The effect of body mass index on perioperative thermoregulation
| Autor: | İsmail Demirel, Aysun Yildiz Altun, Umit Karatepe, Tuba Çatak, Ayşe Belin Özer, Ömer Lütfi Erhan, Gonca Çağlar Toprak |
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| Rok vydání: | 2016 |
| Předmět: |
obesity
Therapeutics and Clinical Risk Management body mass index anesthesia 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Pharmacology (medical) General Pharmacology Toxicology and Pharmaceutics Original Research Core (anatomy) Chemical Health and Safety business.industry 030503 health policy & services nutritional and metabolic diseases thermogenesis General Medicine Perioperative Thermoregulation Peripheral Anesthesia medicine.symptom 0305 other medical science business Safety Research Body mass index Thermogenesis Vasoconstriction Abdominal surgery |
| Zdroj: | Therapeutics and Clinical Risk Management |
| ISSN: | 1178-203X |
| DOI: | 10.2147/tcrm.s122700 |
| Popis: | AyÅe Belin Özer,1 Aysun Yildiz Altun,1 Ömer Lütfi Erhan,1 Tuba Çatak,2 Ümit Karatepe,1 Ä°smail Demirel,1 Gonca ÇaÄlar Toprak3 1Department of Anesthesiology and Intensive Care, Firat University Medical School, ElaziÄ, 2Department of Anesthesiology and Intensive Care Clinic, Bingol State Hospital, Bingöl, 3Department of Anesthesiology and Intensive Care Clinic, Elazig Training and Research Hospital, ElaziÄ, Turkey Purpose: We evaluated the effects of body mass index (BMI) on thermoregulation in obese patients scheduled to undergo laparoscopic abdominal surgery. Methods: Sixty patients scheduled to undergo laparoscopic abdominal surgery with no premedication were included in the study. The patients were classified into 4 groups according to BMI 50. Anesthesia was provided with routine techniques. Tympanic and peripheral temperatures were recorded every 5 minutes starting with the induction of anesthesia. The mean skin temperature (MST), mean body temperature (MBT), vasoconstriction time, and vasoconstriction threshold that triggers core warming were calculated with the following formulas: MST = 0.3 (Tchest + Tarm) + 0.2 (Tthigh + Tcalf). MBT was calculated using the equation 0.64Tcore+0.36Tskin, and vasoconstriction was determined by calculating Tforearm-Tfinger. Results: There was no significant difference between the groups in terms of age, gender, duration of operation, and room temperature. Compared to those with BMI 50 in the 5th, 10th, 15th, 20th, 25th, 30th, 50th, and 55th minutes were less than those with BMI |
| Databáze: | OpenAIRE |
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