Perioperative Prewarming: Heat Transfer and Physiology.

To appreciate the strategy of prewarming, perioperative personnel should have a basic understanding of the physics of heat transfer and the thermoregulatory pathophysiology of anesthesia. The dominant cause of postinduction hypothermia is anesthesia-related redistribution of heat within the body; the role of cutaneous heat loss is minimal. Physiologic thermoregulatory system changes that occur in response to anesthesia make it almost impossible to reverse intraoperative hypothermia.

Ultrasound Evaluation of Gastric Emptying Time in Healthy Term Neonates after Formula Feeding.

Background: The current American Society of Anesthesiologists fasting guideline for formula-fed infants in the periprocedural setting is 6 h. Prolonged fasting in very young infants is associated with an increased risk for hypoglycemia and dehydration as well as patient discomfort and patient/parental dissatisfaction. This study aimed to determine the time to gastric emptying in healthy neonates after formula feeding by serially evaluating the gastric antrum with ultrasound.

Evaluation of physical parameterizations for atmospheric river induced precipitation and application to long-term reconstruction based on three reanalysis datasets in Western Oregon.

Dynamically downscaled precipitation is often used for evaluating sub-daily precipitation behavior on a watershed-scale and for the input to hydrological modeling because of its increasing accuracy and spatiotemporal resolution. Despite these advantages, physical parameterizations in regional models and systematic biases due to the dataset used for boundary conditions greatly influence the quality of downscaled precipitation data. The present paper aims to evaluate the performance and the sensitivities of physical parameterizations of the Weather Research and Forecasting (WRF) model to simulate extreme precipitation associated with atmospheric rivers (ARs) over the Willamette watershed in Oregon.

Aquaporin-4 gene variant independently associated with oedema after intracerebral haemorrhage.

Introduction: Aquaporin-4 (AQP4) is the prominent water-channel protein in the brain playing a critical role in controlling cell water content. After intracerebral haemorrhage (ICH), perihematomal oedema (PHE) formation leads to a rapid increase in intracranial pressure (ICP) after the initial bleed. We sought to investigate the effect of a common genomic variant in the AQP4 gene on PHE formation after ICH.

An evaluation of a zero-heat-flux cutaneous thermometer in cardiac surgical patients.

Background: Although core temperature can be measured invasively, there are currently no widely available, reliable, noninvasive thermometers for its measurement. We thus compared a prototype zero-heat-flux thermometer with simultaneous measurements from a pulmonary artery catheter. Specifically, we tested the hypothesis that zero-heat-flux temperatures are sufficiently accurate for routine clinical use.