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NTIS 바로가기기본간호학회지 = Journal of Korean Academy of Fundamentals of Nursing, v.22 no.3, 2015년, pp.287 - 296
박성주 (차의과학대학교 분당차병원) , 김숙영 (차의과학대학교 간호대학)
Purpose: The purpose of this study was to examine the effects of forced air warming on intraoperative and postoperative body temperature, postoperative shivering and pain in patients undergoing laparoscopic cholecystectomy. Methods: A quasi-experimental design with nonequivalent control group was ut...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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복강경 담낭절제술의 장점은 무엇인가? | 복강경 담낭절제술은 개복술과 비교하여 기복에 의한 복압 상승으로 복강 내 출혈을 저하시키고, 수술 절개 부위가 작아 비교적 통증이 적으며, 수술 후 재원기간을 단축시켜주는 등 많은 장점이 있다고 알려져 그 사용이 증가되고 있다[1]. 수술과정 중에는 수술실 온도, 신체노출, 저온의 소독제, 찬 수액 및 세척액 주입 등으로 환자들의 열손실이 증가하고[2] 마취제로 인해 시상하부가 억압되어 체온조절 중추 기능의 저하, 말초 혈관의 이완 및 떨림 억제 등으로 체온조절이 어렵게 되어 수술환자의 50∼90%가 저체온을 경험한다[3]. | |
수술 중에 발생하는 저체온이 유발하는 것은? | 수술 중에 발생하는 저체온은 상처감염, 응고 장애, 면역기능 약화, 간기능 억제, 심박출량 감소, 정맥정체, 마취제의 대사지연 등의 심각한 합병증을 유발할 수 있다[5]. 또한 회복 기에 발생하는 전율은 산소 소모량을 400∼500%까지 증가시키고 심박출량을 증가시켜 심장의 부담이 가중된다. | |
수술 후 공기가온요법의 적용방법은 무엇인가? | 회복실 입실 직후 전체 몸통용 담요(PACU full body blanket, Model 300, 3M, Minnesota, USA)를 통하여 수술 후 공기가온요법을 적용하였다. 적용방법은 얼굴을 제외한 신체의 모든 부분, 즉 어깨에서부터 발끝까지 전체 몸통용 담요로 덮고 38℃로 온도를 맞춘 후 기계를 작동시켰다. |
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