Unintended cooling, active warming, and microcirculation in cardiosurgical patients
Aksel'rod, B.A.; Trekova, N.A.; Guleshov, V.A.; Tolstova, I.A.; Gus'kov, D.A.; Babaev, M.A.
Anesteziologiia i Reanimatologiia 5: 52-56
2010
ISSN/ISBN: 0201-7563 PMID: 21400730 Document Number: 645725
The study was undertaken to compare various methods to maintain a patient's body temperature and to evaluate their impact on microcirculation during myocardial revascularization under normothermal extracorporeal circulation (NTEC). The study enrolled 50 patients with NYHA Functional Classes III-IV coronary heart disease, who underwent aortocoronary bypass surgery under NTEC. A HICO-AQUATHERM 660 water-warming unit (Hirtz, Germany) was used in Group 1 patients (n=30). A Bair Hugger air-warming unit (Arizant, U.S.A.) with a mattress located under a patient was employed in Group 2 (n=20). Intraoperative microcirculation monitoring was carried out by a laser analyzer (Lazma, Moscow).