Hip Arthroscopy and Body Temperature
2012
Introduction Hypothermia is the drop in body temperature under 35°C (95°F), It has implications in immunological function and healing process, increasing the infection and the cardiovascular risk. During hip arthroscopy patients are exposed to several risk factors that may lead to hypothermia. Objective to determinate if there are hypothermia and which are the factors contributing to hypothermia during hip arthroscopy. Methods and materials we developed an prospective observational analytical study in a cohort group of patients that went to a hip arthroscopy, all operated by a single surgeon for treatment of femoroacetabular impingement, all were done under general anesthesia in supine position, with vair hugher warmer body air convection system always in 43.3°C; and we registered central body temperature (esophagical) during the entire procedure, we also recorded operation room temperature, volume (liters) and temperature of the saline solution used for the arthroscopy, age of the patient, body mass index (BMI), arterial tension, pump pressure, and surgical time. We analyzed the results with STATA 10.0 statistical software. Results we performed 12 cases, 30 years old in average (14 – 46), BMI 24.0 in average (18.7 – 30.4), and hypothermia was founded in 16% (2/12) of cases. There are a direct assosiation between hypothermia and operating time over 120 minutes (p Conclusion Hypothermia is present in 16,67% of the patients, during hip arthroscopy for the treatmemt of femoroacetabular impingement, are group is small but we demonstrated a direct correlation between operating time and hypothermia, further studys with larger groups should be performer to identify the correlations and risk factors for hypothermia in these patients.
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