Updated on 2024/11/27

Information

 

写真a

 
OYA KAIKI
 
Organization
Kyushu University Hospital Anesthesiology & Critical Care Medicine Assistant Professor
Title
Assistant Professor

Degree

  • bachelor

Papers

  • Redistributional Hypothermia Prevention by Prewarming with Forced-Air: Exploratory, Open, Randomized, Clinical Trial of Efficacy

    Shirozu, K; Nobukuni, K; Maki, J; Nagamatsu, K; Tanaka, R; Oya, K; Funakoshi, K; Higashi, M; Yamaura, K

    THERAPEUTIC HYPOTHERMIA AND TEMPERATURE MANAGEMENT   13 ( 2 )   55 - 61   2023.6   ISSN:2153-7658 eISSN:2153-7933

     More details

    Language:English   Publisher:Therapeutic Hypothermia and Temperature Management  

    Avoiding redistributional hypothermia that decreases core temperature by 0.5-1.5°C within the 1st hour of surgery is difficult. The efficacy of prewarming using a forced-air warming (FAW) device with a lower-body blanket on redistribution hypothermia during epidural procedures have not been investigated. After ethics approval, 113 patients undergoing laparoscopic surgery under general anesthesia combined with epidural anesthesia were enrolled. Intervention (prewarming) group patients who were warmed from operating room entry, including during epidural anesthesia, was compared with the control group that was warmed from just before surgery started. In total, 104 patients (52, control; 52, prewarming) were analyzed. In the prewarming group, compared to the control group, the core temperature 20 minutes after anesthesia induction (36.9 ± 0.4 vs. 37.1 ± 0.4°C, p < 0.02) was significantly higher. The core temperature was higher in the prewarming group than in the control group until 3 hours after the surgery. In the prewarming group, compared to the control group, the core temperature-time integral below baseline till 180 minutes after surgery start (65.1 ± 64.0 vs. 8.1 ± 18.6°C/min, p < 0.0001) or 30 minutes after anesthesia induction (5.3 ± 6.2 vs. 2.0 ± 4.7°C/min, p < 0.0001) were significantly smaller. Postoperative shivering was comparable between the groups. Prewarming during epidural catheter insertion with a FAW device could safely prevent a core temperature decrease induced by redistribution or heat loss without additional preparation, effort, space, or time requirements.

    DOI: 10.1089/ther.2022.0009

    Web of Science

    Scopus

    PubMed

Presentations

Specialized clinical area

  • Biology / Medicine, Dentistry and Pharmacy / Surgical Clinical Medicine / Anesthesiology and Resuscitation

Clinician qualification

  • Specialist

    Japanese Society of Anesthesiologists(JSA)

Year of medical license acquisition

  • 2017