1. Heat trapped under paper and plastic ophthalmic drapes during eye surgery using local anesthesia.
- Author
-
Schlager A
- Subjects
- Gossypium, Humans, Paper, Plastics, Prospective Studies, Single-Blind Method, Anesthesia, Local, Body Temperature Regulation, Hot Temperature, Ophthalmologic Surgical Procedures methods, Protective Clothing
- Abstract
Purpose: To assess whether heat trapped under ophthalmic drapes is responsible for patient reports of being hot during cataract surgery using local anesthesia., Setting: Departments of Anaesthesia and Intensive Care Medicine and of Ophthalmology and Optometry, Innsbruck University Hospital, Innsbruck, Austria., Methods: In a prospective, randomized, single-blind study, the temperature in the ambient air under 2 types of paper drapes (Group A: Barrier Ophthalmology Drape, Johnson & Johnson; Group B: Steri Drape 1062, 3M) and a plastic drape (Group C: cotton drape + Steri Drape 1024, 3M) was measured for 25 minutes in 60 patients having cataract surgery under local anesthesia., Results: Three minutes after the patient's head was draped, the mean temperature under the drape began to increase significantly: Group A, 25.7 degrees C +/- 0.3 degree C (SD) to 29.17 degrees C +/- 0.9 degree C (P < or = .001); Group B, 25.87 degrees C +/- 0.4 degree C to 29.41 degrees C +/- 0.9 degree C (P < or = .001); Group C, 25.8 degrees C +/- 0.35 degree C to 29.4 degrees C +/- 0.6 degree C (P < or = .001). It continued to increase in all groups as the operation continued. No significant differences in temperature were observed among the 3 drape types studied. Subjective thermal discomfort was reported by 35% to 40% of patients., Conclusion: Paper drapes did not cause less heat from being trapped than the plastic drape. Trapped heat may impair the comfort of patients having eye surgery under local anesthesia.
- Published
- 1999
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