Effects of Different Operating Room Temperatures on the Body Temperature Undergoing Live Liver Donor Hepatectomy

Wang, C.S.; Chen, C.L.; Huang, Chia-Jung; Cheng, K.-W.; Chen, K.H.; Wang, C.C.; Concejero, Allan M.; Cheng, Yu‐Fan; Huang, Tung‐Liang; Wang, S.H.; Lin, Chih‐Che; Liu, Y.W.; Yong, Chee‐Chien; Yang, Chien‐Hsin; Jawan, Bruno

doi:10.1016/j.transproceed.2008.07.077

Cited by 12 publications

(3 citation statements)

References 11 publications

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“…They compared the two groups in which the room temperatures were maintained as 19-21°C and 24 °C. They found a difference of at least 0.5 °C between nasopharyngeal measurements of body temperatures (10).…”

Section: Disscussionmentioning

confidence: 97%

The Effects of Minimal, Low and High Flow Anesthesia on Body Temperature and Tissue Oxygenation in Nasal Surgeries

KESİMAL

Kazancıoğlu

Kazdal

et al. 2023

Kocatepe Tıp Dergisi

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OBJECTIVE: Intraoperative high fresh gas flow may cause Inadvertent perioperative hypothermia (IPH). For this reason, low and minimal flow anesthesia methods that improve the anesthesia climate are applied. We aimed to investigate the effects of minimal, low and high flow anesthesia on body temperature and tissue oxygenation in patients undergoing elective nasal surgery.MATERIAL AND METHODS: Prospective randomized controlled study included 92 patients aged 18-60 years, ASA1-2 operation time 1-4 hours, scheduled for elective nasal surgery under hypotensive anesthesia. The patients were divided into Group 1 (0.5Lmin-1), Group 2 (1Lmin-1) and Group 3 (2 Lmin-1). Demographic and operative data of the patients, preoperative waiting room temperature, intraoperative operating room temperature, intraoperative body temperature, anesthesia breathing circuit humidity and temperature, tissue oxygen saturation, 0th, 15th, 30th, 60th, 90th, 120th, 150thmin and postoperative shivering, Aldrete score, room temperature and body temperatures in the recovery unit were recorded.RESULTS: Perioperative hypothermia developed in all patients (p=0.001). Tympanic temperatures were similar in all three groups (p>0.05). In the subgroup comparison, it was found that the tissue oxygen saturation (StO2) 60 th min value of Group1 was higher than Group 2 (p=0.046). It was found statistically significant that the StO2 90 th min value of Group1 was higher than that of Group 2 and 3 (p=0.013, p=0.013). It was statistically significant that the StO2 120th min value of Group1 was higher than Group 3 (p=0.008).In Group1, postoperativeAldrete score was found to be significantly higher than the other two groups(p=0.002, p=0.002). A correlation was found between operating room temperature, postoperative recovery room temperature, and body temperature(r=.446, p<0.05;r=.531, p<0.01).CONCLUSIONS: Inadvertent perioperative hypothermia developed in all patients who underwent elective nasal surgery with hypotensive anesthesia in minimal, low and high flow anesthesia applications. It was observed that body temperatures, humidity and the temperature of the anesthesia period were similar in all groups. Tissue oxygen saturation was higher in the minimal flow anesthesia group and Aldrete score was higher in the postoperative recovery unit. Minimal flow anesthesia applications can be a good alternative to prevent IPH. However, we think that more studies are needed for the effects of low-flow anesthesia techniques at the tissue level.

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Section: Disscussionmentioning

confidence: 97%

The Effects of Minimal, Low and High Flow Anesthesia on Body Temperature and Tissue Oxygenation in Nasal Surgeries

KESİMAL

Kazancıoğlu

Kazdal

et al. 2023

Kocatepe Tıp Dergisi

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show abstract

“…El-Gamal et al 9 found for orthopedic procedures (on non-burn patients) that the incidence of perioperative hypothermia is reduced from approximately 50% associated with OR ambient temperatures of 20-23°C, to <10% with an ambient temperature of 25.8°C. Wang et al 10 determined that for live liver donor hepatectomy surgeries, ambient temperatures of 24°C showed better maintenance of core temperature than temperatures of 19-21°C.…”

Section: Temperature Necessary To Prevent Hypothermiamentioning

confidence: 99%

The Impact of Ambient Temperature Control Across Various Care Settings on Outcomes in Burn Patients: A Review Article

Kinter

Alfaro

Sutherland

et al. 2021

The American Surgeon

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Ambient/room temperature settings in burn treatment areas vary greatly due to a lack of evidence-based guidelines to direct care. While it is generally understood that ambient/room temperature impacts patient body temperature and metabolism, the ideal settings for optimizing patient outcomes are unclear. The literature assessing this topic is scarce, with many of the articles having significant limitations. We aim to summarize the current evidence for ambient/room temperature control, to address gaps in current reviews addressing this topic, and to elucidate topics requiring further research. PubMed and Google Scholar databases were queried for studies which evaluated the effect of the ambient/room temperature on burn patient core body temperature, patient metabolism, and outcomes among those treated in trauma bays, burn ICUs, and operating rooms. Although existing literature lacks sufficient patient outcome data regarding specific ambient/room temperatures, we highlight physiological processes that are impacted by changes in room temperatures in an effort to describe strategies that can allow for improved patient core body temperature control and outcomes in burn care settings.

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“…63,64 If necessary, supplemental heat sources should be used, but care must be taken to prevent hyperthermia and thermal burns. Studies [66][67][68] in human medicine demonstrate that patients remain warmer with warmer environmental temperatures in the preoperative, surgery, and recovery areas.…”

Section: Perioperative Thermoregulationmentioning

confidence: 99%

The Association of Shelter Veterinarians’ 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs

Griffin¹,

Bushby²,

McCobb³

et al. 2016

javma

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As community efforts to reduce the overpopulation and euthanasia of unwanted and unowned cats and dogs have increased, many veterinarians have increasingly focused their clinical efforts on the provision of spay-neuter services. Because of the wide range of geographic and demographic needs, a wide variety of spay-neuter programs have been developed to increase delivery of services to targeted populations of animals, including stationary and mobile clinics, MASHstyle operations, shelter services, community cat programs, and services provided through private practitioners. In an effort to promote consistent, high-quality care across the broad range of these programs, the Association of Shelter Veterinarians convened a task force of veterinarians to develop veterinary medical care guidelines for spay-neuter programs. These guidelines consist of recommendations for general patient care and clinical procedures, preoperative care, anesthetic management, surgical procedures, postoperative care, and operations management. They were based on current principles of anesthesiology, critical care medicine, infection control, and surgical practice, as determined from published evidence and expert opinion. They represent acceptable practices that are attainable in spay-neuter programs regardless of location, facility, or type of program. The Association of Shelter Veterinarians envisions that these guidelines will be used by the profession to maintain consistent veterinary medical care in all settings where spay-neuter services are provided and to promote these services as a means of reducing sheltering and euthanasia of cats and dogs.

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Effects of Different Operating Room Temperatures on the Body Temperature Undergoing Live Liver Donor Hepatectomy

Cited by 12 publications

References 11 publications

The Effects of Minimal, Low and High Flow Anesthesia on Body Temperature and Tissue Oxygenation in Nasal Surgeries

The Effects of Minimal, Low and High Flow Anesthesia on Body Temperature and Tissue Oxygenation in Nasal Surgeries

The Impact of Ambient Temperature Control Across Various Care Settings on Outcomes in Burn Patients: A Review Article

The Association of Shelter Veterinarians’ 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs

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