We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Perioperative Maintenance of Normal Temperature

Paul M. Kempen, MD, PhD
JAMA. 1997;278(7):545. doi:10.1001/jama.1997.03550070037022.
Text Size: A A A
Published online


To the Editor.  —Dr Frank and colleagues' attempted to determine the specific value of perioperative forced-air warming on patient outcome. However, failure to randomize surgeons and failure to control for and report several important variables,2 such as preoperative total body thermal baselines, intraoperative core temperature changes, administration of vasodilator or vasoconstrictor drugs, patient body fat content, and patient weight—to—surface area ratios significantly weaken the results.Peripheral prewarming significantly changes postinduction core temperature decline, as 81% of the typical 1.6°C first-hour temperature decline is ascribed to redistribution rather than actual loss of body heat, necessitating specific considerations beyond simple initial core temperature. The core temperature of warmed patients will decline identically to that of "unwarmed" patients during the first hour despite forced-air warming. The duration and course of intraoperative forced-air warming therapy clearly are important as significant effects are demonstrated only after 90 to 120 minutes. Further, core temperature declines with application


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.