The Effect of Temperature Chain Management Scheme During Gynecological Laparoscopic Surgery Under General Anesthesia.

IF 1 4区医学 Q4 CRITICAL CARE MEDICINE

Therapeutic hypothermia and temperature management Pub Date : 2025-08-25 DOI:10.1177/21537658251372312

Lanxia Pan, Yuelei Dong, Fengxia Chen

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Abstract

This study aimed to explore the effect of the temperature chain management scheme on inadvertent perioperative hypothermia (IPH) during gynecological laparoscopic surgery. A total of 48 female adult patients who underwent elective gynecological laparoscopic surgery under general anesthesia from November 2023 to April 2024 in a teaching hospital were enrolled and randomized to receive either intraoperative prewarming fluid alone (Group C) or temperature chain management (Group T). Comparing the perioperative core and peripheral temperatures, IPH rates, shivering in postanesthesia care unit (PACU), and thermal comfort in two groups, perioperative core temperature of Group T was higher than that of Group C (p < 0.05); IPH rates and the incidence of shivering in PACU of Group T were lower than that of Group C (p < 0.05); Group T scored higher in thermal comfort than Group C when entering PACU (p < 0.05). This study reports that the use of intraoperative prewarming fluid alone does not sufficiently warm the patients. The optimal temperature management is achieved when using temperature chain management during gynecological laparoscopic surgery.

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温度链管理方案对全麻下妇科腹腔镜手术的影响。

本研究旨在探讨温度链管理方案对妇科腹腔镜手术中意外围手术期低体温（IPH）的影响。选取某教学医院于2023年11月至2024年4月在全麻下行选择性妇科腹腔镜手术的女性成年患者48例，随机分为单纯术中预热液组（C组）和温度链管理组（T组）。比较两组围术期核心温度、外周温度、IPH率、麻醉后护理病房（PACU）寒战及热舒适，T组围术期核心温度高于C组（p < 0.05）；T组IPH率和PACU寒战发生率低于C组（p < 0.05）；进入PACU时，T组热舒适评分高于C组（p < 0.05）。本研究报告，单纯使用术中预热液并不能充分加热患者。在妇科腹腔镜手术中采用温度链管理可达到最佳的温度管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Therapeutic hypothermia and temperature management CRITICAL CARE MEDICINE-

CiteScore

2.50

自引率

8.30%

发文量

期刊介绍： Therapeutic Hypothermia and Temperature Management is the first and only journal to cover all aspects of hypothermia and temperature considerations relevant to this exciting field, including its application in cardiac arrest, spinal cord and traumatic brain injury, stroke, burns, and much more. The Journal provides a strong multidisciplinary forum to ensure that research advances are well disseminated, and that therapeutic hypothermia is well understood and used effectively to enhance patient outcomes. Novel findings from translational preclinical investigations as well as clinical studies and trials are featured in original articles, state-of-the-art review articles, protocols and best practices. Therapeutic Hypothermia and Temperature Management coverage includes: Temperature mechanisms and cooling strategies Protocols, risk factors, and drug interventions Intraoperative considerations Post-resuscitation cooling ICU management.