Short-Periods of Pre-Warming in Laparoscopic Surgery. A Non-Randomized Clinical Trial Evaluating Current Clinical Practice
Abstract
:1. Introduction
2. Materials and Methods
2.1. Outcomes
2.2. Study Protocol
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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P 0 (n = 33) | P 5–15 (n = 33) | P > 15 (n = 33) | p | |
---|---|---|---|---|
Age (years) | 59.7 ± 9.2 | 59.2 ± 12.2 | 60.5 ± 8.1 | 0.895 |
BMI (kg·m−2) | 27.9 ± 5.6 | 27.2 ± 3.7 | 28.2 ± 3.5 | 0.581 |
BSA (m2) | 1.9 ± 0.3 | 1.9 ± 0.2 | 1.9 ± 0.2 | 0.451 |
BMR (kcal) | 1641 ± 273 | 1587 ± 232 | 1667 ± 203 | 0.516 |
ASA II (%) | 60.6 | 57.6 | 60.6 | 0.959 |
Core temperature at admission (°C) | 36.5 ± 0.5 | 36.4 ± 0.5 | 36.4 ± 0.5 | 0.274 |
Hypothermia (<36 °C) upon arrival at pre-anesthesia room (%) | 21.2 | 36.4 | 12.1 | 0.062 |
Laparoscopic Surgery (Prostatectomy, %) | 57.6 | 51.5 | 66. 7 | 0.399 |
Hemoglobin at admission (g·dL−1) | 14.3 ± 2.1 | 14.3 ± 2.2 | 14.5 ± 1.9 | 0.890 |
Duration of anesthesia (min) | 280 ± 60 | 291 ± 66 | 302 ± 57 | 0.444 |
Operating room temperature (°C) | 22.6 ± 0. 6 | 22.6 ± 0.6 | 22.7 ± 0.6 | 0.714 |
Fluid therapy (mL) | 2042 ± 1070 | 1795 ± 688 | 1759 ± 563 | 0.654 |
P 0 (n = 33) | P 5–15 (n = 33) | P > 15 (n = 33) | p | |
---|---|---|---|---|
PreT | 36.3 ± 0.6 | 36.2 ± 0.5 | 36.3 ± 0.4 | 0.73 |
T0 | 36.2 ± 0.7 | 36.5 ± 0.5 | 36.6 ± 0.4 | 0.009 |
T15 | 36.0 ± 0.6 | 36.2 ± 0.4 | 36.4 ± 0.4 | 0.003 |
T30 | 35.8 ± 0.6 | 36.1 ± 0.5 | 36.2 ± 0.4 | 0.002 |
T45 | 35.7 ± 0.6 | 35.9 ± 0.5 | 36.1 ± 0.4 | 0.007 |
T60 | 35.7 ± 0.6 | 35.9 ± 0.4 | 35.9 ± 0.4 | 0.014 |
T90 | 35.7 ± 0.6 | 35.9 ± 0.5 | 36.1 ± 0.5 | 0.009 |
T120 | 35.7 ± 0.6 | 36.0 ± 0.5 | 36.2 ± 0.5 | 0.001 |
T150 | 35.8 ± 0.6 | 36.1 ± 0.5 | 36.3 ± 0.5 | <0.001 |
T180 | 35.8 ± 0.7 | 36.2 ± 0.5 | 36.4 ± 0.4 | <0.001 |
T210 | 35.8 ± 0.8 | 36.2 ± 0.5 | 36.5 ± 0.5 | <0.001 |
T240 | 35.8 ± 0.8 | 36.3 ± 0.5 | 36.6 ± 0.5 | <0.001 |
T270 | 35.8 ± 0.8 | 36.3 ± 0.6 | 36.6 ± 0.5 | 0.0001 |
T300 | 35.7 ± 0.9 | 36.4 ± 0.5 | 36.8 ± 0.5 | 0.0001 |
EndT | 35.8 ± 0.8 | 36.2 ± 0.6 | 36.6 ± 0.5 | <0.0001 |
Age | BMI | BSA | BMR | Pre Hb | OR Temp | Length Anesthesia | Fluid Therapy | PreT | Bleeding | |
---|---|---|---|---|---|---|---|---|---|---|
Pearson correlation | −0.19 | 0.14 | 0.22 | 0.24 | 0.28 | 0.32 | 0.27 | −0.31 | 0.24 | −0.22 |
p | 0.065 | 0.162 | 0.030 | 0.018 | 0.005 | 0.001 | 0.006 | 0.002 | 0.018 | 0.031 |
P 0 (n = 33) | P 5–15 (n = 33) | P > 15 (n = 33) | p | |
---|---|---|---|---|
NRS in PACU | 3.06 ± 2.2 | 1.79 ± 1.2 * | 1.58 ± 1.3 ** | 0.001 |
Shivering in PACU (%) | 39.39 | 3.03 | 3.03 | <0.001 |
Length of stay in PACU (min) | 531 ± 443 | 482 ± 375 | 449 ± 331 | 0.69 |
Postoperative Hemoglobin (g·dL−1) | 11.36 ± 1.6 | 11.73 ± 1.9 | 11.84 ± 1.8 | 0.52 |
Hemoglobin drop (g·dL−1) | 2.93 ± 1.4 | 2.60 ± 1.7 | 2.67 ± 1.7 | 0.67 |
Hospital length of stay (days) | 4.5 ± 3 | 3.7 ± 3 | 3.4 ± 2.4 | 0.24 |
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Becerra, Á.; Valencia, L.; Villar, J.; Rodríguez-Pérez, A. Short-Periods of Pre-Warming in Laparoscopic Surgery. A Non-Randomized Clinical Trial Evaluating Current Clinical Practice. J. Clin. Med. 2021, 10, 1047. https://doi.org/10.3390/jcm10051047
Becerra Á, Valencia L, Villar J, Rodríguez-Pérez A. Short-Periods of Pre-Warming in Laparoscopic Surgery. A Non-Randomized Clinical Trial Evaluating Current Clinical Practice. Journal of Clinical Medicine. 2021; 10(5):1047. https://doi.org/10.3390/jcm10051047
Chicago/Turabian StyleBecerra, Ángel, Lucía Valencia, Jesús Villar, and Aurelio Rodríguez-Pérez. 2021. "Short-Periods of Pre-Warming in Laparoscopic Surgery. A Non-Randomized Clinical Trial Evaluating Current Clinical Practice" Journal of Clinical Medicine 10, no. 5: 1047. https://doi.org/10.3390/jcm10051047