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Hypothermia occurs frequently during general anesthesia. This study is to evaluate the efficacy of 10 minutes of prewarming and warmed fluid during urologic surgery.
During general anesthesia, vasodilation distributes body heat and leads to hypothermia. Especially during urologic operation (transurethral resection of bladder and prostate), bladder irrigation worsens hypothermia. Hence, various methods are used to maintain core temperature during operation.
Previous studies have demonstrated that prewarming of the patient is effective in maintaining core temperature perioperatively. However, more than 50% of patients who have applied prewarming for more than 30 minutes preoperatively are reported to fall in hypothermia. Hence, developing simple and effective method to prevent hypothermia is expected.
Hence, the investigators planned to examine the effect of active warming (10 minutes of prewarming preoperatively and prewarmed intravenous fluid intraoperatively) on hypothermia in patients undergoing urologic operation under general anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| warming group | Active Comparator | Warming group patients are applied prewarming with bair-hugger (43'C)(warm touch, COVIDIEN, full body blanket) for 10 minutes in the preanesthetic unit prior to induction of anesthesia. During operation, prewarmed intravenous fluid which was stored in the warming cabinet for more than 8 hours is connected and infused. Forced air blanket (warm touch, COVIDIEN, upper body blanket) with 38'C is applied for all patients during the operation. |
|
| no warming group | No Intervention | No warming group patients are not applied prewarming devices. Intravenous fluid stored in room air is connected and infused during the operation. Forced air blanket (warm touch, COVIDIEN, upper body blanket) with 38'C is applied for all patients during the operation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| prewarming and warmed fluid infusion | Other | prewarming with forced air warming system and warmed fluid infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of hypothermia at the end of the operation | after completion of the operation, number of patients with hypothermia (<36'C) using esophageal stethoscope will be recorded. | approximately 1-2hours after induction (at the end of operation) |
| Measure | Description | Time Frame |
|---|---|---|
| change in temperature before and end of operation | change in core temperature will be calculated and compared | on arrival at the OR upto 1-2hours after induction (at the end of the operation) |
| incidence of shivering |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| In-Jung Jun, MD. PhD | Associate professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sanggye Paik Hospital | Seoul | South Korea |
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| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D007035 | Hypothermia |
| ID | Term |
|---|---|
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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shivering will be evaluated using 4 point shivering scale (0=none, 1=core and neck shivering, 2= upper extremity 3= whole body)
| upto 1 hour after end of the operation (on arrival at the postanesthesia care unit) |
| thermal comfort | thermal comfort will be evaluated using thermal comfort scale ( 0= very cold, 5= fine, 10= very hot and uncomfortable) | upto 1hour after end of the operation (at discharge of postanesthesia care unit) |
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |