Tachibana Shunsuke, Chida Yutaro, Yamakage Michiaki
Department of Anesthesiology, Sapporo Medical University, School of Medicine, Sapporo, South 1, West 16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.
JA Clin Rep. 2019 May 16;5(1):32. doi: 10.1186/s40981-019-0252-z.
Temperature monitoring in the perioperative periods is important in order to avoid both hyperthermia and hypothermia. In our pilot study, we evaluated the usefulness of Bair Hugger™ temperature monitoring system (BHTMS), a forehead deep temperature monitoring system, in the neck and chest under general anesthesia.
After approval from the Sapporo Medical University Research Ethics Board, 30 female patients scheduled for laparoscopic surgery were enrolled in this study. Patients were divided into three groups, depending on the attachment regions of BHTMS sensor. Temperatures obtained from the three regions and each esophageal temperature (T) were monitored and analyzed.
A Bland-Altman plot showed that the mean bias between temperature obtained from the neck and T was + 0.05 °C above T (2SD ± 0.35 °C), and that between temperature obtained from the chest and T was - 0.55 °C above T (2SD ± 0.55 °C).
By using the BHTMS sensor in the neck region, it is possible to monitor core body temperature seamlessly and with high reliability. These results may suggest that the use of BHTMS has high versatility in measuring perioperative core body temperature.
This study was approved by the Sapporo Medical University Research Ethics Board (2015: No. 262-149) and registered with UMIN Clinical Trial Registry ( UMIN000016802 Registered 15 March 2015).
围手术期进行体温监测对于避免体温过高和过低都很重要。在我们的初步研究中，我们评估了一种前额深部体温监测系统——贝尔热合器™体温监测系统（BHTMS）在全身麻醉下颈部和胸部的实用性。
经札幌医科大学研究伦理委员会批准，30例计划行腹腔镜手术的女性患者纳入本研究。根据BHTMS传感器的附着区域，将患者分为三组。对从三个区域获得的温度以及每个食管温度（T）进行监测和分析。
布兰德-奥特曼图显示，从颈部获得的温度与T之间的平均偏差比T高+0.05°C（2标准差±0.35°C），从胸部获得的温度与T之间的平均偏差比T高-0.55°C（2标准差±0.55°C）。
通过在颈部区域使用BHTMS传感器，可以无缝且高度可靠地监测核心体温。这些结果可能表明，BHTMS在测量围手术期核心体温方面具有很高的通用性。
本研究经札幌医科大学研究伦理委员会批准（2015：第262-149号），并在UMIN临床试验注册中心注册（UMIN000016802，2015年3月15日注册）。
