Article Text
Abstract
Background and Aims The occurrence of hypothermia increases complications during and after surgery.This study was conducted with the aim of comparing the effect of lavage fluid temperature in terms of the incidence of hypothermia in TURP surgery candidates under spinal anesthesia.
Methods 70 patients candidates for elective TURP were randomly divided into two groups. The first group (37) received irrigation fluid at room temperature and second group(33) received irrigation fluid heated to 37 degrees Celsius for surgery.Parameters of patients were initially measured upon entering the operating room, after spinal, at the beginning of the operation, at the end of the operation and also during recovery.
Results The drop in the body temperature in the control group was more than the intervention group (p=0.04). There was no statistically significant difference between two groups in the analysis of changes in mean arterial blood pressure and heart rate (p>0.05). There was no statistically significant difference between the two groups in terms of the average volume of lavage serum consumed during the operation, the comparison of hemoglobin before and after the operation, the incidence and severity of shivering and the duration of recovery and hospitalization. However, in terms of the need for blood transfusion and the number of blood units consumed during the operation, there was a statistically significant difference between the two groups (p<0.05).
(Chart 2) Changes in average mean heart rate(HR) in patients of two groups
Conclusions Use of heated irrigation fluid to body temperature is associated with less occurrence of hypothermia, shivering and less need for blood transfusion than the group receiving washing solution at room temperature.
Research Ethics hypothermia in TURP