scholarly journals Novel Monitoring of the Core Body Temperature and Predictors of Hypothermia in Patients Undergoing Lung Cancer Surgery: A Prospective Observational Study

Author(s):  
Chang-qing Liu ◽  
Li Lai ◽  
Hong-fei Ren ◽  
Chen Wang ◽  
Yu-wei Liu ◽  
...  

Abstract Objectives: Our study aimed to explore the feasibility and effect of noninvasive and wireless intelligent monitoring of core body temperature in surgical patients, and to evaluate the effect of intraoperative hypothermia on rapid recovery index of the patients undergoing lung cancer surgery. Methods: From January 2020 to June 2020, a wireless temperature sensor was pasted onto the nonoperative side of the axilla preoperatively to monitor axillary temperatures to help estimate core temperature in lung cancer patients. The intraoperative body temperature changes and related factors were collected and analyzed. Independent associations between hypothermia exposure and the duration of hospitalization and direct medical costs were evaluated. Our research was carried out and report according to the STROBE guideline.Results: In total, 206 consecutive patients who underwent lung cancer surgery were recruited, and the incidence of hypothermia was 83.01%. The median proportion of patients experiencing hypothermia was 62.65%, with the largest decrease in temperature recorded as 1.034±0.569°C. The patients’ lowest body temperature was calculated as follows: (Y) = 35.423 - 0.003 × surgical duration + 0.045 × BMI - 0.012 × age, R2=0.182. Patients with hypothermia had longer hospital stays and higher medical costs (t=2.201, P=0.029 and t=5.048, P<0.001, respectively).Conclusions: Hypothermia contributes to extended hospital stays and increased medical costs for patients. The use of noninvasive and wireless intelligent monitoring throughout an operation and adoption of heat preservation measures are expected to prevent and reduce hypothermia and promote rapid patient recovery.

2010 ◽  
Vol 37 (5) ◽  
pp. 1189-1198 ◽  
Author(s):  
M. Licker ◽  
J.-M. Schnyder ◽  
J.-G. Frey ◽  
J. Diaper ◽  
V. Cartier ◽  
...  

2012 ◽  
Vol 26 (2) ◽  
Author(s):  
Joanna Pawlak ◽  
Paweł Zalewski ◽  
Jacek J. Klawe ◽  
Monika Zawadka ◽  
Anna Bitner ◽  
...  

Animals ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 2316
Author(s):  
Daniel Mota-Rojas ◽  
Dehua Wang ◽  
Cristiane Gonçalves Titto ◽  
Jocelyn Gómez-Prado ◽  
Verónica Carvajal-de la Fuente ◽  
...  

Body-temperature elevations are multifactorial in origin and classified as hyperthermia as a rise in temperature due to alterations in the thermoregulation mechanism; the body loses the ability to control or regulate body temperature. In contrast, fever is a controlled state, since the body adjusts its stable temperature range to increase body temperature without losing the thermoregulation capacity. Fever refers to an acute phase response that confers a survival benefit on the body, raising core body temperature during infection or systemic inflammation processes to reduce the survival and proliferation of infectious pathogens by altering temperature, restriction of essential nutrients, and the activation of an immune reaction. However, once the infection resolves, the febrile response must be tightly regulated to avoid excessive tissue damage. During fever, neurological, endocrine, immunological, and metabolic changes occur that cause an increase in the stable temperature range, which allows the core body temperature to be considerably increased to stop the invasion of the offending agent and restrict the damage to the organism. There are different metabolic mechanisms of thermoregulation in the febrile response at the central and peripheral levels and cellular events. In response to cold or heat, the brain triggers thermoregulatory responses to coping with changes in body temperature, including autonomic effectors, such as thermogenesis, vasodilation, sweating, and behavioral mechanisms, that trigger flexible, goal-oriented actions, such as seeking heat or cold, nest building, and postural extension. Infrared thermography (IRT) has proven to be a reliable method for the early detection of pathologies affecting animal health and welfare that represent economic losses for farmers. However, the standardization of protocols for IRT use is still needed. Together with the complete understanding of the physiological and behavioral responses involved in the febrile process, it is possible to have timely solutions to serious problem situations. For this reason, the present review aims to analyze the new findings in pathophysiological mechanisms of the febrile process, the heat-loss mechanisms in an animal with fever, thermoregulation, the adverse effects of fever, and recent scientific findings related to different pathologies in farm animals through the use of IRT.


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