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Preliminary evaluation of the Arctic Sun temperature-controlling system during off-pump coronary artery bypass surgery.

Publication ,  Journal Article
Stanley, TO; Grocott, HP; Phillips-Bute, B; Mathew, JP; Landolfo, KP; Newman, MF; Neurologic Outcome Research Group C.A.R.E, ...
Published in: Ann Thorac Surg
April 2003

BACKGROUND: Maintaining normothermia during off-pump coronary artery bypass (OPCAB) surgery is a challenge not met by currently available medical devices and strategies. The purpose of this study was to determine the efficacy of a new thermoregulatory device, the Arctic Sun temperature-controlling circulating fluid adhesive pad system, in preventing hypothermia during OPCAB surgery. METHODS: Thirteen consenting patients undergoing OPCAB had their temperature managed using the Arctic Sun system. They were matched with 23 consenting control OPCAB patients whose temperature was maintained with standardized, conventional therapy (elevated ambient operating room temperature, warmed intravenous fluids, and a convective forced air warming system placed under the surgical drapes). Nasopharyngeal temperature (recorded at 1-minute intervals) was compared between the two groups by analysis of both the time and area under the curve for a temperature less than 36 degrees C. RESULTS: Multivariate linear regression analysis revealed that the average amount of hypothermia in the Arctic Sun group was significantly less than in the control group, both for time spent less than 36 degrees C (20.7 vs 121.3 minutes, p = 0.0004) and for area under the curve less than 36 degrees C (11.8 degrees C vs 78.1 degrees C x minutes, p = 0.0001). CONCLUSIONS: The Arctic Sun temperature-controlling system is more effective than conventional warming methods in preventing hypothermia during OPCAB surgery.

Duke Scholars

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

April 2003

Volume

75

Issue

4

Start / End Page

1140 / 1144

Location

Netherlands

Related Subject Headings

  • Temperature
  • Respiratory System
  • Regression Analysis
  • Middle Aged
  • Hypothermia
  • Humans
  • Coronary Artery Bypass
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
 

Citation

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Stanley, T. O., Grocott, H. P., Phillips-Bute, B., Mathew, J. P., Landolfo, K. P., Newman, M. F., … Investigators of the Duke Heart Center, . (2003). Preliminary evaluation of the Arctic Sun temperature-controlling system during off-pump coronary artery bypass surgery. Ann Thorac Surg, 75(4), 1140–1144. https://doi.org/10.1016/s0003-4975(02)04545-9
Stanley, Timothy O., Hilary P. Grocott, Barbara Phillips-Bute, Joseph P. Mathew, Kevin P. Landolfo, Mark F. Newman, Mark F. Neurologic Outcome Research Group C.A.R.E, and Mark F. Investigators of the Duke Heart Center. “Preliminary evaluation of the Arctic Sun temperature-controlling system during off-pump coronary artery bypass surgery.Ann Thorac Surg 75, no. 4 (April 2003): 1140–44. https://doi.org/10.1016/s0003-4975(02)04545-9.
Stanley TO, Grocott HP, Phillips-Bute B, Mathew JP, Landolfo KP, Newman MF, et al. Preliminary evaluation of the Arctic Sun temperature-controlling system during off-pump coronary artery bypass surgery. Ann Thorac Surg. 2003 Apr;75(4):1140–4.
Stanley, Timothy O., et al. “Preliminary evaluation of the Arctic Sun temperature-controlling system during off-pump coronary artery bypass surgery.Ann Thorac Surg, vol. 75, no. 4, Apr. 2003, pp. 1140–44. Pubmed, doi:10.1016/s0003-4975(02)04545-9.
Stanley TO, Grocott HP, Phillips-Bute B, Mathew JP, Landolfo KP, Newman MF, Neurologic Outcome Research Group C.A.R.E, Investigators of the Duke Heart Center. Preliminary evaluation of the Arctic Sun temperature-controlling system during off-pump coronary artery bypass surgery. Ann Thorac Surg. 2003 Apr;75(4):1140–1144.
Journal cover image

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

April 2003

Volume

75

Issue

4

Start / End Page

1140 / 1144

Location

Netherlands

Related Subject Headings

  • Temperature
  • Respiratory System
  • Regression Analysis
  • Middle Aged
  • Hypothermia
  • Humans
  • Coronary Artery Bypass
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences