Department of Operating Room, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Ther Hypothermia Temp Manag. 2024 Jun;14(2):118-124. doi: 10.1089/ther.2023.0040. Epub 2023 Sep 25.
To explore the effect of the temperature chain management scheme on inadvertent perioperative hypothermia (IPH) during robot-assisted radical resection of urological tumors. Fifty male patients who underwent elective robot-assisted radical prostatectomy (RARP) or robot-assisted radical cystectomy (RARC) surgery from February 2022 to March 2023 in a teaching hospital were enrolled and randomized to receive either intraoperative warming, including forced-air warming blanket and prewarming fluid (group C) or the temperature chain management involving an active warming bunch covering the whole perioperative period (group T). Comparing the core temperature, IPH rates, the incidence of shivering, recovery from anesthesia, and thermal between the two groups. Perioperative core temperature of group T was higher compared with group C ( < 0.05); IPH rates and the incidence of shivering in postanesthesia care unit (PACU) of group T were lower compared with group C ( < 0.05); group T scored higher in thermal comfort compared with group C after PACU 15 minutes, after PACU 30 minutes, and when leaving the PACU ( < 0.05); group T took shorter time on recovering from anesthesia ( < 0.05). Temperature chain management could reduce IPH and postoperative complications during RARP and RARC.
探讨温度链管理方案对机器人辅助泌尿系统肿瘤根治术中意外围手术期低体温（IPH）的影响。2022 年 2 月至 2023 年 3 月，在一所教学医院，纳入 50 例择期行机器人辅助前列腺根治术（RARP）或机器人辅助根治性膀胱切除术（RARC）的男性患者，随机分为术中加温组（包括强制空气加温毯和预加温液体）（C 组）或温度链管理组（整个围手术期使用主动加温束）（T 组）。比较两组患者的核心体温、IPH 发生率、寒战发生率、麻醉恢复情况和热舒适度。T 组围手术期核心体温高于 C 组（<0.05）；T 组在 PACU 中的 IPH 发生率和寒战发生率低于 C 组（<0.05）；T 组在 PACU 15 分钟、PACU 30 分钟和离开 PACU 时的热舒适度评分均高于 C 组（<0.05）；T 组麻醉恢复时间短于 C 组（<0.05）。温度链管理可减少 RARP 和 RARC 期间的 IPH 和术后并发症。
