Effect of Comprehensive Warming Measures on Reducing Limb Pain During Recovery From Anaesthesia in Patients Undergoing Laparoscopic Cholecystectomy: A Retrospective Study.

AIM: This study aimed to explore the effect of comprehensive warming measures on reducing limb pain in patients undergoing laparoscopic cholecystectomy during recovery from anaesthesia.

METHODS

The medical records of 131 patients who underwent laparoscopic cholecystectomy in our hospital from June 2021 to June 2023 were retrospectively analyzed. According to the perioperative interventions administered, the samples were divided into a warming group (n = 62, in which comprehensive warming measures were applied, including preoperative forced-air warming, intraoperative use of warmed fluids and gases, and postoperative continuous warming) and a routine group (n = 69, in which routine management measures without active warming were applied, limited to maintenance of ambient room temperature, the use of standard draping and unheated fluids/gases). The Steward recovery score was used to evaluate the quality of anaesthesia recovery, and postoperative limb pain was assessed using the Visual Analogue Scale (VAS). Surgical indicators were also compared between the two groups.

RESULTS

Baseline data, as well as operation time and blood loss, were not significantly different between the two groups (all p > 0.05). Infusion volume and length of hospital stay were significantly different between the two groups (p < 0.001). In terms of the quality of anaesthesia recovery, level of consciousness, level of airway patency, and limb movement in the warming group were significantly higher than those in the routine group (p < 0.05). The postoperative VAS score in the warming group was significantly lower than that in the routine group (p < 0.001). Incidence of complications was not significantly different between the two groups (p = 0.308).

CONCLUSIONS

Comprehensive warming measures improved limb pain and recovery quality in patients undergoing laparoscopic cholecystectomy, highlighting their clinical value.