Efficacy of prewarming prophylaxis method for intraoperative hypothermia during thoracoscopic esophagectomy.
Aged
Case-Control Studies
Esophageal Neoplasms
/ surgery
Esophagectomy
/ methods
Female
Humans
Hypothermia
/ prevention & control
Incidence
Intraoperative Care
/ methods
Male
Middle Aged
Outcome Assessment, Health Care
Postoperative Complications
/ epidemiology
Retrospective Studies
Surgical Wound Infection
/ epidemiology
Thermogenesis
/ physiology
Thoracoscopy
/ adverse effects
Esophagectomy
Hypothermia
Minimally invasive esophagectomy
Prewarming
Surgical site infection
Thoracoscopic esophagectomy
Journal
Esophagus : official journal of the Japan Esophageal Society
ISSN: 1612-9067
Titre abrégé: Esophagus
Pays: Japan
ID NLM: 101206627
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
02
10
2019
accepted:
26
04
2020
pubmed:
10
5
2020
medline:
14
8
2021
entrez:
10
5
2020
Statut:
ppublish
Résumé
This study was performed to elucidate the clinical efficacy of the prewarming prophylaxis method for intraoperative hypothermia during thoracoscopic esophagectomy for esophageal cancer. We enrolled 100 consecutive patients with esophageal cancer. Two patients in the prewarming group could not undergo thoracoscopic esophagectomy because of conversion to thoracotomy. The intraoperative core temperature was measured in 50 and 48 patients classified into the control and prewarming groups, respectively. Patients in the prewarming group wore a Bair Hugger warming gown (3 M, Maplewood, MN, USA) in the ward for 30 min before entering the operation room. The primary outcome measure was the difference in the intraoperative body core temperature between the control and prewarming groups, and the secondary outcome measure was the difference in postoperative infectious complications between the control and prewarming groups. The intraoperative core temperature was significantly different between the two groups at each 30-min time point from the starting of operation to the ending of the thoracic procedure (P < 0.001). The incidence of infectious surgical complications was not significantly different between the control and prewarming groups (30.0% vs. 14.6%, respectively; P = 0.11). The prewarming prophylaxis method was effective for maintaining normothermia during thoracoscopic esophagectomy.
Sections du résumé
BACKGROUND
This study was performed to elucidate the clinical efficacy of the prewarming prophylaxis method for intraoperative hypothermia during thoracoscopic esophagectomy for esophageal cancer.
METHODS
We enrolled 100 consecutive patients with esophageal cancer. Two patients in the prewarming group could not undergo thoracoscopic esophagectomy because of conversion to thoracotomy. The intraoperative core temperature was measured in 50 and 48 patients classified into the control and prewarming groups, respectively. Patients in the prewarming group wore a Bair Hugger warming gown (3 M, Maplewood, MN, USA) in the ward for 30 min before entering the operation room. The primary outcome measure was the difference in the intraoperative body core temperature between the control and prewarming groups, and the secondary outcome measure was the difference in postoperative infectious complications between the control and prewarming groups.
RESULTS
The intraoperative core temperature was significantly different between the two groups at each 30-min time point from the starting of operation to the ending of the thoracic procedure (P < 0.001). The incidence of infectious surgical complications was not significantly different between the control and prewarming groups (30.0% vs. 14.6%, respectively; P = 0.11).
CONCLUSION
The prewarming prophylaxis method was effective for maintaining normothermia during thoracoscopic esophagectomy.
Identifiants
pubmed: 32385752
doi: 10.1007/s10388-020-00743-8
pii: 10.1007/s10388-020-00743-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM