{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:42:20Z","timestamp":1740174140958,"version":"3.37.3"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,11,28]],"date-time":"2023-11-28T00:00:00Z","timestamp":1701129600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n            Background and study aims Perioperative hypothermia is associated\n      with significant complications and can be prevented with forced-air heating systems (FAHS).\n      Whether hypothermia occurs during prolonged endoscopic sedation is unclear and prevention\n      measures are not addressed in endoscopic sedation guidelines. We hypothesized that hypothermia\n      also occurs in a significant proportion of patients undergoing endoscopic interventions\n      associated with longer sedation times such as endoscopic retrograde cholangiopancreaticography\n      (ERCP), and that FAHS may prevent it.<\/jats:p><jats:p>\n            Patients and methods In this observational study, each patient\n      received two consecutive ERCPs, the first ERCP following current standard of care without FAHS\n      (SOC group) and a consecutive ERCP with FAHS (FAHS group). The primary endpoint was maximum\n      body temperature difference during sedation.<\/jats:p><jats:p>\n            Results Twenty-four patients were included. Median (interquartile\n      range) maximum body temperature difference was \u22120.9\u00b0C (\u22121.2; \u22120.4) in the SOC and \u22120.1\u00b0C\n      (\u22120.2; 0) in the FAHS group (P &lt; 0.001). Median body temperature\n      was lower in the SOC compared with the FAHS group after 20, 30, 40, and 50 minutes of\n      sedation. A reduction in body temperature of &gt; 1\u00b0C (P &lt;\n      0.001) and a reduction below 36\u00b0C (P = 0.01) occurred more often in\n      the SOC than in the FAHS group. FAHS was independently associated with reduced risk of\n      hypothermia (P = 0.006). More patients experienced freezing in the\n      SOC group (P = 0.004). Hemodynmaic and respiratory stability were\n      comparable in both groups.<\/jats:p><jats:p>\n            Conclusions Hypothermia occurred in the majority of patients\n      undergoing prolonged endoscopic sedation without active temperature control. FAHS was\n      associated with higher temperature stability during sedation and better patient\n      comfort.<\/jats:p>","DOI":"10.1055\/a-2210-4799","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:22:06Z","timestamp":1701217326000},"page":"E59-E67","source":"Crossref","is-referenced-by-count":0,"title":["Prevention of peri-interventional hypothermia during endoscopic retrograde cholangiopancreatography using a forced-air heating system"],"prefix":"10.1055","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4833-6035","authenticated-orcid":false,"given":"Klaus","family":"Stahl","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eloise","family":"Schuette","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Schirmer","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Fuge","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Lena","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Heidrich","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorben","family":"Pape","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terence","family":"Krauss","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heiner","family":"Wedemeyer","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrike","family":"Lenzen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1097\/ALN.0b013e31817f6d76","article-title":"Temperature monitoring and perioperative thermoregulation","volume":"109","author":"DI Sessler","year":"2008","journal-title":"Anesthesiology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1046\/j.1365-2044.2003.03444.x","article-title":"Effect of postoperative skin-surface warming on oxygen consumption and the shivering threshold","volume":"58","author":"P Alfonsi","year":"2003","journal-title":"Anaesthesia"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1097\/00000658-198702000-00012","article-title":"Hypothermia-induced reversible platelet dysfunction","volume":"205","author":"CR Valeri","year":"1987","journal-title":"Ann Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1001\/jama.1997.03540380041029","article-title":"Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. 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