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Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
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Factors associated with physiological postoperative pyrexia.

Taeko Fukuda1,2, Masato Nishida3

  • 1Department of Anesthesiology, Tsuchiura Center for Medical Education and Training, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

The Journal of Obstetrics and Gynaecology Research
|November 26, 2019
PubMed
Summary
This summary is machine-generated.

Postoperative pyrexia affects over half of patients after adenomyosis surgery. It is linked to amino acid solutions and flurbiprofen, with surgery scale impacting fever duration.

Keywords:
amino acidfeverflurbiprofensurgery

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Area of Science:

  • Gynecology
  • Surgical Outcomes
  • Physiology

Background:

  • Postoperative pyrexia is a common physiological response to surgery, posing a burden to patients and surgeons.
  • Understanding its incidence, duration, and prognostic factors is crucial for improving patient care.

Purpose of the Study:

  • To investigate the incidence and duration of physiological postoperative pyrexia following adenomyosis surgery.
  • To identify prognostic factors associated with postoperative pyrexia and its prolonged duration.

Main Methods:

  • Retrospective review of medical records for 462 patients undergoing adenomyosis surgery under general anesthesia.
  • Defining postoperative pyrexia (axillary temperature ≥38°C for ≥4 hours) and long-duration pyrexia (>3 days recovery).

Main Results:

  • 64% of 367 analyzed patients developed postoperative pyrexia; 71% experienced prolonged fever recovery (>3 days).
  • Amino acid-enriched solution administration and non-administration of flurbiprofen were associated with pyrexia.
  • Scale of surgery correlated with long-duration pyrexia, but not with pyrexia itself.

Conclusions:

  • Postoperative pyrexia is prevalent after adenomyosis surgery, linked to specific interventions.
  • The scale of surgery is a significant factor in the duration of postoperative fever.