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Published: 2026-04-25
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DOI: https://doi.org/10.52163/yhc.v67i4.4896
Issue
Tập 67 Số 4
Section
Articles
How to Cite
Phương, V. H., Đức, T. H., Quyền, Đỗ T., Trang, Đào T. H., Chung, N. V., Vân, Đinh T. A., & Trang, N. T. (2026). EFFECTIVENESS OF MECHANICAL WARMING IN PREVENTING INTRAOPERATIVE HYPOTHERMIA AND POSTOPERATIVE SHIVERING IN LUMBAR SPINE SURGERY: A RANDOMIZED CONTROLLED TRIAL. Vietnam Journal of Community Medicine, 67(4). https://doi.org/10.52163/yhc.v67i4.4896

EFFECTIVENESS OF MECHANICAL WARMING IN PREVENTING INTRAOPERATIVE HYPOTHERMIA AND POSTOPERATIVE SHIVERING IN LUMBAR SPINE SURGERY: A RANDOMIZED CONTROLLED TRIAL

Vu Hoang Phuong1, Tran Hong Duc1, Do The Quyen, Dao Thi Huyen Trang, Nguyen Van Chung2, Dinh Thi Anh Van2, Nguyen Thuy Trang1
1 Hanoi Medical University Hospital
2 trangnt.tta@gmail.com

Main Article Content

Abstract

Objective: To evaluate the effectiveness of mechanical warming methods in preventing perioperative hypothermia in patients undergoing lumbar spine surgery.


Methods: A prospective cohort study was conducted at Hanoi Medical University Hospital from February 2025 to February 2026 on 80 patients aged ≥ 18 years old, ASA physical status I-III, undergoing lumbar spine surgery under general anesthesia with a duration ≥ 120 minutes. The warming group received active warming with a heating mattress and warmed intravenous fluids, while the non-warming group was covered with standard surgical blankets only. Core body temperature was measured at study time points.


Results: Core temperatures at all measured time points were significantly higher in the warming group compared to the non-warming group (p < 0.05). The incidence of hypothermia in the warming group was 17.5%, significantly lower than 57.5% in the non-warming group (p < 0.001). All cases of hypothermia were mild. The proportion of patients without postoperative shivering was higher in the warming group (90%) than in the non-warming group (42.5%). The time to temperature recovery was shorter in the warming group (2.3 ± 8.00 minutes) compared to the non-warming group (24.8 ± 23.4 minutes) (p < 0.001).


Conclusion: Mechanical warming is an effective method for preventing perioperative hypothermia in patients undergoing spinal surgery, contributing to improved patient safety and quality of care.

Article Details

Keywords

Perioperative hypothermia, active warming, spinal surgery, general anesthesia.

References

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