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Warmed irrigation fluid does not decrease perioperative hypothermia during arthroscopic shoulder surgery.

Joo Han Oh1, Joon Yub Kim2, Seok Won Chung3

  • 1Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|February 4, 2014
PubMed
Summary
This summary is machine-generated.

Warmed irrigation fluid did not significantly reduce perioperative hypothermia during arthroscopic shoulder surgery compared to room-temperature fluid. Both methods resulted in similar rates of hypothermia and postoperative outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Anesthesiology
  • Patient Safety

Background:

  • Perioperative hypothermia is a common complication during surgery.
  • Maintaining normothermia is crucial for patient outcomes.
  • Arthroscopic shoulder surgery presents a risk for hypothermia due to fluid usage.

Purpose of the Study:

  • To compare the clinical efficacy of warmed versus room-temperature irrigation fluid in preventing perioperative hypothermia.
  • To assess the impact of irrigation fluid temperature on core body temperature during arthroscopic rotator cuff surgery.

Main Methods:

  • Prospective, randomized, comparative study involving 72 patients undergoing arthroscopic shoulder surgery.
  • Patients received either warmed (36°C) or room-temperature irrigation fluid.
  • Core body temperature was monitored throughout surgery and recovery; postoperative outcomes were assessed.

Main Results:

  • No significant difference in the incidence of intraoperative hypothermia between the warmed and room-temperature fluid groups (91.6% vs 94.4%).
  • Core body temperatures showed similar trends in both groups, with all patients normothermic within 1 hour of PACU arrival.
  • Postoperative outcomes, including weight change, prothrombin time, hemoglobin, pain scores, and adverse events, were comparable between groups.

Conclusions:

  • Warmed irrigation fluid offers no significant advantage over room-temperature fluid in reducing perioperative hypothermia during arthroscopic shoulder surgery.
  • The temperature of irrigation fluid does not appear to be a critical factor in preventing hypothermia in this surgical context.