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Effect of Warmed Irrigation Solution on Core Body Temperature During Hip Arthroscopy for Femoroacetabular Impingement

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dc.contributor.author Parodi, Dante
dc.contributor.author Valderrama, Juanjosé
dc.contributor.author Tobar, Carlos
dc.contributor.author Besomi, Javier
dc.contributor.author López, Jaime
dc.contributor.author Lara, Joaquín
dc.contributor.author Ilic, Juan
dc.date.accessioned 2017-03-20T15:17:00Z
dc.date.available 2017-03-20T15:17:00Z
dc.date.issued 2014
dc.identifier.citation Arthroscopy. 2014 Jan;30(1) p:36-41
dc.identifier.uri http://hdl.handle.net/11447/1035
dc.identifier.uri http://dx.doi.org/10.1016/j.arthro.2013.08.035
dc.description.abstract PURPOSE: To determine the effect of warming arthroscopic irrigation solution on core body temperature during hip arthroscopic surgery in patients with femoroacetabular impingement. METHODS: An analytical, prospective, observational study was performed in a cohort of 166 consecutive patients. All patients underwent hip arthroscopy for treatment of femoroacetabular impingement. Two groups were studied: patients operated on with arthroscopic irrigation solution warmed up to 32°C ± 2°C (89.6°F ± 3.6°F) and a control group comprising patients operated on with irrigation solution used at room temperature. Relevant information was collected regarding the patients (age, sex, body mass index, and blood pressure) and the procedure (volume and temperature of saline solution, pressure of fluid pump, surgery time, and room temperature). Corresponding statistical analysis was performed with STATA 11.0 (StataCorp, College Station, TX), by use of descriptive statistics, parametric and nonparametric tests, and a generalized estimating equation model for repeated measurements. RESULTS: Both groups were comparable in terms of age, sex, systolic and diastolic blood pressure, body mass index, volume of irrigation solution used, and room temperature. The mean age of the cohort was 33 years (range, 14 to 60 years); mean body mass index, 23.7 kg/m(2) (range, 17.2 to 34 kg/m(2)); mean volume of irrigation solution, 26 L (range, 12 to 39 L); mean systolic blood pressure, 97 mm Hg; mean diastolic blood pressure, 51 mm Hg; and mean surgical time, 110 minutes. A decrease in core body temperature by 0.5°C (0.9°F) or greater occurred during the course of surgery in 66% of patients in the control group versus 28% in the warmed-solution group (P < .001). At least 1 core body temperature measurement of less than 36°C (96.8°F) was recorded in 48% of patients in the control group versus 14% in the warmed-solution group (P < .001). The trend toward a decrease in core body temperature was 4 times greater in the control group than in the warmed-solution group (P < .001). CONCLUSIONS: Use of arthroscopic irrigation solution warmed up to 32°C (89.6°F) reduces the risk of a decrease in core body temperature during hip arthroscopy in patients with femoroacetabular impingement. LEVEL OF EVIDENCE: Level II, analytical, prospective, comparative study in a cohort of consecutive patients.
dc.format.extent 1
dc.language.iso en_US
dc.publisher Elsevier
dc.subject Arthroscopy/adverse effects
dc.subject Body Temperature
dc.subject Femoracetabular Impingement/surgery
dc.subject Hypothermia/prevention & control
dc.subject Therapeutic Irrigation/methods
dc.title Effect of Warmed Irrigation Solution on Core Body Temperature During Hip Arthroscopy for Femoroacetabular Impingement
dc.type Artículo


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