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The role of irrigation in the development of hypothermia during laparoscopic surgery.

Publication ,  Journal Article
Moore, SS; Green, CR; Wang, FL; Pandit, SK; Hurd, WW
Published in: Am J Obstet Gynecol
March 1997

OBJECTIVES: Our purpose was to determine the incidence and etiology of hypothermia during laparoscopic surgery and to evaluate the role of irrigation fluid temperature. STUDY DESIGN: A prospective randomized study was performed of 35 women undergoing operative laparoscopy under general anesthesia who received surgical irrigation fluid either at ambient temperature or warmed to 39 degrees C. The core body temperature was determined with use of both an esophageal sensor and a tympanic membrane sensor and was expressed as the change from baseline. Additional data collected included age, height, weight, amount of irrigation fluid and intravenous fluid used, room temperature, length of anesthesia, and amount of carbon dioxide used for pneumoperitoneum. RESULTS: Hypothermia occurred in 94% of all patients, with no difference in incidence between the groups. The minimal core temperature was lower in the ambient temperature group (-1.7 degrees +/- 0.2 degrees C) than in the warmed fluid group (-1.0 degrees +/- 0.2 degrees C). Of the variables measured, length of anesthesia and the amount of ambient temperature fluid alone explained the drop in core temperature. CONCLUSION: Hypothermia is extremely common in laparoscopic surgery and is related to the length of anesthesia and the use of ambient temperature irrigation fluid. The use of warmed irrigation fluid can decrease, but not eliminate, this drop in core temperature.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

March 1997

Volume

176

Issue

3

Start / End Page

598 / 602

Location

United States

Related Subject Headings

  • Time Factors
  • Therapeutic Irrigation
  • Temperature
  • Prospective Studies
  • Obstetrics & Reproductive Medicine
  • Laparoscopy
  • Hypothermia
  • Humans
  • Female
  • Body Temperature
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Moore, S. S., Green, C. R., Wang, F. L., Pandit, S. K., & Hurd, W. W. (1997). The role of irrigation in the development of hypothermia during laparoscopic surgery. Am J Obstet Gynecol, 176(3), 598–602. https://doi.org/10.1016/s0002-9378(97)70554-4
Moore, S. S., C. R. Green, F. L. Wang, S. K. Pandit, and W. W. Hurd. “The role of irrigation in the development of hypothermia during laparoscopic surgery.Am J Obstet Gynecol 176, no. 3 (March 1997): 598–602. https://doi.org/10.1016/s0002-9378(97)70554-4.
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 Mar;176(3):598–602.
Moore, S. S., et al. “The role of irrigation in the development of hypothermia during laparoscopic surgery.Am J Obstet Gynecol, vol. 176, no. 3, Mar. 1997, pp. 598–602. Pubmed, doi:10.1016/s0002-9378(97)70554-4.
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 Mar;176(3):598–602.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

March 1997

Volume

176

Issue

3

Start / End Page

598 / 602

Location

United States

Related Subject Headings

  • Time Factors
  • Therapeutic Irrigation
  • Temperature
  • Prospective Studies
  • Obstetrics & Reproductive Medicine
  • Laparoscopy
  • Hypothermia
  • Humans
  • Female
  • Body Temperature