The Effect of Preoperative Warming on Postoperative Hypothermia in TURP Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Perioperative measurements of core temperature (centigrade ° C)
研究概览
简要总结
36 patients American society of anesthesiology (ASA) physical status I,II and III undergoing general anesthesia for elective transurethral resection of the prostate (TUR-P) surgery will be included in the study. Patients will be randomized into two groups; first group(control group) and second group (forced-air warming). Resistive heating will start when patients are transferred to the operating room table; forced-air warming will start before preoperative 30 minute.
详细描述
The primary aim of this study was to compare the effect of prewarming on perioperative hypothermia in elderly patients undergoing TURP under general anesthesia. In addition, we aimed to evaluate the effects of prewarming on hemodynamic variables, PACU output time, tremor, patient comfort and satisfaction. The investigators plan to enroll 36 patients in 2 groups. Body temperature will be measured at the core temperature, hemodynamic variables. Shivering will be graded by visual inspection. Thermal discomfort scale, patient satisfaction will be evaluated. The investigators hypothesize will decrease the forced air prewarming incidence of perioperative hypothermia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 85 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Patients aged 50-85 years undergoing general anesthesia for TURP surgery
- •ASA physical status I and III patients
- •Body mass index between 15 and 36 kg/m2
- •General anesthesia time is 30-90 minutes
排除标准
- •without written consent,
- •inadequate Turkish comprehension,
- •known impaired thermoregulation or thyroid disorders,
- •severe hypertension (systolic blood pressure [SBP]>180 mmHg or diastolic blood pressure [DBP] > 110 mmHg in the operating suite admission),
- •an angiotensin-converting enzyme inhibitor/angiotensin II receptor antagonist on the day of surgery,
- •secondary hypertension (e.g., renal artery stenosis, pheochromocytoma, Cushing's syndrome),
- •vascular disease,
- •poor cutaneous perfusion,
- •serious skin lesions
- •baseline temperature ≥37.5°C (degrees centigrade)
研究组 & 干预措施
forced air warming group
30 minutes before the preoperative will use forced air warming.
干预措施: forced air warming group (Other)
forced air warming group
30 minutes before the preoperative will use forced air warming.
干预措施: control group (Other)
control group
do not active heating group
结局指标
主要结局
Perioperative measurements of core temperature (centigrade ° C)
时间窗: 2-3 hours
After the operation patients will be admitted to the PACU. Here, body temperature will be assessed and the incidence of hypothermic patients (body temperature \< 36°C)will be measured.
次要结局
- Number of patients with postoperative shivering(2-3 hours)
- Evaluation of hemodynamic variables (arterial blood pressure)(2-3 hours)
- Evaluation of hemodynamic variables (heart rate)(2-3 hours)
研究者
Fatma Kavak Akelma
Dr. fatma kavak akelma
Etlik Zubeyde Hanım Women's Health Care, Training and Research Hospital