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Huvudintresseområde - Postoperativ hypotermi
Berit Kärfve Universitetsadjunkt Institutionen för omvårdnad, specialistutbildning intensivvård Lunds Universitet, Sverige. E-post adress: berit.karfve@omv.lu.se |
Abstract
Min magisterexamen handlar om mild hypotermi och risken för myocardischemi hos perioperativa patienter
Postoperative mild hypothermia is common in surgical procedures. Studies have shown that hypothermia has a myriad of physiological consequences. Myocardial ischemia in patients with early coronary disease increased. To test the hypothesis that mild hypothermia perioperatively gave increased electrocardiographical ST-segment depression, ECG was measured on thirty elective orthopaedic patients undergoing major hip and knee surgery, irrespective of anaesthetic form and patient age. The patients were kept warm during the operation on the upper half with Bair Hugger set on medium heat. Core temperature (recorded from the tympanic membrane), MAP, pulsoximetri and pulse were recorded. The results showed that the patients had mild hypothermia on arrival to the operating theatre (36,1 C SD 0.53 p=0,01) Elektrocardiographic ST segmental depression was observed in 10,7 %. This was not statistically significant ( p=0,587, 2 tailed). The conclusion was that mild hypothermia does no increase incidence of perioperative cardiac ischemia in orthopaedic patients warmed with Bair Hugger.
Mitt nuvarande intresseområde är en studie som löper under fem år av postoperativa patienter avseende hypotermiutveckling
Min magisterexamen handlar om mild hypotermi och risken för myocardischemi hos perioperativa patienter
Postoperative mild hypothermia is common in surgical procedures. Studies have shown that hypothermia has a myriad of physiological consequences. Myocardial ischemia in patients with early coronary disease increased. To test the hypothesis that mild hypothermia perioperatively gave increased electrocardiographical ST-segment depression, ECG was measured on thirty elective orthopaedic patients undergoing major hip and knee surgery, irrespective of anaesthetic form and patient age. The patients were kept warm during the operation on the upper half with Bair Hugger set on medium heat. Core temperature (recorded from the tympanic membrane), MAP, pulsoximetri and pulse were recorded. The results showed that the patients had mild hypothermia on arrival to the operating theatre (36,1 C SD 0.53 p=0,01) Elektrocardiographic ST segmental depression was observed in 10,7 %. This was not statistically significant ( p=0,587, 2 tailed). The conclusion was that mild hypothermia does no increase incidence of perioperative cardiac ischemia in orthopaedic patients warmed with Bair Hugger.
Mitt nuvarande intresseområde är en studie som löper under fem år av postoperativa patienter avseende hypotermiutveckling
