Hepatic cryosurgery with and without the Bair Hugger.
Hypothermia is a significant clinical problem during hepatic cryosurgery, which at times causes the procedure to be halted until the patient's body temperature can be raised. This study examines the effects of the Bair Hugger (a warming device) on body temperature during hepatic cryosurgery. Twenty-eight cases of hepatic cryosurgery were performed without the Bair Hugger, while 44 cases included the Bair Hugger. The lowest mean temperature was significantly lower in the group without the Bair Hugger (34.2 degrees C vs. 35.3 degrees C; P < 0.0001). In addition, this group showed a significantly greater mean change in temperature during the procedure (1.81 degrees C vs. 0.73 degrees C; P < 0.0001). No patient in the Bair Hugger group reached the point of clinically significant hypothermia. In conclusion, the Bair Hugger is safe and very effective in regulating body temperature and it is an essential piece of equipment performing hepatic cryosurgery.
Onik
G M
GM
Department of Neurosurgery, Allegheny General Hospital, Medical College of Pennsylvania, Pittsburgh.
Chambers
N
N
Chernus
S A
SA
Zemel
R
R
Atkinson
D
D
Weaver
M L
ML
D003452:Cryosurgery / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D006361:Heating / Q000295:instrumentation*; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000517:prevention & control*; D007431:Intraoperative Complications / Q000517:prevention & control; D008113:Liver Neoplasms / Q000601:surgery*; D012189:Retrospective Studies