体温低下防止覆布サーマドレープ^<TM>の有用性 : 側臥位及び砕石位手術において

概要

論文の詳細を見る
The body temperature mangement is important for the anesthetized patients. It is necessary to prevent from unintentional hypothermia because adequate rewarming is often difficult particularly under such conditions as lateral, lithotomy, and prone positions with usual rewarming methods.We attempted to use a reflective blanket, Thermadrape^<TM>, which is similar to a disposable paper drape, but it is made of alumininum, plastic, and fine cloth, in order to minimize heat loss by radiation, convectin, evapolation, and conduction. 20 anesthetized patients having total hip arthroplasty (THA) in the lateral position, and 20 anestetized panients having hysterectomy in the lithotomy position were studied. Patients of each operation were divided into the test group (n=10) and hte control group (n=10). The test group was wrapped with Thermadrape^<TM> and the control group received no active rewarming methods. Core and peripheral deep body temperature were measured during operation.It is resulted that the core and peripheral deep body temperature decreases occured in all patients under the lateral and lithotomy positions, but by using Thermadrape^<TM> these decreases were significantly lessened, so this easy and simple technique was concluded clinically useful from the point of intraoperative heat conservation.
日本医療機器学会の論文
1993-01-01