Perioperative warming with a thermal gown prevents maternal temperature loss during elective cesarean section. A randomized clinical trial

Autor: Ricardo Caio Gracco de Bernardis, Monica Maria Siaulys, Joaquim Edson Vieira, Lígia Andrade Silva Telles Mathias
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Brazilian Journal of Anesthesiology, Vol 66, Iss 5, Pp 451-455 (2016)
Druh dokumentu: article
ISSN: 0104-0014
DOI: 10.1016/j.bjane.2014.12.007
Popis: Background and objectives: Decrease in body temperature is common during general and regional anesthesia. Forced-air warming intraoperative during cesarean section under spinal anesthesia seems not able to prevent it. The hypothesis considers that active warming before the intraoperative period avoids temperature loss during cesarean. Methods: Forty healthy pregnant patients undergoing elective cesarean section with spinal anesthesia received active warming from a thermal gown in the preoperative care unit 30 min before spinal anesthesia and during surgery (Go, n = 20), or no active warming at any time (Ct, n = 20). After induction of spinal anesthesia, the thermal gown was replaced over the chest and upper limbs and maintained throughout study. Room temperature, hemoglobin saturation, heart rate, arterial pressure, and tympanic body temperature were registered 30 min before (baseline) spinal anesthesia, right after it (time zero) and every 15 min thereafter. Results: There was no difference for temperature at baseline, but they were significant throughout the study (p
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