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2020, Number 3

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Rev Med UAS 2020; 10 (3)

Comparison of forced-air and water-circulating warming for control of hypothermia during laparoscopic cholecystectomies

Jiménez-Pérez LN, Gerardo-Angulo AR, Peraza-Garay FJ, Sosa-Valdez S

Language: Spanish
References: 17
Page: 143-150
PDF size: 123.08 Kb.


ABSTRACT

Objetive: Determine which method is most effective for prevention of hypothermia during laparoscopic cholecystectomy. Methodology: A randomized controlled clinical trial was conducted with patients undergoing laparoscopic cholecystectomy during the period november 2018 to march 2019, at the Hospital Civil de Culiacán. Two groups of 32 patients each were randomized. 1 patient was eliminated in group 1. Results: No sex (p= 0.365), ASA (p= 0.077), IMC (p= 0.154) or vital signs such as blood pressure, heart rate and respiratory rate were found to be statistically significant. Regarding the temperature at 30 minutes, an average temperature was obtained for group 1 of 36.42 ± 0.268 and group 2 of 36.61 ± 0.259, at 60 minutes group 1 of 35.98 ± 0.269 and group 2 of 36.39 ± 0.255, in 90 minutes group 1 of 35.79 ± 0.324 and group 2 of 36.25 ± 0.259, in 120 minutes group 1 of 35.72 ± 0.314 and group 2 of 36.14 ± 0.273. At 150 minutes group 1 of 35.55 ± 0.071 and group 2 of 36.05 ± 0.207. Comparing the differences in starting temperature with the end of transanesthetic of both groups. Group 1 had a mean difference of -1.3 ± 0.2 ºC and group 2 an averaged -0.8 ± 0.2 ºC (p= 0.000). Conclusions: The water-circulating warming presented a better control for the management of hypothermia of a patient undergoing laparoscopic cholecystectomy. It wasn’t found that the variables such as age, sex, body mass index, ASA presented interference in the results that both groups showed. Furthemore the final temperature of the patients did not show impact on the final recorded signs of blood pressure, heart rate and respiratory rate.


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