The efficacy of a resistive heating under-patient blanket versus a forced-air warming system: a randomized controlled trial

Anesth Analg. 2009 Jan;108(1):199-201. doi: 10.1213/ane.0b013e31818e6199.

Abstract

Background: We compared temperature changes in patients undergoing hip replacement during warming with a resistive heating blanket or air-forced system.

Methods: Fifty-six patients were enrolled. Patients were randomly allocated to the "forced-air group" (forced-air system) or to the "heating-blanket group" (resistive heating under-patient blanket).

Results: Baseline tympanic temperatures were 36.0 +/- 0.6 degrees C in the forced-air group and 36.1 +/- 0.4 degrees C in the heating-blanket group (P > 0.05). At the end of surgery tympanic temperatures were 35.3 +/- 0.5 degrees C in the forced-air group and 35.1 +/- 0.6 degrees C in the heating-pad group (P > 0.05).

Conclusions: We demonstrated that, using either a resistive heating-blanket or forced-air warming systems, patients ended surgery in mild hypothermia after elective total hip replacement, but without significant differences between these two warming devices.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Air
  • Anesthesia, Spinal / adverse effects
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Bedding and Linens*
  • Body Temperature Regulation
  • Equipment Design
  • Female
  • Heating / instrumentation*
  • Humans
  • Hypothermia / etiology
  • Hypothermia / physiopathology
  • Hypothermia / prevention & control*
  • Male
  • Middle Aged
  • Nerve Block / adverse effects
  • Prospective Studies
  • Rewarming / instrumentation*
  • Temperature