Open Access Research Article

Quality Assessment of the Efficiency of the Warming Cabinet Method in Warming Fluids in Anaesthesia

Essam Abdelrazek1*, James Walker2, Johan Victor Rehnberg3, Sharon Docherty4, Ash Byrom5 and Akbar Vohra6

1 Professor of Anaesthesia, Misr University for science & technology, Egypt

2 Consultant Anaesthetist, Royal Bournemouth Hospital, UK

3 Anaesthetic senior clinical fellow, University Hospital, Southampton, UK

4 Senior Lecturer, Bournemouth University clinical research unit, UK

5 Senior operation department practitioner, Royal Bournemouth hospital, UK

6 Department of Cardiac Anaesthesia and Critical Care, Manchester University Foundation Trust, UK

Corresponding Author

Received Date:November 19, 2019;  Published Date: December 16, 2019

Abstract

In this observational study, we assessed the efficiency of the use of a 40° C warming cabinet method for heating intravenous (IV) fluids administered to patients during surgery. 24 bags of Ringers lactate were placed in a warming cabinet set at 40° C. Fluid temperatures at two points of the delivery system (bag and patient end) were measured every 3 minutes for 15 minutes after being removed from the warming cabinet.

Results: The bag temperature (34-31 °C) was significantly lower than 40°C but remained above room temperature throughout the study period. The patient–end temperatures were significantly lower than bag temperatures for all time-periods (p<0.01) and were similar to room temperatures within 3 minutes. We conclude that the quality of the warming cabinet technique used in operating theatres to warm fluids prior to IV infusion, is clinically inefficient and fails to deliver the IV fluids at a warm enough temperature and may therefore put patients at risk of unanticipated hypothermia. We recommend that the practice of the studied method of fluid warming needs to be revised and replaced by another method which could be more clinically effective and reliable in keeping the patient’s temperature within normal limits under anaesthesia.

Keywords: Hypothermia; Prevention; Hypothermia; Physiology effects

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