Effect of Continuously Warmed Irrigating Solution during Transurethral Resection

Abstract

The effects of a continuously warmed irrigating solution on body temperature during transurethral resection of the prostate and of bladder tumours were studied in forty patients. Anaesthesia was spinal and deep body temperatures of the forehead and lower abdomen were measured, using a deep body thermometry system. Bothforehead and lower abdominal deep body temperatures decreased significantly in the patients who underwent transurethral resection of the prostate with an irrigating solution at operating room temperature, but did not decrease in the patients who received a continuously warmed irrigating solution. The same results were obtained for the patients who underwent transurethral resection of bladder tumour. Our results indicate that a continuously warmed irrigating solution could prevent the fall in body temperature during transurethral resection, especially prostate resection, under spinal anaesthesia.

A systematic review of randomised controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries

“…Five studies were excluded for the following reasons: (1) one study clearly had the wrong data (Yi et al. 2005, p. 10) and we failed to contact the author and (2) four studies (Heathcote & Dyer 1986, Harioka et al. 1988, Mirza et al.…”

“…Five studies were excluded for the following reasons: (1) one study clearly had the wrong data (Yi et al 2005, p. 10) and we failed to contact the author and (2) four studies (Heathcote & Dyer 1986, Harioka et al 1988, Mirza et al 2007, Board & Srinivasan 2008 were non-randomised controlled trials. Finally, 13 eligible trials (Monga et al 1996, Pit et al 1996, Moore et al 1997, Kelly et al 2000, Jaffe et al 2001, Chen & Tong 2002, Fu et al 2004, Sun et al 2006, Okeke 2007, Zeng et al 2008, Ding et al 2009, Kim et al 2009, Xie et al 2009) involving 686 patients with an age range from 28-95AE2 years were selected.…”

“…So, further research is needed to develop non‐invasive and unified temperature monitoring devices for core temperature during anaesthesia. In included studies, patients who underwent transurethral resection were generally older. Harioka et al. (1988, p. 328) suggest that older people tend to exhibit more pronounced and prolonged hypothermia.…”

“…In included studies, patients who underwent transurethral resection were generally older. Harioka et al. (1988, p. 328) suggest that older people tend to exhibit more pronounced and prolonged hypothermia.…”

Effect of irrigation fluid temperature on core temperature and hemodynamic changes in transurethral resection of prostate under spinal anesthesia

“…[101112] Considering a statistical power (β) of 80%, and α error of 5% and clinically significant of temperature difference of 1°C, a total 16 samples was found in each group. In order to allow for potential data loss, it was planned to recruit 20 patients to each group.…”