Bio-Chemical Analysis Team, Center for Research Equipment, Korea Basic Science Institute, Cheongju 28119, Korea.
Department of Bio-Analytical Science, University of Science and Technology, Daejeon 34113, Korea.
Sensors (Basel). 2022 May 26;22(11):4034. doi: 10.3390/s22114034.
The core body temperature tends to decrease under general anesthesia. Consequently, monitoring the core body temperature during procedures involving general anesthesia is essential to ensure patient safety. In veterinary medicine, rectal temperature is used as an indicator of the core body temperature, owing to the accuracy and convenience of this approach. Some previous studies involving craniotomy reported differences between the brain and core temperatures under general anesthesia. However, noninvasive imaging techniques are required to ascertain this because invasive brain temperature measurements can cause unintended temperature changes by inserting the temperature sensors into the brain or by performing the surgical operations. In this study, we employed in vivo magnetic resonance thermometry to observe the brain temperatures of patients under general anesthesia using the proton resonance frequency shift method. The rectal temperature was also recorded using a fiber optic thermometer during the MR thermometry to compare with the brain temperature changes. When the rectal temperature decreased by 1.4 ± 0.5 °C (mean ± standard deviation), the brain temperature (white matter) decreased by 4.8 ± 0.5 °C. Furthermore, a difference in the temperature reduction of the different types of brain tissue was observed; the reduction in the temperature of white matter exceeded that of gray matter mainly due to the distribution of blood vessels in the gray matter. We also analyzed and interpreted the core temperature changes with the body conditioning scores of subjects to see how the body weight affected the temperature changes.
核心体温在全身麻醉下往往会下降。因此,在涉及全身麻醉的手术过程中监测核心体温对于确保患者安全至关重要。在兽医领域,由于直肠温度测量方法准确且方便,因此通常将直肠温度用作核心体温的指标。一些先前涉及开颅手术的研究报告了全身麻醉下大脑和核心温度之间的差异。但是,需要使用非侵入性成像技术来确定这一点,因为通过将温度传感器插入大脑或进行手术操作,侵入性脑温度测量可能会导致意外的温度变化。在这项研究中,我们使用质子共振频率偏移法通过体内磁共振测温法观察全身麻醉下患者的大脑温度。在磁共振测温过程中,还使用光纤温度计记录直肠温度,以与大脑温度变化进行比较。当直肠温度下降 1.4±0.5°C(平均值±标准差)时,大脑温度(白质)下降 4.8±0.5°C。此外,还观察到不同类型脑组织的温度降低程度存在差异;由于灰质中的血管分布,白质的温度降低超过了灰质。我们还分析和解释了核心温度变化与对象的身体状况评分,以了解体重如何影响温度变化。