Abstract:
PURPOSE:Inadvertent hypothermia is a relatively common intraoperative complication. Few studies have investigated predictors of body temperature change or the effect of the blanket type used with a forced-air warming device during the intraoperative period. We investigated the predictive factors of intraoperative body temperature change in scheduled abdominal surgery. METHODS:We retrospectively reviewed the data from 2574 consecutive adult patients who underwent scheduled abdominal surgery in the supine position. Temperature data were collected from anesthesia records. Multiple regression analysis was performed at 60, 120, and 180 min after the surgical incision to identify the factors influencing body temperature change. We conducted nonlinear regression analysis using the equation ΔT = α (e-γt-1) + βt, where ΔT represented the change in intraoperative core temperature (°C), t represented the surgical duration (minutes), and α, β, and γ were constants. RESULTS:The intraoperative core temperature change was explained by the equation ΔT = 0.59 (e- 0.018t - 1) + 0.0043t. Younger age, higher body mass index (BMI), male sex, laparoscopic surgery, and use of an underbody blanket were associated with increased core temperature at 1 or 2 h after surgical incision. Male sex and an underbody blanket remained strong predictive variables even 3 h after surgical incision, whereas BMI had little explanatory power at this timepoint. The difference in the heating effect of an underbody versus an overbody blanket was 0.0012 °C per minute. CONCLUSIONS:The blanket type of the forced-air warmer, age, sex, laparoscopic surgery, and BMI are predictors of intraoperative core temperature change.
journal_name
J Anesthjournal_title
Journal of anesthesiaauthors
Miyazaki R,Hoka Sdoi
10.1007/s00540-018-2585-6subject
Has Abstractpub_date
2019-02-01 00:00:00pages
67-73issue
1eissn
0913-8668issn
1438-8359pii
10.1007/s00540-018-2585-6journal_volume
33pub_type
杂志文章abstract::We describe a case of near-fatal asthma requiring extracorporeal membrane oxygenation (ECMO). The patient presented with severe respiratory distress, which was not responsive to conventional pharmacological therapy. The patient also failed to respond to mechanical ventilation and thus was placed on venovenous ECMO for...
journal_title:Journal of anesthesia
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journal_title:Journal of anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of anesthesia
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journal_title:Journal of anesthesia
pub_type: 杂志文章
doi:10.1007/s00540-006-0443-4
更新日期:2007-01-01 00:00:00
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journal_title:Journal of anesthesia
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pub_type: 杂志文章,实务指引
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journal_title:Journal of anesthesia
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doi:10.1007/s005400300024
更新日期:2003-01-01 00:00:00
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journal_title:Journal of anesthesia
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pub_type: 临床试验,杂志文章
doi:10.1007/s00540-013-1658-9
更新日期:2014-02-01 00:00:00
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doi:10.1007/s005400200024
更新日期:2002-01-01 00:00:00
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更新日期:2017-12-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of anesthesia
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doi:10.1007/s0054090030074
更新日期:1989-03-01 00:00:00
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journal_title:Journal of anesthesia
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更新日期:2013-04-01 00:00:00
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更新日期:2021-02-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00540-015-2060-6
更新日期:2015-12-01 00:00:00
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pub_type: 杂志文章,收录出版
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更新日期:2020-10-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章,随机对照试验
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更新日期:2012-06-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
doi:10.1007/s00540-013-1708-3
更新日期:2014-04-01 00:00:00
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更新日期:2020-06-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
doi:10.1007/s00540-016-2139-8
更新日期:2016-06-01 00:00:00
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journal_title:Journal of anesthesia
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更新日期:1990-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00