Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Effect of Warming Intravenous Fluids on Body Temperature Change under a General Anesthesia, Shivering, and Recovery

수액가온요법이 전신마취 하 체온변화와 전율 및 회복에 미치는 영향

  • Received : 2010.01.29
  • Accepted : 2010.02.25
  • Published : 2010.04.30
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Abstract

Purpose: The study was aimed to investigate the effects of warm fluid used during surgery on the patients' hypothermia prophylaxis and recovery after surgery. Methods: This data were collected from Jul. 13 to Nov. 31. 2009 at S hospital in M City. 60 patients who met the selection criteria were recruited in the study and divided into two groups. The warmed fluids were used for 30 patients in the experimental group, and the fluids in room air temperature were used for the others in the control group. Collected data were statistically analyzed using SPSS/win 18.0. Results: The body temperatures of the control group were significantly lower during surgery than those of the experimental group (p<.001). Shivering was significantly less occurred in the experimental group than the control group (p=.018). The experimental group used warmed fluids recovered faster than the control group. Conclusion: Warming fluid for the patients with general anesthesia was revealed to be effective in decreasing hypothermia during surgery, reducing shivering, helping recovery from the anesthesia. Further research is warranted to refine and apply this evidence in nursing practice.

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References

  1. 강두희(1992). 생리학(개정4판). 서울: 신광출판사.
  2. 고지현(1999). 전신마취 시 수액가온법이 수술 중 저체온에 미치는 영향. 인제대학교 석사학위논문, 부산.
  3. 김남희, 김영경(2007). 수술기와 회복기의 가온요법이 수술환자의 체온과 저온불편감에 미치는 효과. 임상간호연구,13(3), 55-67.
  4. 김명희, 박지정, 이미영, 김광미, 정민정, 박선혜 등(2000). 전신마취시 가온⋅가습한 가스 환기가 수술 중, 후 환자 체온에 미치는 효과. 임상간호연구, 6(1), 115-126.
  5. 김미경(2006). 복부수술환자의 체온변화와 불편감에 대한 가온요법 효과 비교. 동의대학교 석사학위논문, 부산.
  6. 김진수(2004). 마취와 체온. 대한마취과학회지, 47(5), 609-616.
  7. 김철규, 백운이, 홍정길, 박진웅, 김병권(1988). 전신마취시 체온변화. 대한마취과학회지, 21(1), 27-32.
  8. 대한마취과학회(2002). 마취과학. 서울: 군자출판사.
  9. 류진희(2006). 수술 중 저체온 예방을 위한 수액가온의 효과. 중앙대학교 석사학위논문, 서울.
  10. 민경옥(1993). 온열 및 수치료(개정2판). 서울: 대학서림.
  11. 민신홍(2001). 가온 요법과 마취 종류가 수술 환자의 체온, 체온 불편감, 전율에 미치는 효과. 충남대학교 석사학위논문, 대전.
  12. 서영경(2001). 수술 중 환아의 저체온 예방을 위한 가온요법의 효과. 서울대학교 석사학위논문, 서울.
  13. 이지연, 이향련(2002). 수술전 가온과 수술중 가온이 수술환자의 체온과 전율에 미치는 영향. 성인간호학회지, 14(3),428-437.
  14. 정성원, 한태형, 이진영, 곽인숙, 정미화, 원임수 등(2006). 전자회로기판 히터를 이용한 고열효율 휴대용 수액 혈액 가온기의 유속에 따른 가온능력 및 안정성 평가. 대한마취과학회지, 51(5), 593-605.
  15. 정종달, 안태훈, 송호석(2009). 부인과 복강경 수술 시Sevoflurane, Desflurane 그리고 Isoflurane의 체온조절반응. 대한마취과학회지, 56(5), 525-530. https://doi.org/10.4097/kjae.2009.56.5.525
  16. Camus, Y., Delva, E., Bossard, A. E., Chandon, M., & Lienhart, A. (1997). Prevention of hypothermia by cutaneous warming with new electric blankets during abdominal surgery. British Journal of Anesthesia, 79(6), 796-797. https://doi.org/10.1093/bja/79.6.796
  17. Heier, T., Caldwell, J. E., Sessler, D. I., & Miler, R. D. (1991). Mild intraoperative hypothermia increases duration of action and spontaneous recovery of vecuronium blockade during nitrous oxide-isoflurane anesthesia in humans. Anesthesioloy, 74(5), 815-819. https://doi.org/10.1097/00000542-199105000-00003
  18. Holtzclaw, B. J. (1990). Shivering. A clinical nursing problem. Nursing Clinics of North America, 25(4), 977-986.
  19. Just, B., Trevien, V., Delva, E., & Lienhart, A. (1993). Prevention of intraoperative hypothermia by preoperative skin-surface warming. Anesthesiology, 79(2), 214-218. https://doi.org/10.1097/00000542-199308000-00004
  20. Kelly, S. D., Prager, M. C., Sessler, D. I., Roberts, J. P., & Ascher, N. L. (1990). Forced air warming minimizes hypothermia during orthotopic liver transplantation. Anesthesiology, 73(3A), 433. https://doi.org/10.1097/00000542-199009000-00011
  21. Miller, R. D. (2005). Miller's anesthesia (6th ed.). NY: Churchill Livingstone.
  22. Morgan, G. E., Mikhail, M. S., & Murray, M. J. (2006). Clinical anesthesiology (4th ed.). NY: Lange Medical Books.
  23. Roberts, A. (1989). Hypothermia. Nursing times, 85(6), 59-62.
  24. Sessler, D. I., McGuire, J., Hynson, J., Moayeri, B. A., & Heier, T. (1992). Thermoragulatory vasoconstriction during isoflurane anesthesia minimally decreases cutaneous heat loss, Anesthesiology, 76(5), 670-675. https://doi.org/10.1097/00000542-199205000-00002
  25. Sessler, D. I., Rubinstein, E. H., & Moayeri, A. (1991). Physiologic responses to mild perianesthetic hypothermia in humans. Anesthesiology, 75(4), 594-610. https://doi.org/10.1097/00000542-199110000-00009
  26. Slotman, G. J., Jed, E. H., & Burchard, K. W. (1985). Adverse effects of hypothermia in postoperative patients. American Jounal of Surgery, 149(4), 495-501. https://doi.org/10.1016/S0002-9610(85)80046-5