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Das Pneumoperitoneum pp 167–186Cite as

Der Wärmehaushalt

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Zusammenfassung

Nach Einführung der laparoskopischen Operationstechnik wurde von einigen Autoren[39] darauf aufmerksam gemacht, dass bei laparoskopischen Eingriffen häufiger Hypothermien auftraten, die auf die Gasinsufflation zurückgeführt wurden. Darauf hin wurden neue Insufflationssysteme entwickelt, um das Insufflationsgas zu erwärmen. Ob und in welchem Maß die laparoskopische Methode aber tatsächlich die Körpertemperatur beeinflusst, ist bislang umstritten.

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Literatur

  1. Arancibia S, Rage F, Astier H, Tapia Arancibia L. (1996) Neuroendocrine and autonomous mechanisms underlying thermoregulation in cold environment. Neuroendocrinology 64: 257–267.

    Article  PubMed  CAS  Google Scholar 

  2. Bäcklund M, Kellokumpu I, Scheinin T, Von Schmitten K, Tikkanen I, Lindgren L. (1998) Effect of temperature of insufflated CO2 during and after prolonged laparoscopic surgery. Surg Endosc 12: 1126–1130.

    Article  PubMed  Google Scholar 

  3. Bessell JR, Karatassas A, Patterson JR, Jamieson GG, Maddem GJ. (1995) Hypothermia induced by laparoscopic insufflation. A randomized study in a pig model. Surg Endosc 9: 791–796.

    Google Scholar 

  4. Bessell JR, Maddem GJ. (1998) Influence of gas temperature during laparoscopic procedures. In: Rosenthal RJ, Friedman RL, Phillips EH, editors. The pathophysiology of pneumoperitoneum. Springer. Berlin: 18–27.

    Chapter  Google Scholar 

  5. Böhm B, Neudecker J, Zuckermann H, Mansmann U. (1998) Einfluss der thorakalen Epiduralanästhesie auf die intraoperative Körpertemperatur -Ergebnisse aus einer prospektiven randomisierten Studie. (Unveröffentlichte Studie)

    Google Scholar 

  6. Bush HL, Hydo LJ, Fischer E, Fantini GA, Silane MF, Barie PS. (1995) Hypothermia during elective abdominal aortic aneurysm repair: The high price of avoidable morbidity. J Vasc Surg 21: 392–402.

    Article  PubMed  Google Scholar 

  7. Carli F, Emery PW, Freemantle CA. (1989) Effect of peroperative normothermia on postoperative protein metabolism in elderly patients undergoing hip arthroplasty. Br J Anaesth 63: 276–282.

    Article  PubMed  CAS  Google Scholar 

  8. Cheng C, Matsukawa T, Sessler DI, Ozaki M, Kurz A, Merrifield B, et al. (1995) Increasing mean skin temperature linearly reduces the core-temperature thresholds for vasoconstriction and shivering in humans. Anesthesiol 82: 1160–1168.

    Article  CAS  Google Scholar 

  9. Ellis ER, Kleinsasser U, Speer RJ. (1957) Changes in coagulation occurring in dogs during hypothermia and cardiac surgery. Surgery 41: 198–210.

    PubMed  Google Scholar 

  10. Forstot RM. (1995) The etiology and management of inadvertent perioperative hypothermia. J Clin Anesth 7: 657–674.

    Article  PubMed  CAS  Google Scholar 

  11. Frank SM, Beattie C, Christopherson R, Norris EJ, Perler BA, Williams GM, et al. (1993) Unintentional hypothermia is associated with postoperative myocardial ischemia. The Perioperative Ischemia Randomized Anesthesia Trial Study Group. Anesthesiol 78: 468–476.

    Google Scholar 

  12. Frank SM, Beattie C, Christopherson R, Norris EJ, Rock P, Parker S, et al. (1992) Epidural versus general anesthesia, ambient operating room temperature, and patient age as predictors of inadvertent hypothermia. Anesthesiol 77: 252–257.

    Article  CAS  Google Scholar 

  13. Frank SM, Fleisher LA, Breslow MJ, Higgins MS, Olson KF, Myers TP, et al. (1995) Postoperative ventricular tachycardia occurs more frequently in mildly hypothermic patients: a prospective randomized trial. Anesthesiol 83: A79

    Article  Google Scholar 

  14. Frank SM, Fleisher LA, Olson KF, Gorman RB, Higgins MS, Breslow MJ, et al. (1995) Multivariate determinants of early postoperative oxygen consumption in elderly patients. Effects of shivering, body temperature, and gender. Anesthesio1 83: 241–249.

    Article  CAS  Google Scholar 

  15. Frank SM, Higgins MS, Breslow MJ, Fleisher LA, Gorman RB, Sitzmann JV, et al. (1995) The catecholamine, cortisol, and hemodynamic responses to mild perioperative hypothermia. Anesthesiol 82: 83–93.

    Article  CAS  Google Scholar 

  16. Giesbrecht GG, Ducharme MB, McGuire JP. (1994) Comparison of forced-air patient warming systems for perioperative use. Anesthesiol 80: 671–679.

    Article  CAS  Google Scholar 

  17. Goldberg JM, Maurer WG. (1997) A randomized comparison of gasless laparoscopy and CO2 pneumoperitoneum. Obstet Gynecol 90: 416–420.

    Article  PubMed  CAS  Google Scholar 

  18. Gründel K, Böhm B, Junghans T, Schwenk W, Müller JM. (1999) Veränderungen der Körperkerntemperatur and des intraperitonealen Milieus während eines Pneumoperitoneums. Langenbecks Arch Chir Suppl. I 209–215

    Google Scholar 

  19. Hammel HT. (1988) Anesthetics and body temperature regulation. Anesthesiol 68: 833–835.

    Article  CAS  Google Scholar 

  20. Huntington TR, LeMaster CB. (1997) Laparoscopic hypothermia: heat loss from insufflation gas flow. Surg Laparosc Endosc 7: 153–155.

    Article  PubMed  CAS  Google Scholar 

  21. Imrie MM, Hall GM. (1990) Body temperature and anaesthesia. Br J Anaesth 64: 346–354.

    Article  PubMed  CAS  Google Scholar 

  22. Joris J, Ozaki M, Sessler DI, Hardy AF, Lamy M, McGuire J, et al. (1994) Epidural anesthesia impairs both central peripheral thermoregulartory control during general anesthesia. Anesthesiol 80: 268–277.

    Article  CAS  Google Scholar 

  23. Koivusalo AM, Kellokumpu I, Scheinin M, Tikkanen I, Halme L, Lindgren L. (1996) Randomized comparison of the neuroendocrine response to laparoscopic cholecystectomy using either conventional or abdominal wall lift techniques. Br J Surg 83: 1532–1536.

    Article  PubMed  CAS  Google Scholar 

  24. Kurz A, Kurz M, Poeschl G, Faryniak B, Redl G, Hackl W. (1993) Forced-air warming maintains intraoperative normothermia better than circulating-water mattresses. Anesth Analg 77: 89–95.

    PubMed  CAS  Google Scholar 

  25. Kurz A, Sessler DI, Christensen R, Dechert M. (1995) Heat balance and distribution during the core-temperature plateau in anesthetized humans. Anesthesiol 83: 491–499.

    Article  CAS  Google Scholar 

  26. Kurz A, Sessler DI, Lenhardt R. (1996) Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group. N Engl J Med 334: 1209–1215.

    Article  PubMed  CAS  Google Scholar 

  27. Kurz A, Sessler DI, Narzt E, Lenhardt R, Lackner F. (1995) Morphometric influences on intraoperative core temperature changes. Anesth Analg 80: 562–567.

    PubMed  CAS  Google Scholar 

  28. Kurz A, Sessler DI, Schroeder M, Kurz M. (1993) Thermoregulatory response thresholds during spinal anesthesia. Anesth Analg 77: 721–726.

    PubMed  CAS  Google Scholar 

  29. Leslie K, Sessler DI. (1996) Reduction in the shivering threshold is proportional to spinal block height. Anesthesiol 84: 1327–1331.

    Article  CAS  Google Scholar 

  30. Makinen MT. (1997) Comparison of body temperature changes during laparoscopic and open cholecystectomy. Acta Anaesthesiol Scand 41: 736–740.

    Article  PubMed  CAS  Google Scholar 

  31. Matsukawa T, Kurz A, Sessler DI, Bjorksten AR, Merrifield B, Cheng C. (1995) Propofol linearly reduces the vasoconstriction and shivering thresholds. Anesthesiol 82: 1169–1180.

    Article  CAS  Google Scholar 

  32. Matsukawa T, Sessler DI, Christensen R, Ozaki M, Schroeder M. (1995) Heat flow and distribution during epidural anesthesia. Anesthesiol 83: 961–967.

    Article  CAS  Google Scholar 

  33. Matsukawa T, Sessler DI, Sessler AM, Schroeder M, Ozaki M, Kurz A, et al. (1995) Heat flow and distribution during induction of general anesthesia. Anesthesiol 82: 662–673.

    Article  CAS  Google Scholar 

  34. Morris RH. (1971) Operating room temperature and the anesthetized, paralyzed patient. Arch Surg 102: 95–97.

    PubMed  CAS  Google Scholar 

  35. Morris RH. (1971) Influence of ambient temperature on patient temperature during intraabdominal surgery. Ann Surg 173: 230–233.

    Article  PubMed  CAS  Google Scholar 

  36. Morris RH, Kumar A. (1972) The effect of warming blankets on maintenance of body temperature of the anesthetized, paralyzed adult patient. Anesthesiol 36: 408–411.

    Article  CAS  Google Scholar 

  37. Morris RH, Wilkey BR. (1970) The effects of ambient temperature on patient temperature during surgery not involving body cavities. Anesthesiol 32: 102–107.

    Article  CAS  Google Scholar 

  38. Ott DE. (1991) Correction of laparoscopic insufflation hypothermia. J Laparoendosc Surg 1: 183–186.

    Article  PubMed  CAS  Google Scholar 

  39. Ott DE. (1991) Laparoscopic hypothermia. J Laparoendosc Surg 1: 127–131.

    Article  PubMed  CAS  Google Scholar 

  40. Ozaki M, Kurz A, Sessler DI, Lenhardt R, Schroeder M, Moayeri A, et al. (1994) Thermoregulatory thresholds during epidural and spinal anesthesia. Anesthesiol 81: 282–288.

    Article  CAS  Google Scholar 

  41. Rasmussen YH, Leikersfeldt G, Drenck N-E. (1998) Forced-air surface warming oesophageal heat exchanger in the prevention of peroperative hypothermia. Acta Anaesthesiol Scand 42: 348–352.

    Article  PubMed  CAS  Google Scholar 

  42. Roe CF. (1971) Effect of bowel exposure on body temperature during surgical operations. Am J Surg 122: 13–15.

    Article  PubMed  CAS  Google Scholar 

  43. Schmied H, Kurz A, Sessler DI, Kozek S, Reiter A. (1996) Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty. Lancet 347: 289–292.

    Article  PubMed  CAS  Google Scholar 

  44. Seitzinger MR, Dudgeon LS. (1993) Decreasing the degree of hypothermia during prolonged laparoscopic procedures. J Reprod Med 38: 511–513.

    PubMed  CAS  Google Scholar 

  45. Sessler DI, Sessler AM, Hudson S, Moayeri A. (1993) Heat loss during surgical skin preparation. Anesthesiol 78: 1055–1064.

    Article  CAS  Google Scholar 

  46. Sheffield CW, Sessler DI, Hunt TK. (1994) Mild hypothermia during isoflurane anesthesia decreases resistance to E. coli dermal infection in guinea pigs. Acta Anaesthesiol Scand 38: 201–205.

    Article  CAS  Google Scholar 

  47. Slotman GJ, Jed EH, Burchard KW. (1985) Adverse effects of hypothermia in postoperative patients. Am J Surg 149: 495–501.

    Article  PubMed  CAS  Google Scholar 

  48. Stoen R, Sessler DI. (1990) The thermoregulatory threshold is inversely proportional to isoflurane concentration. Anesthesiol 72: 822–827.

    Article  CAS  Google Scholar 

  49. Tollofsrud SG, Gundersen Y, Andersen R. (1984) Peroperative hypothermia. Acta Anaesthesiol Scand 28: 511–515.

    Article  PubMed  CAS  Google Scholar 

  50. Valeri CR, Feingold H, Cassidy G, Ragno G, Khuri S, Altschule MD. (1987) Hypothermia-induced reversible platelet dysfunction. Ann Surg 205: 175–181.

    Article  PubMed  CAS  Google Scholar 

  51. Wenisch C, Narzt E, Sessler DI, Parschalk B, Lenhardt R, Kurz A, et al. (1996) Mild intraoperative hypothermia reduces production of reactive oxygen intermediates by polymorphonuclear leukocytes. Anesth Analg 82: 810–816.

    PubMed  CAS  Google Scholar 

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Authors
  1. B. Böhm
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  2. K. Gründel
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  1. Klinik für Allgemein-, Viszeral-, Gefäß- und Thoraxchirurgie, Universitätsklinikum Charité, Campus Mitte, Schumannstraße 20-21, 10117, Berlin, Deutschland

    Bartholomäus Böhm , Wolfgang Schwenk  & Tido Junghans ,  & 

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© 2000 Springer-Verlag Berlin Heidelberg

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Böhm, B., Gründel, K. (2000). Der Wärmehaushalt. In: Böhm, B., Schwenk, W., Junghans, T. (eds) Das Pneumoperitoneum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59713-8_9

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  • DOI: https://doi.org/10.1007/978-3-642-59713-8_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66740-7

  • Online ISBN: 978-3-642-59713-8

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