Effect of irrigating fluid temperature on core body temperature during transurethral resection of the prostate
Abstract: The objective of
this study was to determine the effect of irrigating fluid temperature on core
body temperature changes in patients undergoing transurethral resection of the
prostate (TURP). A cross sectional study was conducted on 32 patients with benign
prostatic hyperplasia (BPH) who underwent TURP at our institution between
September 2003 and January 2004. Patients were randomized to one of two groups.
Standard group consisted of 16 patients who received room temperature
irrigating fluid (± 23.6 0C) throughout TURP. Isothermic group consisted of 16
patients whose procedure was performed using warmed irrigating fluid (± 37.2
0C). The irrigating fluid used for both groups was aquabidest. The age,
resection time, weight of resected prostate, amount of irrigating fluid used,
temperature in the operating theatre, core body temperature at beginning and at
conclusion of TURP were recorded for each patient. The t test was used for
comparison between both groups and a p value of 0.05 or less was considered
significant. The result of this study showed a decrease of core body
temperature during TURP, using either room temperature or warmed irrigating
fluid (both p = 0.000). None of the patients in either group demonstrated any
criteria of hypothermia. The average decrease of core body temperature in standard group (0.99 0C) was greater than in
isothermic group (0.75 0C), but it was not significantly different (p > 0.05). In conclusion, our study revealed
that using either room temperature irrigating fluid or warmed irrigating fluid
during TURP could decrease core body temperature at approximately similar
level, with no incidence of hypothermia.
Author: Taufan Tenggara, Djoko
Rahardjo
Journal Code: jpkedokterangg050130
