Abstract
Unintended peri-operative hypothermia is very common in surgical patients and is associated with adverse outcomes. Perioperative use of forced-air and intravenous fluid warmers is recommended for hypothermia prevention. This study evaluated the ease of use of Fluido® Compact, a new fluid warming device, and its ability to help as part of the intraoperative patient temperature management. It was used in 36 patients undergoing scheduled surgery at risk of hypothermia under regional, general or combined anesthesia, of more than one hour duration and with a predicted intravenous fluid administration of at least 1000 ml. The fluid warmer is very easy to set up. The disposable cassette has a very low (3 ml) priming volume and it is easy to handle and to place inside the warming module. Once connected to the main power outlet, it is ready to deliver fluid at target temperature in just a few seconds. Control panel is intuitive, and the one button operation system makes it safe and convenient. The combination of peri-operative patient surface warming with Mistral®-Air forced-air warming system and intravenous fluid warming with Fluido® Compact, that allowed the administration of IV perfusions at body temperature at the rate needed thus avoiding heat loss, helps to maintain intraoperative core temperature between 36.4°C and 36.8°C. A group of patients undergo a variety of surgical procedures with neuraxial, general or combined epidural-general anesthesia.
Highlights
Unintended peri-operative hypothermia, defined as a core body temperature under 36 ̊C, is very common in surgical patients and is associated with adverse outcomes
The combination of peri-operative patient surface warming with Mistral®-Air forced-air warming system and intravenous fluid warming with Fluido® Compact, that allowed the administration of IV perfusions at body temperature at the rate needed avoiding heat loss, helps to maintain intraoperative core temperature between 36.4 ̊C and 36.8 ̊C
The purpose of the study was to evaluate the ease of use of a new fluid warming device designed for peri-operative intravenous fluid warming Fluido® Compact (The 37 ̊C Company, Amersfoort, The Netherlands) and its ability to help as part of the intraoperative patient temperature management directed towards normothermia maintenance
Summary
Unintended peri-operative hypothermia, defined as a core body temperature under 36 ̊C, is very common in surgical patients and is associated with adverse outcomes. Anesthetized patients are at risk of hypothermia due to absent beha-. De la Cruz vioral responses, inhibition of thermoregulatory control and increased heat loss to the cold environment of the operating room [1]. Complications related to peri-operative hypothermia are well documented and include thermal discomfort, morbid cardiac events, increased intraoperative blood loss and transfusion requirements, greater postoperative wound infection rates, prolonged postoperative recovery and hospital stay [2] [3]
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