Archivos espanoles de urologia · 2025
Effect of Warm Intravenous Infusion on Core Temperature, Haemodynamic Monitoring and Tremors in Patients Undergoing Transurethral Resection of the Prostate.
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Yi Lan, Zhang Yiming, He Qiaofang, Xie Yun, Yang Jiemei, Tang Yushi
Аннотация
OBJECTIVE: To investigate the beneficial effects of warm intravenous infusion on core temperature, haemodynamic monitoring and tremors in patients undergoing transurethral resection of the prostate (TURP).
METHODS: Clinical data were retrospectively collected from the urology department of Urology Department of Zhujiang Hospital of Southern Medical University between February 2021 and February 2024. Core temperature and haemodynamic parameters were collected from patients at four time points: Before anaesthesia induction, immediately after endotracheal tube insertion, 10 min after the start of surgery (T2) and 10 min after extubation (T3). Additionally, intraoperative tremors and postoperative adverse events occurring within 24 h were recorded.
RESULTS: A total of 122 patients were included. On the basis of intravenous infusion temperature, the patients were divided into the warm intravenous infusion group (G1, n = 60) and room-temperature infusion group (G2, n = 62). Analysis of variance revealed a significant interaction effect between time and group on patients' core body temperature (p < 0.001), with time and group demonstrating significant main effects (p < 0.001). At T2 and T3, G2 had lower body temperatures than G1 (p < 0.001). Additionally, time had a significant interaction effect on patients' mean arterial pressure (MAP) (p < 0.05), and significant main effects were observed for patients' heart rate (HR) across time, group and the time-group interaction (p < 0.05). At T2 and T3, G1 exhibited higher levels of MAP, HR and oxygen saturation than G2 (p < 0.05). During the operation, the tremor rate and duration in G1 were lower than those in G2 (p < 0.05). Within 24 h after surgery, the incidence of adverse reactions in G1 was lower than that in G2 (p < 0.05).
CONCLUSIONS: Warm intravenous infusion is beneficial for patients undergoing TURP to maintain intraoperative core body temperature, improve the stability of haemodynamic parameters and reduce the incidence of intraoperative tremors and postoperative adverse reactions.
METHODS: Clinical data were retrospectively collected from the urology department of Urology Department of Zhujiang Hospital of Southern Medical University between February 2021 and February 2024. Core temperature and haemodynamic parameters were collected from patients at four time points: Before anaesthesia induction, immediately after endotracheal tube insertion, 10 min after the start of surgery (T2) and 10 min after extubation (T3). Additionally, intraoperative tremors and postoperative adverse events occurring within 24 h were recorded.
RESULTS: A total of 122 patients were included. On the basis of intravenous infusion temperature, the patients were divided into the warm intravenous infusion group (G1, n = 60) and room-temperature infusion group (G2, n = 62). Analysis of variance revealed a significant interaction effect between time and group on patients' core body temperature (p < 0.001), with time and group demonstrating significant main effects (p < 0.001). At T2 and T3, G2 had lower body temperatures than G1 (p < 0.001). Additionally, time had a significant interaction effect on patients' mean arterial pressure (MAP) (p < 0.05), and significant main effects were observed for patients' heart rate (HR) across time, group and the time-group interaction (p < 0.05). At T2 and T3, G1 exhibited higher levels of MAP, HR and oxygen saturation than G2 (p < 0.05). During the operation, the tremor rate and duration in G1 were lower than those in G2 (p < 0.05). Within 24 h after surgery, the incidence of adverse reactions in G1 was lower than that in G2 (p < 0.05).
CONCLUSIONS: Warm intravenous infusion is beneficial for patients undergoing TURP to maintain intraoperative core body temperature, improve the stability of haemodynamic parameters and reduce the incidence of intraoperative tremors and postoperative adverse reactions.