수술 중 흡입가스의 가온가습이 체온, 혈압 및 떨림에 미치는 효과 -일반회로 적용군과의 후향적 비교연구-
The Effects of Intra-operative Heated Humidification on Body Temperature, Blood Pressure and Shivering of Patients Undergoing General Anesthesia
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Purpose: The purpose of this study was to compare the body temperature (BT), blood pressure (BP) and shivering in patients undergoing operation under general anesthesia between the heated humidification circuit tube (HHCT) group and the non-HHCT group. Methods: Data were extracted from the participants' medical records from September 1st to December 30th, 2009. The HHCT group consisted of 50 cases who were applied with heated and humidified gas via a specially designed circuit under general anesthesia. The HHCT which was adjusted at 41℃ was applied from induction of general anesthesia to extubation. In comparison,the non-HHCT group consisted of 50 cases who were applied with gas through standard breathing circuit without heat and humidification. Collected data were analyzed by x2 test, t-test and repeated measures ANOVA. Results: The BT and shivering were significantly different between two groups (p<.001). But the BP was was not signigicantly different between the HHCT group and the non-HHCT group. Conclusion: The application of heated and humidified gases to patients under general anesthesia was effective in preserving the body temperature and reducing the shivering.
Abstract
Purpose: The purpose of this study was to compare the body temperature (BT), blood pressure (BP) and shivering in patients undergoing operation under general anesthesia between the heated humidification circuit tube (HHCT) group and the non-HHCT group. Methods: Data were extracted from the participants' medical records from September 1st to December 30th, 2009. The HHCT group consisted of 50 cases who were applied with heated and humidified gas via a specially designed circuit under general anesthesia. The HHCT which was adjusted at 41℃ was applied from induction of general anesthesia to extubation. In comparison,the non-HHCT group consisted of 50 cases who were applied with gas through standard breathing circuit without heat and humidification. Collected data were analyzed by x2 test, t-test and repeated measures ANOVA. Results: The BT and shivering were significantly different between two groups (p<.001). But the BP was was not signigicantly different between the HHCT group and the non-HHCT group. Conclusion: The application of heated and humidified gases to patients under general anesthesia was effective in preserving the body temperature and reducing the shivering.
참고문헌 (27)
- 명희, "전신마취시 가온 ․ 가습한 가스환기가 수술 중,후 환자 체온에 미치는 효과", 임상간호연구, 6(1), pp.115~127 (2000)
- 김정원, "흡입마취가스의 가온가습방법이 수술 환자의 체온에 미치는 영향", 인제의학, 12(3), pp.361~366 (1991)
- 이지연, "수술전 가온과 수술중 가온이 수술환자의 체온과 전율에 미치는 영향", 성인간호학회지, 14(3), pp.428~437 (2002), 성인간호학회
- 최영희, "수술 후 정상체온 회복을 위한 열요법에 관한 연구", 석사, pp.1992
- Bourke, D. L, "Intraoperative heat conservation using a reflective blanket", Anesthesiology, 60(2), pp.151~154 (1984)
- Branson, R. D., "Anesthesia circuits, humidity output, and mucociliarystructure and function", Anaesthesia and IntensiveCare, 26(2), pp.178~183 (1998)
- Busto, R, "Effect of mild hypothermiaon ischemia-induced release of neutrotransmitters andfree fatty acids in rat brain", Stroke, 20(7), pp.904~910 (1989)
- Chalon, J., "The pall ultipor breathing circuitfilter-an efficient heat and moisture exchanger", Anesthesiaand Analgesia, 63(6), pp.566~570 (1984)
- Collins,V.J, "Temperature regulation and heat problem", pp.316~344 (1996), Lippincott
- Williams, "The effect of preoperative warming onpatients postoperative temperature", AORN Journal, 83(5), pp.1074~1084 (2006)
- Eberhart, L. H., "Independentrisk factor for postoperative shivering", Anesthesia andAnalgesia, 101(6), pp.1849~1857 (2005)
- Erickson,R, "A model of adaptation to the thermalenvironment", Advances in Nursing Science, 4(4), pp.1~12 (1982)
- Feuchtinger, J, "Pressureulcer risk factors in cardiac surgery: A review of theresearch literature", Heart & Lung: The Journal of Acuteand Critical Care, 34(6), pp.375~385 (2005)
- Frank, S. M, "Multivariatedeterminants of early postoperative oxygen consumptionin elderly patients: Effects of shivering, body temperature,and gender", Anesthesiology, 83(2), pp.241~249 (1995)
- Gan, T. J, "Risk factors for postoperative nausea andvomiting", Anesthesia and Analgesia, 102(6), pp.1884~1898 (2006)
- Guyton, A. C., "Textbook of medicalphysiology (10th ed.)" (2000), W. B. SaundersCompany
- Holtzclaw, B. J, "Shivering. A clinical nursing problem", Nursing Clinics of North America, 25(4), pp.977~986 (1990)
- Hudak, C. M., "Criticalcare nursing: A holistic approach (5th ed.)" (1990), J. B. Lippincott Company
- Hynson, J. M., "Intraoperative warmingtherapies: A comparison of three devices", Journal ofClinical Anesthesia, 4(3), pp.194~199 (1992)
- Imrie, M. M., "Body temperature andanaesthesia", British Journal of Anaesthesia, 64(3), pp.346~354 (1990)
- Mahajan, R. P., "Intraocular pressure changes during muscular hyperactivityafter general anesthesia", Anesthesiology, 66(3), pp.419~421 (1987)
- Matsukawa, T, "Heat flow and distributionduring induction of general anesthesia", Anesthesiology, 82(3), pp.662~673 (1995)
- Morris, R. H., "Operating room temperature and theanesthetized, paralyzed patient", Archives of Surgery, 102(2), pp.95~97 (1971)
- Sessler,D.I, "Temperature monitoring and perioperativethermoregulation", Anesthesiology, 109(2), pp.318~338 (2008)
- Todd, M. M., "Mild intraoperative hypothermia during surgeryfor intracranial aneurysm", The New England Journal of Medicine, 352(2), pp.135~145 (2005)
- Vaughan, M. S., "Postopertivehypothermia in adults: Relationship of age,anesthesia, and shivering to rewarming", Anesthesia andAnalgesia, 60(10), pp.746~751 (1981)
- West, J. W., "Effects ofhot, humid weather on milk temperature, dry matterintake, and milk yield of lactating dairy cows", Journal of Dairy Science, 86(1), pp.232~242 (2003)