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The Effects of Warming Intravenous Fluids on Perioperative Haemodynamic Situation, Postoperative Shivering and Recovery in Orthopaedic Surgery

Published online by Cambridge University Press:  03 June 2005

H. Hasankhani ,
E. Mohammadi ,
F. Moazzami ,
M. Mokhtari  and
M.M. Naghizadeh
H. Hasankhani
Affiliation:
Tarbiat Modarres University, Tehran, Iran
E. Mohammadi
Affiliation:
Tarbiat Modarres University, Tehran, Iran
F. Moazzami
Affiliation:
Tarbiat Modarres University, Tehran, Iran
M. Mokhtari
Affiliation:
Tarbiat Modarres University, Tehran, Iran
M.M. Naghizadeh
Affiliation:
Tarbiat Modarres University, Tehran, Iran
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Abstract

Background: Postoperative hypothermia is stressful and elevates blood pressure and heart rate. This study evaluated the effects of warming IV fluids on the perioperative hemodynamic situation.

Methods: Perioperative hemodynamic parameters were measured in 60 patients undergoing orthopaedic surgery. Patients were divided into two groups according to the temperature of intraoperative IV fluids.

Results: Core and skin temperature of the two groups decreased during surgery but reduced more in the hypothermic group (p < 0.005). Postoperative mean arterial blood pressure increased more in the hypothermic group versus normothermic group (p < 0.005). Shivering was observed in 21 of 30 hypothermic and 11 of 30 normothermic group (p < 0.005) and recovery time was lower in normothermic group (36 ± 5 vs. 26 ± 3 min, p < 0.005).

Conclusion: Warming of intraoperative IV fluids reduces perioperative changes in hemodynamic parameters.

Keywords

Intravenous fluid warmingHaemodynamic situationShiveringOrthopaedic surgeryRecovery
Type
Original Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 6 , Issue 1 , March 2005 , pp. 7 - 11
Copyright
© 2005 Cambridge University Press

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