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자료유형
학술저널
저자정보
유재화 (순천향대학교) Ok Si Young (Soonchunhyang University College of Medicine) Kim Sang Ho (Departments of Anesthesiology and Pain Medicine Soonchunhyang University Hospital) Chung Ji Won (Soonchunhyang University College of Medicine) 박선영 (Departments of Anesthesiology and Pain Medicine Soonchunhyang University Hospital) Kim Mun Gyu (Soonchunhyang University College of Medicine) Cho Ho Bum (Soonchunhyang University College of Medicine) Song Sang Hoon (Departments of Anesthesiology and Pain Medicine Soonchunhyang University Hospital) Choi Yun Jeong (Departments of Anesthesiology and Pain Medicine Soonchunhyang University Hospital) Kim Hyun Ju (Departments of Anesthesiology and Pain Medicine Soonchunhyang University Hospital) Oh Hong Chul (Departments of Thoracic and Cardiovascular Surgery Soonchunhyang University Hospital)
저널정보
대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.75 No.1
발행연도
2022.2
수록면
37 - 46 (10page)
DOI
10.4097/kja.21087

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Background: We compared upper- and lower-body forced-air blankets in terms of their ability to prevent perioperative hypothermia, defined as a reduction in body temperature to < 36.0°C, during the perioperative period in patients undergoing spine surgery in the prone position.Methods: In total, 120 patients scheduled for elective spine surgery under general anesthesia were divided into an upper-warming group (n = 60) and a lower-warming group (n = 60). After inducing anesthesia and preparing the patient for surgery, including prone positioning, the upper and lower bodies of the patients in the upper- and lower-warming groups, respectively, were warmed using a forced-air warmer with specified upper and lower blankets. Body temperature was measured using a tympanic membrane thermometer during the pre- and post-operative periods and using a nasopharyngeal temperature probe during the intraoperative period. Patients were evaluated in terms of shivering, thermal comfort, and satisfaction in the post-anesthesia care unit (PACU).Results: The incidence of intraoperative and postoperative hypothermia was lower in the upper-warming group than in the lower-warming group ([55.2% vs. 75.9%, P = 0.019] and [21.4% vs. 49.1%, P = 0.002]). Perioperative body temperature was higher in the upper-warming group (P < 0.001). However, intraoperative blood loss, postoperative thermal comfort scale and shivering scores, patient satisfaction, and PACU duration were similar in the two groups.Conclusions: The upper-body blanket was more effective than the lower-body blanket for preventing perioperative hypothermia in patients who underwent spine surgery in the prone position.

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