympanic membrane temperature at birth, umbilical venous blood pH, Apgar score) were also recorded.

RESULTS

The incidences of peri-operative hypothermia (0 vs. 48%, P < 0.001) and shivering (22 vs. 52%, P = 0.031) were significantly lower in the active warming than in the C group. The maximum temperature change was also significantly lower in the active warming than in the C group. Maternal thermal comfort scores were higher in the active warming than in the C group. Neonatal parameters were not significantly different between the groups.

CONCLUSION

The combination of pre-anaesthetic forced-air warming and warmed intravenous fluid infusions appears to be effective for preventing hypothermia and shivering during caesarean delivery under spinal anaesthesia.

TRIAL REGISTRATION

This trial was registered with Clinical Trials.gov (identifier: NCT03256786).

Authors+Show Affiliations

From the Department of Anaesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30985539

Citation

Jun, Joo-Hyun, et al. "Efficacy of Forced-air Warming and Warmed Intravenous Fluid for Prevention of Hypothermia and Shivering During Caesarean Delivery Under Spinal Anaesthesia: a Randomised Controlled Trial." European Journal of Anaesthesiology, vol. 36, no. 6, 2019, pp. 442-448.
Jun JH, Chung MH, Jun IJ, et al. Efficacy of forced-air warming and warmed intravenous fluid for prevention of hypothermia and shivering during caesarean delivery under spinal anaesthesia: A randomised controlled trial. Eur J Anaesthesiol. 2019;36(6):442-448.
Jun, J. H., Chung, M. H., Jun, I. J., Kim, Y., Kim, H., Kim, J. H., Choi, Y. R., & Choi, E. M. (2019). Efficacy of forced-air warming and warmed intravenous fluid for prevention of hypothermia and shivering during caesarean delivery under spinal anaesthesia: A randomised controlled trial. European Journal of Anaesthesiology, 36(6), 442-448. https://doi.org/10.1097/EJA.0000000000000990
Jun JH, et al. Efficacy of Forced-air Warming and Warmed Intravenous Fluid for Prevention of Hypothermia and Shivering During Caesarean Delivery Under Spinal Anaesthesia: a Randomised Controlled Trial. Eur J Anaesthesiol. 2019;36(6):442-448. PubMed PMID: 30985539.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of forced-air warming and warmed intravenous fluid for prevention of hypothermia and shivering during caesarean delivery under spinal anaesthesia: A randomised controlled trial. AU - Jun,Joo-Hyun, AU - Chung,Mi Hwa, AU - Jun,In-Jung, AU - Kim,Youngrok, AU - Kim,Hyunchul, AU - Kim,Jung Hwa, AU - Choi,Young Ryong, AU - Choi,Eun Mi, PY - 2019/4/16/pubmed PY - 2019/12/4/medline PY - 2019/4/16/entrez SP - 442 EP - 448 JF - European journal of anaesthesiology JO - Eur J Anaesthesiol VL - 36 IS - 6 N2 - BACKGROUND: Peri-operative hypothermia and shivering are frequent events in patients during caesarean delivery under spinal anaesthesia. OBJECTIVE: We assessed the efficacy of combined pre-anaesthetic forced-air warming in combination with warmed intravenous fluid infusion for preventing hypothermia and shivering during caesarean delivery under spinal anaesthesia. DESIGN: A randomised controlled study. SETTING: A tertiary care teaching hospital from July 2017 to April 2018. PATIENTS: A total of 50 pregnant women, American Society of Anaesthesiologists physical status 2, aged 20 to 45 years, scheduled for caesarean delivery under spinal anaesthesia. INTERVENTION: Patients were enrolled and randomised into two groups: an active warming group (n = 25), which received combined pre-anaesthetic whole body forced-air warming for 15 min and prewarmed intravenous fluids, and a control group, which received no active warming or warmed fluids (C group; n = 25). Spinal anaesthesia was induced with 10 mg bupivacaine containing fentanyl (10 μg). MAIN OUTCOME MEASURES: Tympanic membrane temperature and shivering severity were measured at baseline and every 10 min during surgery, and then every 10 min for 1 h postoperatively. Neonatal outcomes (tympanic membrane temperature at birth, umbilical venous blood pH, Apgar score) were also recorded. RESULTS: The incidences of peri-operative hypothermia (0 vs. 48%, P < 0.001) and shivering (22 vs. 52%, P = 0.031) were significantly lower in the active warming than in the C group. The maximum temperature change was also significantly lower in the active warming than in the C group. Maternal thermal comfort scores were higher in the active warming than in the C group. Neonatal parameters were not significantly different between the groups. CONCLUSION: The combination of pre-anaesthetic forced-air warming and warmed intravenous fluid infusions appears to be effective for preventing hypothermia and shivering during caesarean delivery under spinal anaesthesia. TRIAL REGISTRATION: This trial was registered with Clinical Trials.gov (identifier: NCT03256786). SN - 1365-2346 UR - https://www.unboundmedicine.com/medline/citation/30985539/Efficacy_of_forced_air_warming_and_warmed_intravenous_fluid_for_prevention_of_hypothermia_and_shivering_during_caesarean_delivery_under_spinal_anaesthesia:_A_randomised_controlled_trial_ L2 - https://doi.org/10.1097/EJA.0000000000000990 DB - PRIME DP - Unbound Medicine ER -