Effect of Preoperative Forced-Air Warming on Hypothermia in Elderly Patients Undergoing Transurethral Resection of the Prostate
- Authors
- Jo, Youn Yi; Chang, Young Jin; Kim, Yong Beom; Lee, Sehwan; Kwak, Hyun Jeong
- Issue Date
- Sep-2015
- Publisher
- UROL & NEPHROL RES CTR-UNRC
- Keywords
- anesthesia; spinal; body temperature; hypothermia; etiology; prevention & control; transurethral resection of prostate; adverse effects
- Citation
- UROLOGY JOURNAL, v.12, no.5, pp.2366 - 2370
- Journal Title
- UROLOGY JOURNAL
- Volume
- 12
- Number
- 5
- Start Page
- 2366
- End Page
- 2370
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/10231
- ISSN
- 1735-1308
- Abstract
- Purpose: Elderly patients under spinal anesthesia are vulnerable to hypothermia, leading to increased morbidity. The aim of this study was to investigate the effects of preoperative forced-air warming on perioperative hypothermia and shivering in elderly patients undergoing transurethral resection of the prostate (TURP) under spinal anesthesia. Materials and Methods: Patients (> 65-year-old) scheduled for TURP under spinal anesthesia were randomly assigned to receive preoperative forced-air skin warming for 20 min (the pre-warmed group, n = 25) or not (control group, n = 25). Core temperatures were measured at 15-min intervals after spinal anesthesia, and intra- and post-operative shivering were also assessed. Results: Incidences of intraoperative hypothermia (< 36 degrees C) in the pre-warmed and control groups were not significantly different (10/25 [40%] vs. 15/24 [62.5%], P =.259). However, severities of hypothermia were significantly different (P =.019). No patient in the pre-warmed group showed moderate or profound hypothermia, whereas of patients in control group 21% and 13% did so, respectively. Conclusion: This study demonstrated that a brief period of preoperative forced-air warming did not completely prevent intraoperative hypothermia or shivering, but it could significantly reduce its severity in elderly male patients under spinal anesthesia.
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