10분 수술 전 가온이 주술기 저체온 예방에 미치는 효과: 30분 수술 전 가온과의 비교 연구The effect of 10 minutes of prewarming for prevention of inadvertent perioperative hypothermia: comparison with 30 minutes of prewarming
- Other Titles
- The effect of 10 minutes of prewarming for prevention of inadvertent perioperative hypothermia: comparison with 30 minutes of prewarming
- Authors
- 유재화; 옥시영; 김상호; 박선영; 한유미; 김도연
- Issue Date
- 2018
- Publisher
- 대한마취통증의학회
- Keywords
- Forced-air warming; Perioperative hypothermia; Preoperative warming.
- Citation
- Anesthesia and Pain Medicine, v.13, no.4, pp 447 - 453
- Pages
- 7
- Journal Title
- Anesthesia and Pain Medicine
- Volume
- 13
- Number
- 4
- Start Page
- 447
- End Page
- 453
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6499
- DOI
- 10.17085/apm.2018.13.4.447
- ISSN
- 1975-5171
2383-7977
- Abstract
- Background: At least 30 minutes of pre-warming has been recommended for the prevention of redistribution hypothermia. However, it has been reported that less than 30 minutes of pre-warming is also effective. The aim of this study was to evaluate the ability of 10 minutes of pre-warming to prevent inadvertent perioperative hypothermia. Results were compared with 30 minutes of pre-warming.
Methods: In this prospective randomized study, 59 patients scheduled for elective surgery less than 120 minutes under general anesthesia were divided into 2 groups: the first group was pre-warmed for 10 minutes (n = 30), the second group for 30 minutes (n = 29). The patients were pre-warmed for 10 or 30 minutes in the pre-anesthetic area using a forced-air warmer. When the patients’ body temperatures decreased below 36°C, we warmed them with a forced-air warmer intraoperatively and postoperatively.
Body temperatures were recorded during perioperative periods. Shivering and thermal comfort were evaluated in the pre-anesthetic area and post-anesthesia care unit.
Results: The incidence of intraoperative and postoperative hypothermia were not significantly different (P > 0.05). However, the temperatures were higher in the 30 minute group from the post-warming time to 90 minutes after anesthetic induction (P < 0.05).
Conclusions: Ten minutes of pre-warming has the same effectiveness as 30 minutes of pre-warming for preventing inadvertent perioperative hypothermia. It is a preferable choice for the patients scheduled for surgery less than 120 minutes under general anesthesia.
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Collections - College of Medicine > Department of Anesthesiology > 1. Journal Articles
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