Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia

전정맥 전신마취하(下) 복강경 수술환자의 부위별 심부체온의 변화 평가

  • Hahm, Tae Soo (Department of Anesthesiology and Pain Medicine, Samsung medical Center, Sungkyunkwan University School of medicine) ;
  • Kim, Won Ho (Department of Anesthesiology and Pain Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of medicine) ;
  • Kim, Nam Cho (College of Nursing, Catholic University) ;
  • Yoo, Je Bog (Nursing Science, Gyeongnam National University of Science and Technology)
  • 함태수 (성균관의과대학교 삼성서울병원 마취통증의학과) ;
  • 김원호 (성균관의과대학교 삼성창원병원 마취통증의학과) ;
  • 김남초 (가톨릭대학교 간호학과) ;
  • 유제복 (경남과학기술대학교 간호학과)
  • Received : 2015.05.07
  • Accepted : 2015.10.05
  • Published : 2015.11.30
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Abstract

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 ($36.10{\sim}36.33^{\circ}C$), 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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References

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