Related Experiment Video

Updated: Aug 6, 2025

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
08:22

In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model

Published on: October 27, 2020

3.1K

Hypothermia is an independent risk factor for prolonged ICU stay in coronary artery bypass surgery: an observational

Yi-Chia Wang1, Hsing-Hao Huang1, Pei-Ching Lin1

  • 1Department of Anesthesiology, National Taiwan University College of Medicine and National University Hospital, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, Taiwan, 10002.

Scientific Reports
|March 22, 2023
PubMed

Insights

Hypothermia after cardiac surgery (CABG) did not increase mortality or infection but prolonged intensive care unit (ICU) stays. Maintaining normal body temperature is crucial for better patient recovery after CABG surgery.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Critical Care Medicine

Background:

  • Maintaining normothermia is vital during the perioperative period.
  • Warming after hypothermia can increase oxygen demand, potentially causing myocardial ischemia.
  • The role of hypothermia as an independent risk factor for morbidity and mortality in CABG patients requires investigation.

Purpose of the Study:

  • To determine if hypothermia is an independent risk factor for increased morbidity and mortality in patients undergoing Coronary Artery Bypass Grafting (CABG).

Main Methods:

  • Retrospective observational study of 206 patients undergoing CABG from January 2018 to June 2019.
  • Outcomes analyzed included mortality, surgical site infection, ventilator-dependent time, ICU stay, and hospitalization duration.
  • Statistical analysis adjusted for factors including sex, age, cardiopulmonary bypass duration, left ventricular ejection fraction, and EuroSCORE II.

Main Results:

  • No 30-day mortality was observed.
  • Hypothermia was not linked to increased surgical site infection or longer intubation times.
  • Hypothermia upon ICU admission, along with a higher EuroSCORE II, independently predicted prolonged ICU stay (OR 3.8 and 1.2, respectively).

Conclusions:

  • Hypothermia upon ICU admission is an independent risk factor for prolonged ICU stay in elective CABG patients.
  • While not linked to mortality or infection, hypothermia impacts recovery time.
  • Optimizing perioperative temperature management is essential for improving patient outcomes after CABG.

More Related Videos

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management06:43

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management

Published on: November 21, 2017

24.4K
Short-Duration Hypothermia Induction in Rats using Models for Studies examining Clinical Relevance and Mechanisms05:00

Short-Duration Hypothermia Induction in Rats using Models for Studies examining Clinical Relevance and Mechanisms

Published on: March 3, 2021

3.0K

Related Concept Videos

Decreased Body Temperature01:29

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
664
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
18
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
19
Factors Affecting Body Temperature01:28

Factors Affecting Body Temperature

As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may  include:
4.6K
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
95