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1 "Hemodynamics"
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Original Article
The Effects of 30-Minutes of Pre-Warming on Core Body Temperature, Systolic Blood Pressure, Heart Rate, Postoperative Shivering, and Inflammation Response in Elderly Patients with Total Hip Replacement under Spinal Anesthesia: A Randomized Double-blind Controlled Trial
You Mi Cheon, Haesang Yoon
J Korean Acad Nurs 2017;47(4):456-466.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.456
AbstractAbstract PDF
Abstract Purpose

This study was designed to determine the effects of pre-warming on core body temperature (CBT) and hemodynamics from the induction of spinal anesthesia until 30 min postoperatively in surgical patients who undergo total hip replacement under spinal anesthesia. Our goal was to assess postoperative shivering and inflammatory response.

Methods

Sixty-two surgical patients were recruited by informed notice. Data for this study were collected at a 1,300-bed university hospital in Incheon, South Korea from January 15 through November 15, 2013. Data on CBT, systemic blood pressure (SBP), and heart rate were measured from arrival in the pre-anesthesia room to 3 hours after the induction of spinal anesthesia. Shivering was measured for 30 minutes post-operatively. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were measured pre-operatively, and 1 and 2 days postoperatively. The 62 patients were randomly allocated to an experimental group (EG), which underwent pre-warming for 30 minutes, or a control group (CG), which did not undergo pre-warming.

Results

Analysis of CBT from induction of spinal anesthesia to 3 hours after induction revealed significant interaction between group and time (F=3.85, p=.008). In addition, the incidence of shivering in the EG was lower than that in the CG (χ2=6.15, p=.013). However, analyses of SBP, heart rate, CRP, and ESR did not reveal significant interaction between time and group.

Conclusion

Pre-warming for 30 minutes is effective in increasing CBT 2 and 3 hours after induction of spinal anesthesia. In addition, pre-warming is effective in decreasing post-operative shivering.

Citations

Citations to this article as recorded by  
  • Effect of Prewarming on Postoperative Hypothermia, Vital Signs, and Thermal Comfort: A Randomized Controlled Trial
    Refiye Akpolat, Sevban Arslan
    Therapeutic Hypothermia and Temperature Management.2024; 14(2): 89.     CrossRef
  • Immediate fever during anaesthesia recovery after surgical procedure with scoliosis: A case report and literature review
    Limin Zhou, Xiumei Cui, Guixi Mo, Jingsong Wei, Meizhen Mo, Yiyue Zhong
    International Journal of Surgery Case Reports.2024; 121: 110027.     CrossRef
  • Effects of Forced-Air Warming Therapy on Anxiety, Pain, and Body Temperature of Patients under Local Anesthesia during Surgery: A Quasi-Experimental Study
    Jeongmin Lee, Yeojin Yi
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 206.     CrossRef
  • Effects of a preoperative forced-air warming system for patients undergoing video-assisted thoracic surgery
    Yan Xiao, Rui Zhang, Na Lv, Chunmiao Hou, Chunguang Ren, Huiying Xu
    Medicine.2020; 99(48): e23424.     CrossRef
  • Physiological Factor Evaluation of the Warm Humidification of Anesthetic Gas Nursing Care
    Hyosun Park, Nayeon Shin
    Asia-Pacific Journal of Oncology Nursing.2019; 6(4): 397.     CrossRef
  • Effects of perioperative warm socks‐wearing in maintaining core body temperature of patients undergoing spinal surgery
    Hui Yeon Lee, Gaeun Kim, Yeonghee Shin
    Journal of Clinical Nursing.2018; 27(7-8): 1399.     CrossRef
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