Braeuer, A. and Zink, W. and Timmermann, A. and Perl, T. and Quintel, M. (2011) Prevention of perioperative hypothermia during off-pump coronary artery bypass surgery. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 52 (4). pp. 251-262. ISSN 0170-5334
Full text not available from this repository. (Request a copy)Abstract
In Germany more than 5,000 off-pump coronary artery bypass operations are performed every year. However, peri-operative hypothermia is a common problem during such surgery, and is associated with an adverse patient outcome. A number of measures aimed at preventing pert-operative hypothermia are available. The use of warm-water garments or adhesive hydrogel pads is highly successful and cost effective, although such systems are quite expensive. If this technology is not available a combination of methods should be employed to reduce pen-operative hypothermia. Although of limited efficacy, resistive heating mattresses placed on the body or forced-air warming systems are the best alternative. Adjunctive measures include increasing OR temperature to a level still tolerable for the surgeon, infusion warming with a circulation of at least 2,000 ml, and a heated mattress placed under the back. If a patient has become hypothermic during surgery, active re-warming should be initiated.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TEMPERATURE MANAGEMENT-SYSTEM; AMINO-ACID INFUSION; GRAFT-SURGERY; POSTOPERATIVE HYPOTHERMIA; CARDIAC-SURGERY; MYOCARDIAL INJURY; HEAT-EXCHANGE; BLOOD-LOSS; NORMOTHERMIA; TRANSFUSION; OPCAB; Hypothermia; Forced-air Warming; Infusion Warming; Conductive Warming |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 29 Apr 2020 08:08 |
| Last Modified: | 29 Apr 2020 08:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/21030 |
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