Maintenance of normothermia at operation room temperature of 24 °C in adult and pediatric patients undergoing liver transplantation

被引:24
作者
Huang, CJ
Chen, CL
Tseng, CC
Luk, HN
De Villa, V
Wang, CS
Chen, YS
Wang, CC
Cheng, YF
Huang, TL
Chiu, KW
Wang, SH
Lin, CC
Lin, TS
Liu, YW
Jawan, B
机构
[1] Chang Gung Mem Hosp, Dept Anesthesiol, Kaohsiung Med Ctr, Niao Sung 08335, Taiwan
[2] Chang Chung Univ, Chang Gung Mem Hosp, Liver Transplantat Program, Kaohsiung Med Ctr, Taipei, Taiwan
关键词
adult; anesthesia; general; liver; liver transplantation; monitoring; nasopharyngeal temperature; organ; patient; pediatric; surgery;
D O I
10.1111/j.1432-2277.2004.00040.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Hypothermia. is common during surgery in regular operating room (OR) temperature. The effect of increasing the OR temperature to 24 degrees C coupled with simple warming measures to maintain normothermia in both pediatric and adult patients during living donor liver transplantation (LDLT) was evaluated. One hundred patients undergoing LDLT were separated into pediatric (GI) and adult (GII) groups. Nasopharyngeal temperature (NT) at each hour for the first 6 h, at the time of anhepatic phase, 5 and 30 min after reperfusion, and each hour for the last 2 h of the operation was recorded, compared and analyzed. A significant difference in core temperature variation was noted between the two groups. GI tended to be hyperthermic, while GII remained mildly hypothermic throughout the procedure. A sudden decrease of NT was observed in both groups during the anhepatic and reperfusion phases. Correlation between liver graft weight over recipient body weight ratio rather than the graft weight itself was found in GI, but no such correlation was found in GII. OR temperature of 24 degrees C, together with simple active and passive warming measures are more effective in maintaining normothermia. during liver transplantation in pediatric patients than in adults.
引用
收藏
页码:396 / 400
页数:5
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