| Yazarlar |
Doç. Dr. Recai DAĞLI
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Fatma Çelik
Türkiye |
|
Hüseyin Özden
Türkiye |
Dr. Öğr. Üyesi Serdar ŞAHİN
Türkiye |
| Özet |
| Objectives: We aimed to compare tympanic membrane temperature changes and the incidence of inadvertent perioperative hypothermia (IPH) in patients undergoing laparoscopic cholecystectomy under general anesthesia in laminar airflow systems (LAS-OR) and conventional turbulent airflow systems (CAS-OR). Background: Different heating, ventilation, and air-conditioning (HVAC) systems are used in the operating room (OR), such as LAS and CAS. Laminar airflow is directed directly to the patient in LAS-OR. Does laminar airflow in ORs cause faster heat loss by convection? Methods: This is a prospective, randomized study. We divided 200 patients with simple randomization (1:1), as group LAS and group CAS, and took the patients into the LAS-OR or CAS-OR for the operation. Clinical trial number: IRCT20180324039145N3. The tympanic membrane temperatures of patients were measured (°C) before anesthesia induction (T0) and then every 15 min during surgery (Tn). Changes (Δ n) between T0 and Tn were measured. Results: In the first 30 min, there was a temperature decrease of approximately 0.8 °C (1.44 °F) in both groups. Temperature decreases at 45 min were higher in group LAS than in group CAS but not statistically significant, Δ45, respectively, 0.89 (95% confidence interval [CI] [0.77, 1.02]) versus 0.77 (95% CI [0.69, 0.84]; p =.09). IPH occurred in a total of 60.9% (112 of 184) of patients in the entire surgical evaluation period in group LAS and group CAS (58.9% vs. 62.8%, p =. 59). Conclusions: IPH is seen frequently in both HVAC systems. Clinically, the advantage of HVAC systems relative to each other has not been demonstrated during laparoscopic cholecystectomy. |
| Anahtar Kelimeler |
| general anesthesia | indoor air | laminar airflow | laparoscopic cholecystectomy | operating room | patient safety | perioperative hypothermia |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | HERD: Health Environments Research & Design Journal |
| Dergi ISSN | 1937-5867 |
| Dergi Tarandığı Indeksler | SSCI |
| Makale Dili | Türkçe |
| Basım Tarihi | 01-2021 |
| Cilt No | 14 |
| Sayı | 3 |
| Sayfalar | 202 / 214 |
| Doi Numarası | 10.1177/1937586720985859 |
| Makale Linki | http://dx.doi.org/10.1177/1937586720985859 |
| Atıf Sayıları | |
| SCOPUS | 5 |
| Google Scholar | 5 |
