Effect of the Irrigation Fluid Temperature on Core Temperature in Transurethral Resection of Prostate Patients Under Spinal Versus General Anaesthesia

Abstract

Cite this articleKumar R, Asthana V, Sharma JP, Lal S. Effect of the irrigation fluid temperature on core temperature in Transurethral resection of prostate patients under spinal versus general anaesthesia. ABSTRACTCopyright 2018 by Asthana V. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited. Study DesignProspective, randomized control trial. ObjectivesTo evaluate and compare the effect of warm and unwarmed irrigation fluid and anaesthetic technique on core temperature in patients undergoing Transurethral resection of prostate. Summary of Background DataMaterial and Methods: The present study was conducted in 80 patients belonging to age group18-75 yrs of posted for TURP under general anaesthesia or spinal anaesthesia. Group A: General Anaesthesia with irrigation fluid at room temperature. Group B: GeneralAnaesthesia with irrigation fluid at 37 °C. Group C: Spinal Anaesthesia with irrigation fluid at room temperature. Group D: Spinal Anaesthesia with irrigation fluid at at 37 °C. ResultsAmongst the four Groups, all the subjects showed consistently reduced core temperature which was statistically significant (p<0.05) at all time intervals. Core temperatures were lower in the group receiving unwarmed irrigation fluid compared with the prewarmed irrigation fluid group at the end of surgery. The mean decrease in core temperature at the end of surgery 4.Use of prewarm irrigation fluid resulted in lesser drop in core temperature as compared than that receiving unwarmed irrigation fluid. The drop was relatively least in patients under general anaesthesia.