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    수술 중 흡입가스의 가온가습이 체온, 혈압 및 떨림에 미치는 효과  :  일반회로 적용군과의 후향적 비교연구 = The Effects of Intra-operative Heated Humidification on Body Temperature, Blood Pressure and Shivering of Patients Undergoing General Anesthesia

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    https://www.riss.kr/link?id=A82645839

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: The purpose of this study was to compare the body temperature (BT), blood pressure (BP) and shivering in patients undergoing operation under general anesthesia between the heated humidification circuit tube (HHCT) group and the non-HHCT group. Methods: Data were extracted from the participants' medical records from September 1st to December 30th, 2009. The HHCT group consisted of 50 cases who were applied with heated and humidified gas via a specially designed circuit under general anesthesia. The HHCT which was adjusted at 41℃ was applied from induction of general anesthesia to extubation. In comparison, the non-HHCT group consisted of 50 cases who were applied with gas through standard breathing circuit without heat and humidification. Collected data were analyzed by x2 test, t-test and repeated measures ANOVA. Results: The BT and shivering were significantly different between two groups (p<.001). But the BP was was not signigicantly different between the HHCT group and the non-HHCT group. Conclusion: The application of heated and humidified gases to patients under general anesthesia was effective in preserving the body temperature and reducing the shivering.
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    Purpose: The purpose of this study was to compare the body temperature (BT), blood pressure (BP) and shivering in patients undergoing operation under general anesthesia between the heated humidification circuit tube (HHCT) group and the non-HHCT group...

    Purpose: The purpose of this study was to compare the body temperature (BT), blood pressure (BP) and shivering in patients undergoing operation under general anesthesia between the heated humidification circuit tube (HHCT) group and the non-HHCT group. Methods: Data were extracted from the participants' medical records from September 1st to December 30th, 2009. The HHCT group consisted of 50 cases who were applied with heated and humidified gas via a specially designed circuit under general anesthesia. The HHCT which was adjusted at 41℃ was applied from induction of general anesthesia to extubation. In comparison, the non-HHCT group consisted of 50 cases who were applied with gas through standard breathing circuit without heat and humidification. Collected data were analyzed by x2 test, t-test and repeated measures ANOVA. Results: The BT and shivering were significantly different between two groups (p<.001). But the BP was was not signigicantly different between the HHCT group and the non-HHCT group. Conclusion: The application of heated and humidified gases to patients under general anesthesia was effective in preserving the body temperature and reducing the shivering.

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    참고문헌 (Reference)

    1 김정원, "흡입마취가스의 가온가습방법이 수술 환자의 체온에 미치는 영향" 12 (12): 361-366, 1991

    2 명희, "전신마취시 가온 ․ 가습한 가스환기가 수술 중,후 환자 체온에 미치는 효과" 6 (6): 115-127, 2000

    3 이지연, "수술전 가온과 수술중 가온이 수술환자의 체온과 전율에 미치는 영향" 성인간호학회 14 (14): 428-437, 2002

    4 최영희, "수술 후 정상체온 회복을 위한 열요법에 관한 연구" 이화여자대학교 1992

    5 Chalon, J., "The pall ultipor breathing circuitfilter-an efficient heat and moisture exchanger" 63 (63): 566-570, 1984

    6 Williams, "The effect of preoperative warming onpatients postoperative temperature" 83 (83): 1074-1084, 2006

    7 Guyton, A. C., "Textbook of medicalphysiology (10th ed.)" W. B. SaundersCompany 2000

    8 Collins,V.J, "Temperature regulation and heat problem" Lippincott 316-344, 1996

    9 Sessler,D.I, "Temperature monitoring and perioperativethermoregulation" 109 (109): 318-338, 2008

    10 Holtzclaw, B. J, "Shivering. A clinical nursing problem" 25 (25): 977-986, 1990

    1 김정원, "흡입마취가스의 가온가습방법이 수술 환자의 체온에 미치는 영향" 12 (12): 361-366, 1991

    2 명희, "전신마취시 가온 ․ 가습한 가스환기가 수술 중,후 환자 체온에 미치는 효과" 6 (6): 115-127, 2000

    3 이지연, "수술전 가온과 수술중 가온이 수술환자의 체온과 전율에 미치는 영향" 성인간호학회 14 (14): 428-437, 2002

    4 최영희, "수술 후 정상체온 회복을 위한 열요법에 관한 연구" 이화여자대학교 1992

    5 Chalon, J., "The pall ultipor breathing circuitfilter-an efficient heat and moisture exchanger" 63 (63): 566-570, 1984

    6 Williams, "The effect of preoperative warming onpatients postoperative temperature" 83 (83): 1074-1084, 2006

    7 Guyton, A. C., "Textbook of medicalphysiology (10th ed.)" W. B. SaundersCompany 2000

    8 Collins,V.J, "Temperature regulation and heat problem" Lippincott 316-344, 1996

    9 Sessler,D.I, "Temperature monitoring and perioperativethermoregulation" 109 (109): 318-338, 2008

    10 Holtzclaw, B. J, "Shivering. A clinical nursing problem" 25 (25): 977-986, 1990

    11 Gan, T. J, "Risk factors for postoperative nausea andvomiting" 102 (102): 1884-1898, 2006

    12 Feuchtinger, J, "Pressureulcer risk factors in cardiac surgery: A review of theresearch literature" 34 (34): 375-385, 2005

    13 Vaughan, M. S., "Postopertivehypothermia in adults: Relationship of age,anesthesia, and shivering to rewarming" 60 (60): 746-751, 1981

    14 Morris, R. H., "Operating room temperature and theanesthetized, paralyzed patient" 102 (102): 95-97, 1971

    15 Frank, S. M, "Multivariatedeterminants of early postoperative oxygen consumptionin elderly patients: Effects of shivering, body temperature,and gender" 83 (83): 241-249, 1995

    16 Todd, M. M., "Mild intraoperative hypothermia during surgeryfor intracranial aneurysm" 352 (352): 135-145, 2005

    17 Hynson, J. M., "Intraoperative warmingtherapies: A comparison of three devices" 4 (4): 194-199, 1992

    18 Bourke, D. L, "Intraoperative heat conservation using a reflective blanket" 60 (60): 151-154, 1984

    19 Mahajan, R. P., "Intraocular pressure changes during muscular hyperactivityafter general anesthesia" 66 (66): 419-421, 1987

    20 Eberhart, L. H., "Independentrisk factor for postoperative shivering" 101 (101): 1849-1857, 2005

    21 Matsukawa, T, "Heat flow and distributionduring induction of general anesthesia" 82 (82): 662-673, 1995

    22 West, J. W., "Effects ofhot, humid weather on milk temperature, dry matterintake, and milk yield of lactating dairy cows" 86 (86): 232-242, 2003

    23 Busto, R, "Effect of mild hypothermiaon ischemia-induced release of neutrotransmitters andfree fatty acids in rat brain" 20 (20): 904-910, 1989

    24 Hudak, C. M., "Criticalcare nursing: A holistic approach (5th ed.)" J. B. Lippincott Company 1990

    25 Imrie, M. M., "Body temperature andanaesthesia" 64 (64): 346-354, 1990

    26 Branson, R. D., "Anesthesia circuits, humidity output, and mucociliarystructure and function" 26 (26): 178-183, 1998

    27 Erickson,R, "A model of adaptation to the thermalenvironment" 4 (4): 1-12, 1982

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