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Erschienen in: Journal of Anesthesia 2/2015

01.04.2015 | Original Article

A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and postoperative complications in percutaneous nephrolithotomy

verfasst von: Zeki Tuncel Tekgul, Sinan Pektas, Umit Yildirim, Yücel Karaman, Meltem Cakmak, Huseyin Ozkarakas, Mustafa Gonullu

Erschienen in: Journal of Anesthesia | Ausgabe 2/2015

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Abstract

Purpose

This study investigated the effects of irrigation solutions, administered at either 21 or 37 °C in percutaneous nephrolithotomy (PCNL), on hypothermia and related postoperative complications such as late emergence and late recovery from anesthesia, shivering, lactic acidosis, and excess bleeding.

Methods

Sixty patients who were scheduled for PCNL were enrolled in this prospective randomized double-blind study. Irrigation solutions at room temperature were administered to patients in group R (30 patients), and warmed irrigation solutions were administered to patients in group W (30 patients). The two groups were compared for core and peripheral body temperature, incidence of hypothermia, duration of emergence from anesthesia, duration of recovery from anesthesia, shivering, lactic acidosis, and hemoglobin levels.

Results

Hypothermia was incident in 19 patients (63.3 %) in group W and in 27 patients (90 %) in group R at the end of surgery. The difference between the initial and the final core body temperature was 0.9 ± 0.6 °C group W and 1.4 ± 0.7 °C in group R (p = 0.003). The extubation time was 4.4 ± 2.2 min in group W and 5.9 ± 3 min in group R (p = 0.032). Shivering was detected in seven patients (23.3 %) in group W and in 15 patients (50 %) in group R (p = 0.032). The recovery duration was 49.8 ± 24.6 min in group W and 67.6 ± 33.9 min in group R (p = 0.023).

Conclusions

Administration of irrigation solutions at room temperature in PCNL operations causes the body temperature to decrease significantly, which results in postoperative complications such as late emergence from anesthesia, late recovery from anesthesia, and shivering.
Literatur
1.
2.
Zurück zum Zitat Horosz B, Malec-Milewska M. Inadvertent intraoperative hypothermia. Anaesthesiol Intensive Ther. 2013;45(1):38–43.CrossRefPubMed Horosz B, Malec-Milewska M. Inadvertent intraoperative hypothermia. Anaesthesiol Intensive Ther. 2013;45(1):38–43.CrossRefPubMed
3.
Zurück zum Zitat Bajwa SJ, Gupta S, Kaur J, Singh A, Parmar S. Reduction in the incidence of shivering with perioperative dexmedetomidine: a randomized prospective study. J Anaesthesiol Clin Pharmacol. 2012;28(1):86–91.CrossRefPubMedCentralPubMed Bajwa SJ, Gupta S, Kaur J, Singh A, Parmar S. Reduction in the incidence of shivering with perioperative dexmedetomidine: a randomized prospective study. J Anaesthesiol Clin Pharmacol. 2012;28(1):86–91.CrossRefPubMedCentralPubMed
4.
Zurück zum Zitat Moore SS, Green CR, Wang FL, Pandit SK, Hurd WW. The role of irrigation in the development of hypothermia during laparoscopic surgery. Am J Obstet Gynecol. 1997;176(3):598–602.CrossRefPubMed Moore SS, Green CR, Wang FL, Pandit SK, Hurd WW. The role of irrigation in the development of hypothermia during laparoscopic surgery. Am J Obstet Gynecol. 1997;176(3):598–602.CrossRefPubMed
5.
Zurück zum Zitat Jin Y, Tian J, Sun M, Yang K. A systematic review of randomized controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries. J Clin Nurs. 2011;20(34):305–16.CrossRefPubMed Jin Y, Tian J, Sun M, Yang K. A systematic review of randomized controlled trials of the effects of warmed irrigation fluid on core body temperature during endoscopic surgeries. J Clin Nurs. 2011;20(34):305–16.CrossRefPubMed
6.
Zurück zum Zitat Mirza S, Panesar S, AuYong KJ, French J, Jones D, Akmal S. The effects of irrigation fluid on core temperature in endoscopic urological surgery. J Perioper Pract. 2007;17(10):494–7.PubMed Mirza S, Panesar S, AuYong KJ, French J, Jones D, Akmal S. The effects of irrigation fluid on core temperature in endoscopic urological surgery. J Perioper Pract. 2007;17(10):494–7.PubMed
7.
Zurück zum Zitat Jaffe JS, McCullough TC, Harkaway RC, Ginsberg PC. Effects of irrigation fluid temperature on core body temperature during transurethral resection of the prostate. Urology. 2001;57(6):1078–81.CrossRefPubMed Jaffe JS, McCullough TC, Harkaway RC, Ginsberg PC. Effects of irrigation fluid temperature on core body temperature during transurethral resection of the prostate. Urology. 2001;57(6):1078–81.CrossRefPubMed
8.
Zurück zum Zitat Roberts S, Bolton DM, Stoller ML. Hypothermia associated with percutaneous nephrolithotomy. Urology. 1994;44(6):832–5.CrossRefPubMed Roberts S, Bolton DM, Stoller ML. Hypothermia associated with percutaneous nephrolithotomy. Urology. 1994;44(6):832–5.CrossRefPubMed
9.
Zurück zum Zitat Lloyd SN, Kirk D, Deane RF, Kyle KF. Effect of percutaneous nephrolithotomy on thermoregulation. Br J Urol. 1992;69(2):132–6.CrossRefPubMed Lloyd SN, Kirk D, Deane RF, Kyle KF. Effect of percutaneous nephrolithotomy on thermoregulation. Br J Urol. 1992;69(2):132–6.CrossRefPubMed
10.
Zurück zum Zitat Rajagopalan S, Mascha E, Na J, Sessler DI. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology. 2008;108(1):71–7.CrossRefPubMed Rajagopalan S, Mascha E, Na J, Sessler DI. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology. 2008;108(1):71–7.CrossRefPubMed
11.
Zurück zum Zitat Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Analg. 1999;88(3):508–17.PubMed Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Analg. 1999;88(3):508–17.PubMed
12.
Zurück zum Zitat Rozentsveig V, Neulander EZ, Roussabrov E, Schwartz A, Lismer L, Gurevich B, Klein Y, Weksler N. Anesthetic considerations during percutaneous nephrolithotomy. J Clin Anesth. 2007;19(5):351–5.CrossRefPubMed Rozentsveig V, Neulander EZ, Roussabrov E, Schwartz A, Lismer L, Gurevich B, Klein Y, Weksler N. Anesthetic considerations during percutaneous nephrolithotomy. J Clin Anesth. 2007;19(5):351–5.CrossRefPubMed
13.
Zurück zum Zitat Vorrakitpokatorn P, Permtongchuchai K, Raksamani EO, Phettongkam A. Perioperative complications and risk factors of percutaneous nephrolithotomy. Med Assoc Thai. 2006;89(6):826–33. Vorrakitpokatorn P, Permtongchuchai K, Raksamani EO, Phettongkam A. Perioperative complications and risk factors of percutaneous nephrolithotomy. Med Assoc Thai. 2006;89(6):826–33.
14.
Zurück zum Zitat Russell D, Royston D, Rees PH, Gupta SK, Kenny GN. Effect of temperature and cardiopulmonary bypass on the pharmacokinetics of remifentanyl. Br J Anaesth. 1997;79(4):456–9.CrossRefPubMed Russell D, Royston D, Rees PH, Gupta SK, Kenny GN. Effect of temperature and cardiopulmonary bypass on the pharmacokinetics of remifentanyl. Br J Anaesth. 1997;79(4):456–9.CrossRefPubMed
Metadaten
Titel
A prospective randomized double-blind study on the effects of the temperature of irrigation solutions on thermoregulation and postoperative complications in percutaneous nephrolithotomy
verfasst von
Zeki Tuncel Tekgul
Sinan Pektas
Umit Yildirim
Yücel Karaman
Meltem Cakmak
Huseyin Ozkarakas
Mustafa Gonullu
Publikationsdatum
01.04.2015
Verlag
Springer Japan
Erschienen in
Journal of Anesthesia / Ausgabe 2/2015
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-014-1888-5

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