The Effects of Irrigation Fluid on Core Temperature in Endoscopic Urological Surgery

2007 ◽  
Vol 17 (10) ◽  
pp. 494-503 ◽  
Author(s):  
Saqeb Mirza ◽  
Sukhmeet Panesar ◽  
Kong Jung AuYong ◽  
Jane French ◽  
David Jones ◽  
...  
Keyword(s):  
Body Temperature ◽  
Core Temperature ◽  
Myocardial Ischaemia ◽  
Drug Clearance ◽  
Irrigation Fluid ◽  
Coagulation Function ◽  
Urological Surgery ◽  
Oxygen Requirements

Irrigating fluids are commonly used in endoscopic urological surgery. Recent studies have shown a benefit in using irrigant fluids warmed to body temperature to prevent the undesirable effects of cooling, including impaired coagulation function, reduced levels of drug clearance and shivering resulting in increase in oxygen requirements causing potential myocardial ischaemia.

Contactless Core-Temperature Monitoring by Infrared Thermal Sensor using Mean Absolute Error Analysis

2020 ◽  
Vol 15 ◽  
Author(s):  
Fahad Layth Malallah ◽  
Baraa T. Shareef ◽  
Mustafah Ghanem Saeed ◽  
Khaled N. Yasen
Keyword(s):  
Body Temperature ◽  
Embedded System ◽  
Core Temperature ◽  
Integrated Circuit ◽  
Mean Absolute Error ◽  
Absolute Error ◽  
Thermal Sensor ◽  
Human Face ◽  
Body Contact ◽  
Arduino Microcontroller

Aims: Normally, the temperature increase of individuals leads to the possibility of getting a type of disease, which might be risky to other people such as coronavirus. Traditional techniques for tracking core-temperature require body contact either by oral, rectum, axillary, or tympanic, which are unfortunately considered intrusive in nature as well as causes of contagion. Therefore, sensing human core-temperature non-intrusively and remotely is the objective of this research. Background: Nowadays, increasing level of medical sectors is a necessary targets for the research operations, especially with the development of the integrated circuit, sensors and cameras that made the normal life easier. Methods: The solution is by proposing an embedded system consisting of the Arduino microcontroller, which is trained with a model of Mean Absolute Error (MAE) analysis for predicting Contactless Core-Temperature (CCT), which is the real body temperature. Results: The Arduino is connected to an Infrared-Thermal sensor named MLX90614 as input signal, and connected to the LCD to display the CCT. To evaluate the proposed system, experiments are conducted by participating 31-subject sensing contactless temperature from the three face sub-regions: forehead, nose, and cheek. Conclusion: Experimental results approved that CCT can be measured remotely depending on the human face, in which the forehead region is better to be dependent, rather than nose and cheek regions for CCT measurement due to the smallest

scholarly journals Temperature Monitoring and Perioperative Thermoregulation

2008 ◽  
Vol 109 (2) ◽  
pp. 318-338 ◽  
Author(s):  
Daniel I. Sessler ◽  
David S. Warner ◽  
Mark A. Warner
Keyword(s):  
Body Temperature ◽  
General Anesthesia ◽  
Core Temperature ◽  
Core Body Temperature ◽  
Neuraxial Anesthesia ◽  
General Anesthetics ◽  
The Core ◽  
Core Body ◽  
Dose Dependent ◽  
Body Heat

Most clinically available thermometers accurately report the temperature of whatever tissue is being measured. The difficulty is that no reliably core-temperature-measuring sites are completely noninvasive and easy to use-especially in patients not undergoing general anesthesia. Nonetheless, temperature can be reliably measured in most patients. Body temperature should be measured in patients undergoing general anesthesia exceeding 30 min in duration and in patients undergoing major operations during neuraxial anesthesia. Core body temperature is normally tightly regulated. All general anesthetics produce a profound dose-dependent reduction in the core temperature, triggering cold defenses, including arteriovenous shunt vasoconstriction and shivering. Anesthetic-induced impairment of normal thermoregulatory control, with the resulting core-to-peripheral redistribution of body heat, is the primary cause of hypothermia in most patients. Neuraxial anesthesia also impairs thermoregulatory control, although to a lesser extent than does general anesthesia. Prolonged epidural analgesia is associated with hyperthermia whose cause remains unknown.

Predictors of Hypothermia during Spinal Anesthesia

2000 ◽  
Vol 92 (5) ◽  
pp. 1330-1334 ◽  
Author(s):  
Steven M. Frank ◽  
Hossam K. El-Rahmany ◽  
Christine G. Cattaneo ◽  
Rachel A. Barnes
Keyword(s):  
Body Temperature ◽  
Spinal Anesthesia ◽  
Core Temperature ◽  
Room Temperature ◽  
Radical Retropubic Prostatectomy ◽  
Postanesthesia Care Unit ◽  
Body Habitus ◽  
Retropubic Prostatectomy ◽  
Duration Of Surgery ◽  
High Level

Background Body temperature often is ignored during regional anesthesia, despite evidence that hypothermia occurs commonly. Because hypothermia is associated with adverse clinical outcomes, it is important to recognize predictors of hypothermia and to monitor and control body temperature in patients at risk. The current study was designed to determine the predictors of core hypothermia in patients receiving spinal anesthesia for radical retropubic prostatectomy. Methods Forty-four patients undergoing radical retropubic prostatectomy were studied. A lumbar intrathecal injection of 18-22 mg bupivacaine, 0.75%, with 20 microg fentanyl was given. No active warming measures were used other than intravenous fluid warming. The following clinical variables were assessed as potential predictors of core (tympanic) temperature at admission to the postanesthesia care unit: duration of surgery, average ambient operating room temperature, body habitus, age, and spinal blockade level. Results The mean core temperature at admission to the postanesthesia care unit was 35.1 +/- 0.6 degrees C (range, 33.6-36.3 degrees C). Duration of surgery, ambient operating room temperature, and body habitus were not predictors of hypothermia. A high level of spinal blockade and increasing age were predictors of hypothermia. For each incremental increase in block level, core temperature decreased by 0.15 degrees C, and for each increase in age, core temperature decreased by 0.3 degrees C. Conclusions Although high-level spinal blockade has been associated with decreased thermoregulatory thresholds, no previous study has shown that a higher level of blockade is associated with a greater magnitude of core hypothermia in the clinical setting. As with general anesthesia, advanced age is associated with hypothermia during spinal anesthesia.

scholarly journals Effect of food intake on the ventilatory response to increasing core temperature during exercise

2019 ◽  
Vol 44 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Keiji Hayashi ◽  
Nozomi Ito ◽  
Yoko Ichikawa ◽  
Yuichi Suzuki
Keyword(s):  
Food Intake ◽  
Body Temperature ◽  
Skin Temperature ◽  
Core Temperature ◽  
Mean Skin Temperature ◽  
Carbon Dioxide Elimination ◽  
Transient Effect ◽  
Mean Body Temperature ◽  
Ventilatory Parameters ◽  
Effect Of Food

Food intake increases metabolism and body temperature, which may in turn influence ventilatory responses. Our aim was to assess the effect of food intake on ventilatory sensitivity to rising core temperature during exercise. Nine healthy male subjects exercised on a cycle ergometer at 50% of peak oxygen uptake in sessions with and without prior food intake. Ventilatory sensitivity to rising core temperature was defined by the slopes of regression lines relating ventilatory parameters to core temperature. Mean skin temperature, mean body temperature (calculated from esophageal temperature and mean skin temperature), oxygen uptake, carbon dioxide elimination, minute ventilation, alveolar ventilation, and tidal volume (VT) were all significantly higher at baseline in sessions with food intake than without food intake. During exercise, esophageal temperature, mean skin temperature, mean body temperature, carbon dioxide elimination, and end-tidal CO2 pressure were all significantly higher in sessions with food intake than without it. By contrast, ventilatory parameters did not differ between sessions with and without food intake, with the exception of VT during the first 5 min of exercise. The ventilatory sensitivities to rising core temperature also did not differ, with the exception of an early transient effect on VT. Food intake increases body temperature before and during exercise. Other than during the first 5 min of exercise, food intake does not affect ventilatory parameters during exercise, despite elevation of both body temperature and metabolism. Thus, with the exception of an early transient effect on VT, ventilatory sensitivity to rising core temperature is not affected by food intake.

scholarly journals The Effects of Hyperbaric Exposure on Immediate and Delayed Changes in Core Temperature and Its Circadian Fluctuations

2017 ◽  
Vol 60 (3) ◽  
pp. 19-25
Author(s):  
Sławomir Kujawski ◽  
Joanna Słomko ◽  
Monika Zawadka-Kunikowska ◽  
Mariusz Kozakiewicz ◽  
Jacek J. Klawe ◽  
...  
Keyword(s):  
Body Temperature ◽  
Core Temperature ◽  
Core Body Temperature ◽  
The Body ◽  
Physiological Adaptation ◽  
Deep Body Temperature ◽  
Delayed Effects ◽  
Hyperbaric Exposure ◽  
Core Body ◽  
Deep Body

Abstract Changes observed in the core body temperature of divers are the result of a multifaceted response from the body to the change of the external environment. In response to repeated activities, there may be a chronic, physiological adaptation of the body’s response system. This is observed in the physiology of experienced divers while diving. The purpose of this study is to determine the immediate and delayed effects of hyperbaric exposure on core temperature, as well as its circadian changes in a group of three experienced divers. During compression at 30 and 60 meters, deep body temperature values tended to increase. Subsequently, deep body temperature values showed a tendency to decrease during decompression. All differences in core temperature values obtained by the group of divers at individual time points in this study were not statistically significant.

scholarly journals Can body temperature be maintained during aeromedical transport?

CJEM ◽  
2002 ◽  
Vol 4 (03) ◽  
pp. 172-177 ◽  
Author(s):  
Sunil M. Sookram ◽  
Samantha Barker ◽  
Karen D. Kelly ◽  
William Patton ◽  
Terry Sosnowski ◽  
...  
Keyword(s):  
Body Temperature ◽  
Core Temperature ◽  
Mild Hypothermia ◽  
Severely Injured ◽  
Severe Hypothermia ◽  
Northern Areas ◽  
Aeromedical Transport ◽  
Regional Hospitals ◽  
Rotary Wing ◽  
Northern Alberta

ABSTRACTBackground:Aeromedical transport in northern areas may be associated with hypothermia. The objective of this study was to determine whether significant hypothermia (core temperature <35ºC) occurs in severely injured or ill intubated patients during transport by rotary wing aircraft.Methods:In this prospective cohort study, all intubated patients over 16 years of age who were transported by rotary wing aircraft from rural hospitals or trauma scenes in northern Alberta to regional hospitals in Edmonton were eligible for study. Esophageal thermometers were used to measure core temperature at 10-minute intervals during transport.Results:Of 133 potentially eligible patients, 116 were enrolled; 69 (59%) had esophageal thermometers inserted, and 47 (41%) had other temperature measurements. Severe hypothermia occurred in only 1% to 2% of cases, but 28% to 39% of patients met criteria for mild hypothermia prior to transport. Core temperatures did not fall during transport, despite the fact that warming techniques were documented in only 38% of cases.Conclusions:During brief (<225 km) rotary wing aeromedical transport of severely injured or ill patients, significant hypothermia is uncommon and body temperature is generally well maintained with the use of simple passive measures. These findings do not justify recommendations for more aggressive core temperature monitoring during this type of aeromedical transport.

Relation of body temperature and restraint to altitude tolerance in the rat

1959 ◽  
Vol 14 (5) ◽  
pp. 785-788
Author(s):  
R. G. Bartlett ◽  
P. D. Altland
Keyword(s):  
Body Temperature ◽  
The Body ◽  
Body Temperatures ◽  
Sprague Dawley ◽  
Experimental Procedure ◽  
Altitude Exposure ◽  
Sprague Dawley Rats ◽  
Rapid Ascent ◽  
Altitude Tolerance ◽  
Oxygen Requirements

A comparison of the altitude tolerance of restrained and nonrestrained adult male (225–300 gm) and adult female (150–225 gm) Sprague-Dawley rats exposed to an altitude of 33,500 ft. at various rates of ascent with various prealtitude exposure treatments was made. Animals restrained immediately before altitude exposure with rapid ascent (2000 ft/min) to altitude die significantly sooner than do nonrestrained control animals. Slow stepwise ascent to altitude (2 ½ –4 hr. to reach terminal altitude) increased the altitude tolerance of both the restrained and nonrestrained animals but much more for the restrained animals. When body temperatures were dropped to 25℃ before altitude exposure there were no deaths (up to 6 hr.) in either the restrained or nonrestrained animals. A lesser body temperature fall provided less protection. It appears that restraint may affect altitude tolerance in the rat by hastening the body temperature fall ordinarily associated with altitude exposure and by increasing the oxygen requirements as a result of the struggling to escape restraint. Since the former increases altitude tolerance and the latter reduces it, restraint may significantly increase or significantly decrease altitude tolerance, depending on the experimental procedure. Submitted on March 4, 1959

Rectal and Bladder Temperatures vs Forehead Core Temperatures Measured With SpotOn Monitoring System

2018 ◽  
Vol 27 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Hildy M. Schell-Chaple ◽  
Kathleen D. Liu ◽  
Michael A. Matthay ◽  
Kathleen A. Puntillo
Keyword(s):  
Heat Flux ◽  
Critical Care ◽  
Intensive Care ◽  
Body Temperature ◽  
Urinary Bladder ◽  
Core Temperature ◽  
Continuous Monitoring ◽  
Limits Of Agreement ◽  
The Mean ◽  
Critical Care Patients

BackgroundMethods and frequency of temperature monitoring in intensive care unit patients vary widely. The recently available SpotOn system uses zero-heat-flux technology and offers a noninvasive method for continuous monitoring of core temperature of critical care patients at risk for alterations in body temperature.ObjectiveTo evaluate agreement between and precision of a zero-heat-flux thermometry system (SpotOn) and continuous rectal and urinary bladder thermometry during fever and defervescence in adult patients in intensive care units.MethodsProspective comparison of SpotOn vs rectal and urinary bladder thermometry in eligible patients enrolled in a randomized clinical trial on the effect of acetaminophen on core body temperature and hemodynamic status.ResultsA total of 748 paired temperature measurements from 38 patients who had both SpotOn monitoring and either continuous rectal or continuous bladder thermometry were analyzed. Temperatures during the study were from 36.6°C to 39.9°C. The mean difference for SpotOn compared with bladder thermometry was −0.07°C (SD, 0.24°C; 95% limits of agreement, ± 0.47°C [−0.54°C, 0.40°C]). The mean difference for SpotOn compared with rectal thermometry was −0.24°C (SD, 0.29°C; 95% limits of agreement, ± 0.57°C [−0.81°C, 0.33°C]). Most differences in temperature between methods were within ± 0.5°C in both groups (96% bladder and 85% rectal).ConclusionsThe SpotOn thermometry system has excellent agreement and good precision and is a potential alternative for noninvasive continuous monitoring of core temperature in critical care patients, especially when alternative methods are contraindicated or not available.

Drinking-induced thermoregulatory panting in rehydrated sheep: influences of oropharyngeal/esophageal signals, core temperature, and thirst satiety

2009 ◽  
Vol 296 (6) ◽  
pp. R1881-R1888 ◽  
Author(s):  
M. J. McKinley ◽  
F. Weissenborn ◽  
M. L. Mathai
Keyword(s):  
Drinking Water ◽  
Body Temperature ◽  
Core Temperature ◽  
Heat Load ◽  
Water Deprivation ◽  
Saline Solution ◽  
Isotonic Saline ◽  
Cool Water ◽  
Rapid Fall

Dehydrated mammals conserve body water by reducing thermoregulatory evaporative cooling responses e.g., panting and sweating. Increased core temperature (Tc) may result. Following rehydration and correction of fluid deficits, panting and sweating commence. We investigated the role of oropharyngeal/esophageal, postabsorptive and thermal signals in the panting response, and reduced Tc that occurs when unshorn sheep drink water following water deprivation for 2 days (ambient temperature 20°C). Ingestion of water (at body temperature) resulted in increased respiratory rate (panting) and reduced Tc within 4 min that persisted for at least 90 min. Initially, a similar panting response and reduced Tc occurred following rehydration by drinking isotonic saline solution, but panting was not sustained after 20 min, and Tc began to rise again. Rehydration by intraruminal administration of water, without any drinking, resulted in delayed panting and fall in Tc. Intraruminal infusion of saline was ineffective. Rehydration by drinking cool water (20°C) resulted in a rapid fall in Tc without increased panting. Shorn sheep had lower basal Tc that did not increase during 2 days of water deprivation, and they did not pant on rehydration by drinking water. Our results indicate that signals from the oropharyngeal and/or esophageal region associated with the act of drinking play a crucial role in the initial 20–30 min of the panting response to rehydration. Postabsorptive factors most likely reduced plasma tonicity and cause continued panting and further reduction in Tc. Tc also influences rehydration-induced panting. It occurs only if sheep incur a heat load during bodily dehydration.

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