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Body temperature changes during transurethral prostatectomy

R E Rawstron, J K Walton

    Anaesthesia and Intensive Care
    |February 1, 1981
    PubMed
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    Cold irrigating solutions significantly lower body temperature during transurethral resection of the prostate (TURP). Even very cold fluids did not cause greater heat loss than standard irrigants.

    Area of Science:

    • Urology
    • Surgical Physiology

    Background:

    • Transurethral resection of the prostate (TURP) involves using irrigating solutions.
    • Body temperature changes during TURP are a concern for patient safety.

    Purpose of the Study:

    • To investigate the impact of cold irrigating solutions on patient body temperature during TURP.
    • To compare the effects of different irrigating fluid temperatures on core body temperature.

    Main Methods:

    • A prospective trial was conducted with multiple patient groups.
    • Patients undergoing TURP were assigned to groups receiving irrigating solutions at different temperatures (21.9°C, 4.96°C, 10.2°C).
    • Body temperatures were monitored before and after the procedure.

    Main Results:

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    • All groups experienced a significant drop in body temperature during TURP.
    • The mean body temperature decreased from approximately 36°C to around 34.6-34.9°C across all tested irrigant temperatures.
    • No significant difference in the degree of body cooling was observed between the control group (21.9°C) and test group A (4.96°C).

    Conclusions:

    • Cold irrigating solutions cause significant hypothermia during TURP.
    • The temperature of irrigating solutions, even when significantly cooled, did not differentially impact the degree of hypothermia compared to standard temperatures in this study.
    • Further research may be needed to establish optimal irrigant temperatures to mitigate hypothermia during TURP.