caa a22 4500 397496044 CHVBK 20180308164521.0 cr unu---uuuuu 161202e199510 xx s 000 0 eng 10.1016/S1010-7940(05)80010-7 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80010-7 Haemodynamic and metabolic effects of surface rewarming after coronary revascularization [Elektronische Daten] Cardiac surgery is often associated with a postoperative increase in thepatient's metabolic rate; surface rewarming has been suggested to decreasethe energy expenditure by preventing hypothermia. Thirty patients,undergoing coronary revascularization, were randomly divided into twogroups; after surgery group A was rewarmed by a new device that acts byboth conduction and convection, while group B was just covered with cottonblankets. Blood, oesophagus and skin (thigh and foot) temperatures wererecorded on admission to the intensive care unit (ICU) and 30, 60, 90, 180,270, and 450 min later. Haemodynamic parameters, oxygen delivery,calculated oxygen consumption, and plasma lactate concentration wereassessed as well. Group A warmed up quicker than group B as far as the skinwas concerned while the core temperature was unaffected. Group A was alsocharacterized by lower cardiac indices and oxygen consumption. As theoccurrence of a dependence of oxygen consumption on delivery could bereasonably ruled out in warmed patients because blood lactate levels werelower than in the controls, we conclude that surface rewarming might havesome positive effect in decreasing metabolic demand after cardiac surgeryeven if the patient's core temperature is little affected. The inhibitionof skin temperature receptors could possibly explain this finding. © Springer-Verlag European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/10(1995-10), 582-586 1010-7940 9:10<582 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80010-7 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80010-7 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/10(1995-10), 582-586 1010-7940 9:10<582 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford