J Korean Acad Fundam Nurs.  2015 Nov;22(4):379-386. 10.7739/jkafn.2015.22.4.379.

Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia

• Hahm TS
• Kim WH
• Kim NC
• Yoo JB

• KMID: 2149123
• DOI: http://doi.org/10.7739/jkafn.2015.22.4.379

Abstract

PURPOSE
The trend of body temperature change during laparoscopic surgery and the most adequate site for monitoring temperature measurements have not been investigated thoroughly. In this study body temperature change during laparoscopic surgery was measured and measurements of the tympanic, esophageal, and nasopharyngeal core temperatures in surgical patients with total intravenous anesthesia were compared.
METHODS
From February to October 2013, 28 laparoscopic surgical patients were recruited from a tertiary hospital in Seoul. The patients' core temperature was measured 12 times at ten minute intervals from ten minutes after the beginning of endotracheal intubation.
RESULTS
Repeated measure of core temperatures indicated a significant difference according to body part (p=.033), time of measure (p<.001) and the reciprocal interaction between body part and time of measure (p<.027). The core temperatures were highest at tympany location, lowest at nasopharynx. The amount of temperature change was least for the esophagus (36.10~36.33degrees C), followed by nasopharynx and tympany.
CONCLUSION
The esophageal core temperature showed the highest stability followed by nasopharyngeal and tympanic temperature. Therefore, close observations are required between 10~20minutes after the beginning of the operation.

Keyword

Core temperature; Laparoscope surgery; Total Intravenous Anesthesia

MeSH Terms

Anesthesia, Intravenous*
Body Temperature Changes
Esophagus
Human Body*
Humans
Intubation, Intratracheal
Laparoscopes*
Laparoscopy
Nasopharynx
Seoul
Tertiary Care Centers