The Changes in Core and Peripheral Temperature during Spinal Anesthesia in Patients Undergoing Transurethral Resection of the Prostate

• Published in: Nihon Rinshō Masui Gakkai shi Vol. 17; no. 7; pp. 424 - 428
• Main Authors: KOBAYASHI, Takafumi, HOSHI, Kunihiko, SUZUKI, Hitoshi, HONDA, Izumi, TOYAMA, Hiroaki, HASHIMOTO, Yasuhiko
• Format: Journal Article
• Language: English
• Published: THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA 1997
• Subjects: Spinal anesthesia; Temperature; Transurethral resection of the prostate (TUR-p)
• ISSN: 0285-4945; 1349-9149
• DOI: 10.2199/jjsca.17.424

Forty patients were studied to determine temperature changes before and after induction of spinal anesthesia during transurethral resection of the prostate. Using a core thermometer (Coretemp®; Terumo CTM-205), "deep" forehead temperature was measured as the core temperature, and "deep" palm and "deep" foot temperature as the peripheral temperatures. Shivering occurred during anesthesia in 7 patients. Mean body weight was significantly smaller in the shivering group, but there was no correlation between the presence or absence of shivering with age, anesthesia time, operation time, fluid volume, irrigating fluid volume, blood loss or resected tissue weight. After spinal anesthesia, forehead temperature in the shivering group was significantly less than that in the non-shivering group. Postanesthetic forehead temperature was correlated with preanesthetic forehead temperature, decreases in forehead temperature during anesthesia, postanesthetic palm temperature and postanesthetic foot temperature. We conclude that the perioperative hypothermia during spinal anesthesia in patients undergoing transurethral resection of the prostate correlates to body mass, preanesthetic core temperature and preanesthetic ambient temperature.