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评价主动升温与手术铺单在实验小鼠围手术期体温支持中的应用。

Evaluation of Active Warming and Surgical Draping for Perioperative Thermal Support in Laboratory Mice.

机构信息

College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.

Center for Statistical Training and Consulting, Michigan State University, East Lansing, Michigan.

出版信息

J Am Assoc Lab Anim Sci. 2022 Sep 1;61(5):482-494. doi: 10.30802/AALAS-JAALAS-21-000036. Epub 2022 Aug 31.

Abstract

Surgical procedures are commonly performed using mice but can have major effects on their core body temperature, including development of hypothermia. In this study, we evaluated active perioperative warming with and without surgical draping with adherent plastic wrap to refine practices, improve animal welfare, and optimize research experiments. Mice were randomized into treatment groups ( = 6; 8 CD1 mice per group). Treatments included placement within a small-animal forced-air incubator at 38 ° C for 30 min before surgery (Pre), after surgery (Post), or before and after surgery (Both). To explore the effect of surgical draping, one group received incubator warming before and after surgery in addition to surgical draping (Both/ Drape), whereas another group received surgical draping only without incubator warming (Control/Drape). The final group of mice received neither warming nor draping (Control). Subcutaneous temperature transponders were placed in all mice. Approximately 5 d after transponder placement, mice were anesthetized with ketamine-xylazine and underwent laparotomy. Subcutaneous body temperatures were collected perioperatively from transponders, and rectal temperatures were taken every minute during surgery. For recovery from anesthesia, mice were placed either in a standard cage on a warm water blanket set to 38 °C (100.4 °F) or in the incubator. Subcutaneous body temperatures were significantly higher in mice prewarmed for 30 min (Pre, Both, Both/Drape) as compared with mice that were not prewarmed. Anesthetic recovery times were significantly longer for mice placed in the incubator (Pre, Post, Both, Both/Drape) than for those that did not receive incubator warming (Control, Control/Drape). Mean intraoperative rectal temperatures of Both/Drape mice tended to be greater than those of mice in the Both group, suggesting a warming benefit of surgical draping. Using a forced air incubator and adherent plastic draping mitigated body temperature loss in mice during both surgery and postoperative recovery.

摘要

手术过程中通常使用小鼠,但这会对其核心体温产生重大影响,包括出现体温过低。在这项研究中,我们评估了在使用和不使用粘性塑料手术覆盖物进行手术覆盖物的情况下,主动围手术期加热对手术的影响,以改进实践、提高动物福利和优化研究实验。将小鼠随机分为治疗组(每组 6 只;每组 8 只 CD1 小鼠)。处理包括在手术前 30 分钟将小鼠置于小型动物强制空气孵育器中,在 38°C 下孵育(术前,Pre),在手术后(术后,Post)或在手术前后(两者,Both)。为了探索手术覆盖物的影响,一组在手术前后接受孵育器加热,并接受手术覆盖物(两者/覆盖物,Both/Drape),而另一组仅接受手术覆盖物而不接受孵育器加热(对照组/覆盖物,Control/Drape)。最后一组小鼠既不接受加热也不接受覆盖物(对照组,Control)。所有小鼠均放置皮下温度传感器。大约在放置传感器 5 天后,用氯胺酮-甲苯噻嗪麻醉小鼠并进行剖腹术。在围手术期间从传感器收集皮下体温,在手术期间每分钟采集直肠温度。为了从麻醉中恢复,将小鼠放在设定为 38°C(100.4°F)的温水毯上的标准笼中或孵育器中。与未预热的小鼠相比,预加热 30 分钟的小鼠(术前,两者,两者/覆盖物)的皮下体温显著升高。与未接受孵育器加热的小鼠(对照组,对照组/覆盖物)相比,放置在孵育器中的小鼠(术前,术后,两者,两者/覆盖物)的麻醉恢复时间显著延长。Both/Drape 小鼠的术中直肠平均体温趋于高于 Both 组的小鼠,表明手术覆盖物具有加热益处。使用强制空气孵育器和粘性塑料覆盖物可减轻手术中和术后恢复期小鼠的体温下降。

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本文引用的文献

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