Perioperative hypothermia (core temperature <36°C) occurs in 50%-to-80% of patients recovering from thoracic aortic surgery, though its effects have not been described fully in this context. The authors, therefore, sought to characterize the incidence of perioperative hypothermia and its association with time from procedure end to extubation in endovascular aortic surgical patients.
A retrospective cohort study.
At a single academic tertiary center.
Patients recovering from thoracic aortic surgery with lumbar drains.
Measurements and Main Results
A total of 196 patients were included in this study, 55 of whom were hypothermic with temperatures <35.0°C at the end of surgery. Though the unadjusted time to extubation was not statistically different in the hypothermic group (median 8 minutes, IQR 5-13.5 minutes) compared to the normothermic group (median 7 minutes, IQR 4-12 minutes; p = 0.062), multivariate predictors of increased time from procedure end to extubation included hypothermia (p = 0.011), age (p = 0.009), diabetes (p = 0.015), history of carotid disease (p = 0.040), and crystalloid volume (p = 0.019).
Hypothermia in patients recovering from endovascular aortic surgery was associated with prolonged time from procedure end to extubation. Because of the retrospective observational nature of the authors’ analysis, it was not possible to determine the extent to which prolonged mechanical ventilation was influenced by low temperature.
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Published online: September 11, 2022
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- Earlier studies of prolonged times to tracheal extubation after end of surgeryJournal of Cardiothoracic and Vascular AnesthesiaVol. 37Issue 1
- PreviewArora and colleagues examined time to extubation after thoracic aortic surgery.1 In their very interesting study, they found negligible differences in median times to extubation between normothermic patients (7 minutes [95% confidence interval (CI) 6-to-8 minutes]) versus hypothermic patients (8 minutes [95% confidence interval 7-to-12 minutes]).1 There were significantly greater incidences of prolonged times to extubation among hypothermic patients (hazard ratio 2.06 [95% confidence interval 1.18-to-3.59]).