Total Knee Arthroplasty
Conditions
Brief summary
The sublingual (under the tongue) core temperature within 10 minutes of arrival in the post anesthesia care unit (PACU) for patients warmed with the Dynatherm vitalHeat2 (VH2) System under general anesthesia for total knee arthroplasty will be equivalent to that of patients warmed with the Arizant Bair Hugger System.
Interventions
Dynatherm vitalHeat2 (VH2) temperature management system.
Arizant Bair Hugger temperature management system.
Sponsors
Study design
Eligibility
Inclusion criteria
* Initial total knee arthroplasty. * Expected duration of surgery at least 2 hours. * General anesthesia. * American Society of Anesthesiologists (ASA) classification I-III. * Age \>= 18 years.
Exclusion criteria
* Skin abrasion at the device application site. * History of peripheral vascular disease. * History of allergic skin conditions of the upper extremities. * History of malignant hyperthermia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sublingual Temperature. | Within 10 minutes of arrival in PACU |
Countries
United States
Participant flow
Recruitment details
Patients were recruited sequentially and assigned to vitalHeat2 (VH2) or Bair Hugger temperature management at random in a 1:1 ratio.
Pre-assignment details
75 consented. 9 cancelled surgery or were rescheduled. 36 assigned to VH2 and 30 assigned to Bair Hugger. 6 excluded from VH2 group after randomization (2 vacuum not established, 2 research staff not available, 2 arterial line used). 5 excluded from Bair Hugger group after randomization (4 laryngeal mask airway used, 1 epidural anesthesia used).
Participants by arm
| Arm | Count |
|---|---|
| VH2 Temperature Management Dynatherm vitalHeat2 (VH2) temperature management system. | 30 |
| Bair Hugger Temperature Management Arizant Bair Hugger temperature management system. | 25 |
| Total | 55 |
Baseline characteristics
| Characteristic | VH2 Temperature Management | Bair Hugger Temperature Management | Total |
|---|---|---|---|
| Age Continuous | 68.9 years STANDARD_DEVIATION 11.4 | 67.0 years STANDARD_DEVIATION 9.4 | 68.0 years STANDARD_DEVIATION 10.5 |
| Sex: Female, Male Female | 18 Participants | 13 Participants | 31 Participants |
| Sex: Female, Male Male | 12 Participants | 12 Participants | 24 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 30 | 0 / 25 |
| serious Total, serious adverse events | 0 / 30 | 0 / 25 |
Outcome results
Sublingual Temperature.
Time frame: Within 10 minutes of arrival in PACU
Population: Per protocol.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| VH2 Temperature Management | Sublingual Temperature. | 36.38 C | Standard Deviation 0.38 |
| Bair Hugger Temperature Management | Sublingual Temperature. | 36.73 C | Standard Deviation 0.29 |