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함태수:Hahm Tae-Soo
김원호:Kim Won-Ho/김남초:Kim Nam-Cho/유제복:Yoo Je-Bog
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Abstract
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Purpose : The trend of body temperature change during laparoscopic surgery and the most adequate site for monitoring temperature measurements have not been investigated thoroughly. In this study body temperature change during laparoscopic surgery was measured and measurements of the tympanic, esophageal, and nasopharyngeal core temperatures in surgical patients with total intravenous anesthesia were compared.
Methods : From February to October 2013, 28 laparoscopic surgical patients were recruited from a tertiary hospital in Seoul. The patients’ core temperature was measured 12 times at ten minute intervals from ten minutes after the beginning of endotracheal intubation.
Results : Repeated measure of core temperatures indicated a significant difference according to body part (p=.033), time of measure (p<.001) and the reciprocal interaction between body part and time of measure (p<.027). The core temperatures were highest at tympany location, lowest at nasopharynx. The amount of temperature change was least for the esophagus (36.10~36.33℃), followed by nasopharynx and tympany.
Conclusion : The esophageal core temperature showed the highest stability followed by nasopharyngeal and tympanic temperature. Therefore, close observations are required between 10~20minutes after the beginning of the operation.
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KeyWords
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심부체온, 복강경 수술, 전정맥 전신마취
Core temperature, Laparoscope surgery, Total Intravenous Anesthesia
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원문 및 링크아웃 정보
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등재저널 정보
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