• 제목/요약/키워드: Operative Temperature

검색결과 106건 처리시간 0.027초

Factors Influencing Intra-Operative Body Temperature in Laparoscopic Colectomy Surgery under General Anesthesia: An Observational Cohort

  • Kong, Mi Jin;Yoon, Haesang
    • Journal of Korean Biological Nursing Science
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    • 제19권3호
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    • pp.123-130
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    • 2017
  • Purpose: This study aimed to identify factors influencing intra-operative core body temperature (CBT), and to develop a predictive model for intra-operative CBT in laparoscopic abdominal surgery. Methods: The prospective observational study involved 161 subjects, whose age, weight, and height were collected. The basal pre-operative CBT, pre-operative blood pressure, and heartbeat were measured. CBT was measured 1 hour and 2 hours after pneumoperitoneum. Results: Explanatory factors of intra-operative hypothermia (< $36^{\circ}C$) were weight (${\beta}=.361$, p< .001) and pre-operative CBT (${\beta}=.280$, p= .001) 1 hour after pneumoperitoneum (Adjusted $R^2=.198$, F= 7.56, p< .001). Weight was (${\beta}=.423$, p< .001) and pre-operative CBT was (${\beta}=.206$, p= .011) 2 hours after pneumoperitoneum (Adjusted $R^2=.177$, F= 5.93, p< .001). The researchers developed a predictive model for intra-operative CBT ($^{\circ}C$) by observing intra-operative CBT, body weight, and pre-operative CBT. The predictive model revealed that intra-operative CBT was positively correlated with body weight and pre-operative CBT. Conclusion: Influence of weight on intra-operative hypothermia increased over time from 1 hour to 2 hours after pneumoperitoneum, whereas influence of pre-operative CBT on intraoperative hypothermia decreased over time from 1 hour to 2 hours after pneumoperitoneum. The research recommends pre-warming for laparoscopic surgical patients to guard against intra-operative hypothermia.

Influence of Midazolam and Glycopyrrolate on Intra-operative Body Temperature in Abdominal Surgical Patients

  • Kim, Eun-Ju;Yoon, Hae-Sang
    • Journal of Korean Biological Nursing Science
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    • 제14권1호
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    • pp.25-32
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    • 2012
  • Purpose: influence of benzodiazepine (midazolam)or cholinergic inhibitor (atropine or glycopyrrlate) on intra-operative body temperature remains unclear and controversial. This study compares intra-operative body temperature in 50 abdominal surgical patients under general anesthesia between the administration of midazolam and glycopyrrolate in combination, or glycopyrrolate alone. Methods: Patients who underwent abdominal surgery were recruited from September 2008 through October 2009 at Gachon University Gil hospital in incheon. Core body temperature was measured in the right ear using a tympanic membrane thermometer at induction of general anesthesia and at 1 hr, 2 hr, and 3 hr after induction. Results: There were no differences in core body temperature at any measurement point between either patient group (F=1.08, $p$=.377). Core body temperature decreased throughout the 3 hr after induction in both groups (F=9.22, $p$ <.001). Specially, core temperatures at induction of general anesthesia (p<.001), 1 hr (p<.001), 2 hr ($p$ <.001), and 3 hr ($p$ <.001) after induction were lower than before administration of midazolam and glycopyrrolate, or glycopyrrolate alone. Conclusion: We conclude that a cholinergic inhibitor (glycopyrrolate, 0.1 mg) therefore seems not to affect intra-operative body temperature of patients given a benzodiazepine (midazolam, 0.04 mg $kg^{-1}$), and not to increase body temperature in patients not given a benzodiazepine during the 3 hr after the induction of general anesthesia. Intra-operative warming therefore is needed to prevent hypothermia in surgical patients who receive pre-operative administration of midazolam and/or glycopyrrolate.

실내공간의 복합 환경 조건이 인체의 생리 및 심리반응에 미치는 영향 (The Combined Environmental Factors on the Human Physiological and Psychological Responses in Indoor Space)

  • 윤인
    • 한국산업융합학회 논문집
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    • 제15권3호
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    • pp.87-94
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    • 2012
  • Kruithof demonstrated the preferred combination of illuminance levels and color temperatures. However, as Benett pointed out, difference of themal variables in such preference may be expected. The purpose of this study is to clarify the combined effects of lighting conditions(illuminance, color temperature), operative temperature on the human physiological and psychological responses. In order to observe operative temperature change in preference of color temperatures for three illumination levels, three subjects were exposed to two different conditions of color temperatures of 2,850K, 4,200K and 6,850K combined with operative temperatures(OT) of $25{\sim}31^{\circ}C$ at 100~1000lx. Thermal sensation vote and comfortable sensation vote, brightness perception vote were reported in each experiment conditions. The following results were obtained : 1) When illuminace level was at 100lx in operative temperatures of OT $20^{\circ}C$, $25^{\circ}C$, $30^{\circ}C$, Color temperature affect not themal sensation but Warm-cool sensation. 2) Operative temperatures affect not brightness perception vote but visual comfort sensation vote, satisfactive sensation vote, warm-cool sensation vote and themal sensation vote.

Storage of laboratory animal blood samples causes hemorheological alterations : Inter-species differences and the effects of duration and temperature

  • Nemeth, Norbert;Baskurt, Oguz K.;Meiselman, Herbert J.;Kiss, Ferenc;Uyuklu, Mehmet;Hever, Timea;Sajtos, Erika;Kenyeres, Peter;Toth, Kalman;Furka, Istvan;Miko, Iren
    • Korea-Australia Rheology Journal
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    • 제21권2호
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    • pp.127-133
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    • 2009
  • Hemorheological results may be influenced by the time between blood sampling and measurement, and storage conditions (e.g., temperature, time) during sample delivery between laboratories may further affect the resulting data. This study examined possible hemorheological alterations subsequent to storage of rat and dog blood at room temperature ($22^{\circ}C$) or with cooling ($4{\sim}10^{\circ}C$) for 2, 4, 6, 24, 48 and 72 hours. Measured hemorheological parameters included hematological indices, RBC aggregation and RBC deformability. Our results indicate that marked changes of RBC deformability and of RBC aggregation in whole blood can occur during storage, especially for samples stored at room temperature. The patterns of deformability and aggregation changes at room temperature are complex and species specific, whereas those for storage at the lower temperature range are much less complicated. For room temperature storage, it thus seems logical to suggest measuring rat and dog cell deformability within 6 hours; aggregation should be measured immediately for rat blood or within 6 hours for dog blood. Storage at lower temperatures allows measuring EI up to 72 hours after sampling, while aggregation must be measured immediately, or if willing to accept a constant decrease, over 24~72 hours.

바닥난방시 바닥 접촉면에 의한 한국인과 일본인의 온열감 반응에 대한 비교 연구 (A Study on the Influence Affect of Thermal Sensation in Korean and Japanes to Sit Directly on a Heated Floor)

  • 최영식
    • 한국산업융합학회 논문집
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    • 제5권1호
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    • pp.81-89
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    • 2002
  • The objective of this paper is to clarify the combined effect of heat conduction, air temperature and thermal radiation on the person seated on the floor under operation of floor heating system. Experiments were conducted for summer seasons under 8 kinds of condition: combinations of air temperature $20^{\circ}C$, $22.5^{\circ}C$ and floor temperature $20^{\circ}C$, $22.5^{\circ}C$, $30^{\circ}C$, $35^{\circ}C$ and $40^{\circ}C$ under still air. Japanese and Koreans were adopted as subjects. To evaluate the effect of conduction operative temperature modified by heat conduction was derived from the human heat balance equation. New weighting coefficients were estimated from the modified operative temperature and modified mean skin temperature. As for thermal sensation the modified operative temperature more significantly correlated to that sensation each heat transfer processes. As the floor temperature is higher, the human conduction heat gain from floor increase and the dry heat from the human body decrease.

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CO2레이저 조사에 따른 치수강내 온도변화에 관한 실험적 연구 (AN EXPERIMENTAL STUDY ON THE TEMPERATURE CHANGE OF THE PULP CHAMBER INDECED BY THE CO2 LASER IRRADIATION)

  • 이종만;박동수;이찬영;이정석
    • Restorative Dentistry and Endodontics
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    • 제10권1호
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    • pp.43-53
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    • 1984
  • The purpose of this study was to suggest the use of laser energy in the the field of operative dentistry without considerable pulpal damage and significant effects on the dental hard tissue, additionally to find out the methods which could control the temperature rise. The laser beam (CW $CO_2$ laser, output: 6W, beam diameter: 1.5mm) was focused on the center of the occlusal surface of extracted lower molars. A Ge lens (focal length 200mm) was used to focus the primary laser beam. In order to vary the total amount of the same irradiated energy, experimental subjects were devided into three groups: continuously irradiated group, intermittently irradiated group, and water-cooled group after continuous laser irradiation. Temperature changes in the pulp chamber after laser irradiation were measured and recorded by the digital thermometer and recorder. The following results were obtained: 1. Temperatures in the pulp chamber were raised up in the order of the continuously irradiated group, intermittently irradiated group, water-cooled group after continuous laser irradiation. 2. In the continuously irradiated group, the temperature was raised up $1.7^{\circ}C$, $3.8^{\circ}C$, $7.3^{\circ}C$, $17.2^{\circ}C$ after 2, 4, 8, 16 seconds of the irradiation of laser. In the intermittently irradiated group, the changes were $1.2^{\circ}C$, $3.4^{\circ}C$, $6.3^{\circ}C$, $11.1^{\circ}C$, respectively. In the water-cooled group after continuous laser irradiation, the changes were $0.0^{\circ}C$, $0.8^{\circ}C$, $1.6^{\circ}C$, $6.9^{\circ}C$, respectively. 3. The starting time of temperature rise in the pulp chamber had no connection with laser irradiation time.

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복부 수술 환자의 저체온 예방 중재 프로그램 (Rewarming Intervention Program for Abdominal Surgery Patients)

  • 안혜영;엄미란
    • 기본간호학회지
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    • 제17권2호
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    • pp.220-230
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    • 2010
  • Purpose: This study was done to identify differences in three groups of operative patients (Forced Air Warming, Electrical Blanketrol, Control) for discomfort and pattern of body temperature during surgery and post operatively. Methods: The sample consisted of 3 randomized 3 groups of abdominal surgery patients admitted to an university hospital in D-city : The Bair Hugger and upper body blanket were used with the first group, electrical blanketrol with PVC Film with the second, and the third group was the control. ANOVA was used with the WIN SPSS 17.0 program to analyze the data. Results: Significant differences were found among the three groups for tympanic and esophageal body temperature at 1 hour after starting surgery. There was significant difference in tympanic body temperature during the 15 minute stay in the post anesthetic room. There were no significant differences in thermal discomfort while in the post anesthetic room. or There among the three groups for serum cortisol during surgery. Conclusion: According to the results of this study, application of a Bair Hugger or electrical blanketrol improves maintenance of body temperature of operative patients as well as body temperature of post operative patients, and is a clinically significant warming method providing a more consistent body temperature.

수종충전재의 변연누출에 관한 실험적 연구 (A Study of Marginal Leakage on Various Filling Materials)

  • 이윤상;김홍석;박가명
    • 대한치과의사협회지
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    • 제11권5호
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    • pp.337-340
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    • 1973
  • The authers have studied the marginal leakage on various filing materials : Composite resin, Polycarboxylate cement, Zinc phosphate cement, Silicate cement and Zinc-oxide eugenol cement, by means of penetration of 2% aquous methylene blue between cavity walls and filing materials at body temperature and at thermal changs in the range of 4~60℃ The results revealed as follows. 1) All the filling materials revealed the penetration of dye between cavity walls and filling materials. 2) Zinc-oxide eugenol cement was the most effective to prevent the dye penetration on the contrary silicate cement cases showed greatest leakage at 37℃ and at temperature changes in range of 4-60℃. 3) The composite resin showed moderate leakage either at 37℃ or at thermal changes 4) Marginal obstructions of polycarboxylate cement were unsatisfactory at 37℃ and at temperature changes.

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Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units

  • Mousavinasab, Sayed-Mostafa;Khoroushi, Maryam;Moharreri, Mohammadreza;Atai, Mohammad
    • Restorative Dentistry and Endodontics
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    • 제39권3호
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    • pp.155-163
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    • 2014
  • Objectives: Light-curing of resin-based materials (RBMs) increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs) of three different RBMs using quartz tungsten halogen (QTH) and light-emitting diode (LED) units (LCUs). Materials and Methods: Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12) during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey), a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE), and a giomer (Beautifil II, Shofu GmbH), was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. Results: The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p < 0.05). Filtek P90 induced higher temperature rise during polymerization than Ceram.X and Beautifil II under demineralized dentin (p < 0.05). The temperature rise under demineralized dentin during Filtek P90 polymerization exceeded the threshold value ($5.5^{\circ}C$), with no significant differences between the DCs of the test materials (p > 0.05). Conclusions: Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

소아 장중첩증에서 임상양상과 수술소견과의 관계에 관한 분석 (Analysis of Clinical Factors and Operative Findings in Childhood Intussusception)

  • 최금자
    • Advances in pediatric surgery
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    • 제2권2호
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    • pp.81-87
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    • 1996
  • Although nonoperative reduction plays a major role in the management of uncomplicated intussusception in the pediatric age group, surgical treatment is still a necessary alternative when nonoperative reduction is unsuccessful. The author analyzed the clinical features of 68 patients requiring operation in order to identify factors which might influence the type of operative management. A nine-year experience at Ewha Womans University Hospital was reviewed, and the findings compared to previous reports. Barium was used for the initial reduction attempt in 33 cases, saline in 35. Manual reduction by milking at operation achieved success in 41 cases(60.3%). Fifteen cases(22.1%) required resection of bowel, and 12 patients(17.6%) were found to have spontaneous and complete reduction of the intussusception at operation. Two cases had pathologic leading points. There were no perforations due to nonoperative reduction. There were no significant differences in demographic data, clinical findings, laboratory data, and anatomic type of intussusception between barium and saline reduction groups. However, a significant number of cases with spontaneous reduction were in saline reduction group(p<0.05). There was a slight chance of spontaneous reduction in infants under 6 month of age(p<0.001). Age under 6 month. body temperature over $38^{\circ}C$, symptom over 24 hours, and ileo-colic and ileo-ileo-colic intussusception contributed significantly to the necessity for bowel resection(p<0.05-0.001). The author believes that the age, body temperature, duration of illness, and anatomic type of intussusception strongly influence operative management.

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