- Volume 22 Issue 4
DOI QR Code
Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia
전정맥 전신마취하(下) 복강경 수술환자의 부위별 심부체온의 변화 평가
- Received : 2015.05.07
- Accepted : 2015.10.05
- Published : 2015.11.30
Purpose: The trend of body temperature change during laparoscopic surgery and the most adequate site for monitoring temperature measurements have not been investigated thoroughly. In this study body temperature change during laparoscopic surgery was measured and measurements of the tympanic, esophageal, and nasopharyngeal core temperatures in surgical patients with total intravenous anesthesia were compared. Methods: From February to October 2013, 28 laparoscopic surgical patients were recruited from a tertiary hospital in Seoul. The patients' core temperature was measured 12 times at ten minute intervals from ten minutes after the beginning of endotracheal intubation. Results: Repeated measure of core temperatures indicated a significant difference according to body part (p=.033), time of measure (p<.001) and the reciprocal interaction between body part and time of measure (p<.027). The core temperatures were highest at tympany location, lowest at nasopharynx. The amount of temperature change was least for the esophagus (
Core temperature;Laparoscope surgery;Total Intravenous Anesthesia
- Kim SS. Factors delayed emergence from general anesthesia in operating room [master's thesis]. Seoul: Kyung Hee University; 2015. p. 1-67.
- Hong KH. Monitoring and anesthesia record. In: The Korean Society of Anesthesiologists, Anesthesiology and pain medicine. 2nd ed. Seoul: Ryomoongak; 2005. p. 80-91.
- Park PH. Inhalational anestesia. In: The Korean Society of Anesthesiologists, Anesthesiology and pain medicine. 2nd ed. Seoul: Ryomoongak; 2005. p. 114-129.
- Lim SH. Interavenous anesthesia. In: The Korean Society of Anesthesiologists, Anesthesiology and pain medicine. 2nd ed. Seoul: Ryomoongak; 2005. p. 141-143.
- Im UJ, Lee DJ, Kim MC, Lee JS, Lee SJ. Difference in core temperature in response to Propofol-remifentanil anesthesia and Sevoflurane-remifentanil anesthesia. Korean Journal of Anesthesiology. 2009;57(6):704-708. http://dx.doi.org/10.4097/kjae.2009.57.6.704 https://doi.org/10.4097/kjae.2009.57.6.704
- Nam SW, Kwon SB, Kim SK, Kim JS, Son SC. Effects of low dose propofol on core and peripheral temperatures during spinal anesthesia. Korean Journal of Anesthesiology. 2005;49(1):53-58. https://doi.org/10.4097/kjae.2005.49.1.53
- Cooper S. The effect of preoperative z warming on patients' postoperative temperatures. ssociation of Perioperative Registered Nurses Journal. 2006;83(5):1073-1084.
- Jung HM, Kim MH. Effects of a warmed blanket for the relieving of cold discomfort after cesarean section. Journal of Korean Academy of Fundamentals of Nursing. 2000; 7(1):16-29.
- Jang HJ. Temperature change in adults in during surgery and recovery [master's thesis]. Seoul: Ewha University; 1990. p. 1-61.
- Kim JS. Anesthesia and temperature. Korean Journal of Anesthesiology. 2004;47(5):609-616. https://doi.org/10.4097/kjae.2004.47.5.609
- Kim HJ, Jeon GE, Choi JM, Jeong SM, Seong KW, Yang HS. The effects of temperature monitoring methods and thermal management methods during spinal surgery. Korean Journal of Anesthesiology. 2008;54(6):623-628. http://dx.doi.org/10.4097/kjae.2008.54.6.623 https://doi.org/10.4097/kjae.2008.54.6.623
- Adriani MB, Moriber N. Preoperative forced-air warming combined with intraoperative warming versus intraoperative warming alone in the prevention of hypothermia during gynecologic surgery. Journal of American Association of Nurse Anesthetists. 2013;81(6):446-451.
- Han HJ, Jeong SR, Lee SH, Choe GR, Cha NJ, Sin YR. The effect of warming intravenous fluids on body temperature change under a general anesthesia, shivering, and recovery. Journal of Korean Clinical Nursing Research. 2010;16(1): 71-82.
- Ryu JH. Effect of warming intravenous fluids to prevent hypothermia during surgical operation [master's thesis]. Seoul: Chung-ang University; 2007. p. 33.
- Cho EJ, Lee KS, Hong SJ. Comparison of core temperature changes during prolonged laparoscopic and open surgery. Korean Journal of Anesthesiology. 2007;52(2):150-155. http://dx.doi.org/10.4097/kjae.2007.52.2.150 https://doi.org/10.4097/kjae.2007.52.2.150
- Lawson L, Bridges EJ, Ballou I, Eraker R, Greco S, Shively J, et al. Accuracy and precision of noninvasive temperature measurement in adult intensive care patients. American Journal of Critical Care. 2007;16(5):485-496.
- Makic MB, Lovett K, Azam MF. Placement of an esophageal temperature probe by nurses. American Association of Critical-care Nurse Advanced Critical Care. 2012;23(1):24-31.
- Shong KY, Park HS, Hong YH, Yoon EJ, Lee KY. Fundamentals of nursing. Seoul: Soomoonsa; 2011.
- Yun KW, Lim IS. A study for accuracy and usefulness of tympanic membrane and forehead thermometers. Korean Journal of Pediatrics. 2005;48(8):820-825.
- Joo G, Sohng KY. Accuracy, precision, and validity of fever detection using non-invasive temperature measurement in adult coronary care unit patients with pulmonary catheters. Journal of Korean Academy of Nursing. 2012;42(3):424-433. http://dx.doi.org/10.4040/jkan.2012.42.3.424 https://doi.org/10.4040/jkan.2012.42.3.424
- Shiraki K, Konda N, Sagawa S. Esophageal and tympanic temperature responses to core blood temperature changes during hypothermia. Journal of Applied Physiology. 1986; 61(1):98-102. https://doi.org/10.1152/jappl.19126.96.36.199
- Brooks S, Khan A, Stoica D, Griffith J, Friedeman L, Mukherji R, et al. Reduction in vancomycin-resistant enterococcus and clostridium difficile infections following change to tympanic thermometers. Infection Control and Hospital Epidemiology. 1998;19(5):333-336. http://dx.doi.org/10.1086/647824 https://doi.org/10.2307/30141374
- Craig JV, Lancaster GA, Taylor S, Williamson PR, Smyth RL. Infrared ear thermometry compared with rectal thermometry in children: A systematic review. The Lancet. 2002;360 (9333):603-609. http://dx.doi.org/10.1016/S0140-6736(02)09783-0 https://doi.org/10.1016/S0140-6736(02)09783-0
- Park H, Yoon H. A comparison of the effects of intravenous fluid warming and skin surface warming on peri-operative body temperature and acid base balance of elderly patients with abdominal surgery. Journal of Korean Academy of Nursing. 2007;37(7):1061-1072. https://doi.org/10.4040/jkan.2007.37.7.1061
- Matsukawa T, Kurz A, Sessler DI, Bjorksten AR, Merrifield B, Cheng C. Propofol linearly reduces the vasoconstriction and shivering thresholds. Anesthesiology. 1995;82(5): 1169-1180. http://dx.doi.org/10.1097/00000542-199505000-00012 https://doi.org/10.1097/00000542-199505000-00012
- Bessell. JR, Ludbrook G, Millard SH, Baxter PS, Ubhi SS, Maddern GJ. Humidified gas prevents hypothermia induced by laparoscopic insufflation: A randomized controlled study in a pig model. Surgical Endoscopy. 1999;13(2):101-105. https://doi.org/10.1007/s004649900914