Yamauchi M, Kanaya N, Okazaki K, Kita A, Namiki A
Department of Anesthesiology, Sapporo Medical University.
Masui. 1996 Jul;45(7):873-5.
A 63-year old man was scheduled for nephrectomy and cholecystectomy. Anesthesia was maintained by oxygen-nitrous oxide-isoflurane (0.5 approximately 1%) and epidural anesthesia. Operation was performed with the patient on left decubitus position. At this time, rectal temperature as his core temperature was 35.8 degrees C. Active warming with electrical warming mattress was started and the room temperature was maintained at 25 degrees C during the operation. Thirty minutes after the abdominal incision, rectal temperature decreased to 34.5 degrees C. Active warming was started with forced-air warming system (Warm Touch, Mallinckrodt Medical Co.) on his upper body. Ten minutes after warming, his body temperatures were restored gradually. Three hours after using Warm Touch, rectal temperature recovered to 36.1 degrees C. The intraoperative course was uneventful. At the end of the operation, the patient showed no shivering and general condition was good. In this case, Warm Touch is useful to restore body temperature against intraoperative hypothermia during abdominal surgery.
一名63岁男性计划接受肾切除术和胆囊切除术。麻醉维持采用氧气 - 氧化亚氮 - 异氟烷（约0.5%至1%）及硬膜外麻醉。手术时患者取左侧卧位。此时，其核心体温即直肠温度为35.8摄氏度。开始使用电温床垫进行主动升温，并在手术期间将室温维持在25摄氏度。腹部切开后30分钟，直肠温度降至34.5摄氏度。遂对其上半身使用强制空气升温系统（Warm Touch，马利克罗斯特医疗公司）开始主动升温。升温10分钟后，其体温逐渐恢复。使用Warm Touch三小时后，直肠温度恢复至36.1摄氏度。术中过程顺利。手术结束时，患者无寒战，一般状况良好。在此病例中，Warm Touch对于腹部手术期间对抗术中低温恢复体温很有用。
