Skip to main content
Top

18-01-2024 | Liposuction | Original Articles

Effects of Heated Infiltration Solutions and Forced-Air Heating Blankets on Intraoperative Hypothermia During Liposuction: A Factorial Randomized Controlled Trial

Authors: Mengfei Zhang, Liquan Wang, Linjuan Tan, Chen Sun, Yiding Xiao, Tong Zhang, Gang Tan, Xiao Long, Huizhen Wang, Yang Wang

Published in: Aesthetic Plastic Surgery

Login to get access

Abstract

Background

This study was conducted to compare the effects of heat preservation by two recommended methods, heated infiltration solutions and forced-air heating blankets, in patients undergoing liposuction under general anesthesia.

Methods

Forty patients were divided into four groups based on whether heated infiltration solutions or forced-air heating blankets were used. Group A received general anesthesia liposuction plastic surgery routine temperature care. Based on the care measures of group A, heated infiltration solutions were used in group B; forced-air heating blanket was used in group C; and heated infiltration solutions and forced-air heating blankets were both used in group D. The primary end point was intraoperative and perioperative temperature measured with an infrared tympanic membrane thermometer. Secondary end points included surgical outcomes, subjective experience, and adverse events.

Results

Compared with group A, the intraoperative body temperatures of groups B, C, and D were significantly higher, indicating that the two intervention methods were helpful on increasing the core body temperature. Pairwise comparisons of these three groups showed that there was no significant difference between group C and group D. However, using forced-air heating blankets had a marked effect compared with using heated infiltration solutions alone at three time points. The same trend could be seen in other surgical outcomes.

Conclusions

Heated infiltration solutions and forced-air heating blankets could reduce the incidence of intraoperative hypothermia and improve patients’ prognosis after liposuction under general anesthesia. Compared with the heated infiltration fluid, the forced-air heating blanket may have a better thermal insulation effect.

Level of Evidence I

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
Available only for authorised users
Literature
4.
go back to reference Mahoney CB, Odom J (1999) Maintaining intraoperative normothermia: a meta-analysis of outcomes with costs. Aana J 67(2):155–163PubMed Mahoney CB, Odom J (1999) Maintaining intraoperative normothermia: a meta-analysis of outcomes with costs. Aana J 67(2):155–163PubMed
10.
go back to reference Klein JA (1993) Tumescent technique for local anesthesia improves safety in large-volume liposuction. Plast Reconstr Surg 92(6):1085–1098 (discussion 1099-1100)CrossRefPubMed Klein JA (1993) Tumescent technique for local anesthesia improves safety in large-volume liposuction. Plast Reconstr Surg 92(6):1085–1098 (discussion 1099-1100)CrossRefPubMed
32.
go back to reference Perry AW, Petti C, Rankin M (1999) Lidocaine is not necessary in liposuction. Plast Reconstr Surg 104(6):1900–1902 (discussion 1903-1906)CrossRefPubMed Perry AW, Petti C, Rankin M (1999) Lidocaine is not necessary in liposuction. Plast Reconstr Surg 104(6):1900–1902 (discussion 1903-1906)CrossRefPubMed
34.
go back to reference Kamaya H, Hayes JJ Jr, Ueda I (1983) Dissociation constants of local anesthetics and their temperature dependence. Anesth Analg 62(11):1025–1030CrossRefPubMed Kamaya H, Hayes JJ Jr, Ueda I (1983) Dissociation constants of local anesthetics and their temperature dependence. Anesth Analg 62(11):1025–1030CrossRefPubMed
Metadata
Title
Effects of Heated Infiltration Solutions and Forced-Air Heating Blankets on Intraoperative Hypothermia During Liposuction: A Factorial Randomized Controlled Trial
Authors
Mengfei Zhang
Liquan Wang
Linjuan Tan
Chen Sun
Yiding Xiao
Tong Zhang
Gang Tan
Xiao Long
Huizhen Wang
Yang Wang
Publication date
18-01-2024
Publisher
Springer US
Published in
Aesthetic Plastic Surgery
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-023-03801-5