Development of hypothermia after spinal anesthesia and risk factors
10.3760/cma.j.cn131073.20221103.00206
- VernacularTitle:蛛网膜下腔麻醉后低体温的发生情况及危险因素
- Author:
Jing ZHANG
1
;
Shaojie ZONG
;
Xinyan ZHU
;
Xueyao YU
;
Zhengqian LI
;
Yi LIU
;
Jiechu WANG
Author Information
1. 北京大学第三医院麻醉科，北京 100191
- Keywords:
Anesthesia, spinal;
Hypothermia;
Risk factors
- From:
Chinese Journal of Anesthesiology
2023;43(2):152-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the development of hypothermia after spinal anesthesia and risk factors.Methods:Patients undergoing spinal anesthesia in the anesthesia preparation room of our hospital from April 2020 to April 2021 were included. The temperature of the tympanic membrane was measured before spinal anesthesia and immediately after anesthesia and at 5, 10 and 15 min after anesthesia. Patients with tympanic membrane temperature<36 ℃ at any time point were considered as having hypothermia and included in hypothermia group and patients with membrane temperature ≥ 36 ℃ were considered as having no hypothermia and included in non-hypothermia group. The patients′ demographic data, highest anesthesia plane, puncture space of spinal anesthesia, types of anesthetics, preoperative fasting time, and surgical sites were recorded. The multivariate logistic regression analysis was performed to identify the risk factors for hypothermia.Results:A total of 196 patients were finally enrolled. The body temperature was significantly decreased at 5 and 10 min after anesthesia compared with the baseline body temperature before anesthesia and immediately after anesthesia ( P<0.001), and the incidence of hypothermia was 10.2%. The multivariate logistic regression analysis showed that female and high anesthesia plane were independent risk factors for hypothermia, and higher baseline body temperature was an independent protective factor for hypothermia ( P<0.05). Conclusions:Body temperature decreases at 5-10 min after spinal anesthesia, and the occurrence of hypothermia is not a small probability event in the patients undergoing spinal anesthesia; female and higher anesthesia plane are risk factors and higher baseline body temperature is the protective factor.
