Impact of brief prewarming on anesthesia-related core-temperature drop, hemodynamics, microperfusion and postoperative ventilation in cytoreductive surgery of ovarian cancer: A randomized trial
BMC Anesthesiology Aug 30, 2019
Kaufner L, Niggemann P, Baum T, et al. - Given the possibility of a drop in body-core-temperature (BCTdrop), and hypothermia following general (GA)- and epidural-anesthesia, which may in turn alter tissue oxygenation and microperfusion after cytoreductive surgery for ovarian cancer, researchers tested their hypothesis that normothermia could be maintained and microperfusion could be improved via forced-air prewarming during epidural catheter placement and induction of GA. After ethics approval, prospective enrollment of 47 women scheduled for cytoreductive surgery was done. A prewarming of 43 °C during epidural catheter placement was performed among women in the study group. Findings revealed a reduction in the BCTdrop and maintenance of normothermia in correlation to prewarming at 43 °C without impeding the perioperative routine patient flow. They observed better preserved parameters of microperfusion in microdialysis.Prewarming,Ovarian cancer,Microperfusion,Normothermia
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