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- Ognjen Visnjevac, Remek Kocz, Tanja Visnjevac, Sandeep Kumar Annam, and George Toufexis.
- Department of Anesthesiology, State University of New York, Buffalo, New York.
- J Arthroplasty. 2014 Nov 1; 29 (11): 2230-2.
AbstractAs an effective antipyretic with a yet-unknown mechanism-of-action, intravenous (IV) acetaminophen use for total hip arthroplasties (THA) may worsen perioperative hypothermia when combined with the known hypothermia-inducing effects of general anesthesia (GA), affecting wound healing, recovery times, and patient satisfaction. This retrospective chart review of primary THA cases compared perioperative heat loss for patients who received IV acetaminophen with GA (group A, n = 74) to those receiving GA alone (group B, n = 197). All patients received forced-air warming blankets. Neuraxial anesthesia cases were excluded. No significant temperature differences existed between group A (-0.33°C, SD = 0.36) and group B (-0.30°C, SD = 0.34, P > 0.05). IV acetaminophen use for THA does not appear to promote hypothermia under general anesthesia.Copyright © 2014 Elsevier Inc. All rights reserved.
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