Decreased fresh gas flow cannot compensate for an increased operating room temperature in maintaining body temperature during donor hepatectomy for living liver donor hepatectomy

K. W. Cheng, Chao-Hung Wang, C. L. Chen, B. Jawan, C. C. Wang, A. M. Concejero, S. H. Wang, Y. W. Liu, C. C. Yong, C. H. Yang, C. J. Huang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

2 Scopus citations

Abstract

Background The purpose of this study was to compare the effect of various combinations of fresh gas flow (FGF) of anesthesia and different ambient operation room temperatures (ORT) on changes in nasopharyngeal temperature (NT) among living donors undergoing partial hepatectomy. Methods The anesthesia records of 167 patients were reviewed retrospectively. The patients were allocated into 4 groups: GI (n = 37): isoflurane in 2 L FGF and at typical ambient ORT (19 C-21 C); GII (n = 11) isoflurane in 1 L FGF and 1 L air at typical ORT; GIII (n = 31) isoflurane in 0.5 L FGF at typical ORT; and GIV (n = 88) isoflurane in 0.5 L FGF at ORT of 24 C. The changes in NT were compared using a two-way repeated measure analysis of variance (ANOVA) followed by Bonferroni post hoc tests. Results Changes of NTs of GIV were significantly higher compared with the other 3 groups, whereas the changes of NTs were the same among GI, GII, and GIII. Conclusion FGF of different volumes seemed to have no significant effect on intraoperative changes of NT in regular ORT. Low-flow anesthesia combined with ORT of 24 C provided significantly higher NTs at all measured points compared with GI, GII, and GIII.

Original languageEnglish
Pages (from-to)703-704
Number of pages2
JournalTransplantation Proceedings
Volume42
Issue number3
DOIs
StatePublished - 2010

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