Main Article Content
Introduction: Currently, the hypothermia in laparoscopic gastrectomy has not been given due attention, leading to a high rate of postoperative hypothermia. Therefore, the care, monitoring and intervention to reduce the rate of hypothermia during and after surgery is one of the issues that need attention.
Objectives: The study was carried out with 2 objectives: (1) Determining the rate of hypothermia in patients during laparoscopic partial gastrectomy at Cho Ray Hospital; (2) Understanding risk factors for hypothermia in laparoscopic partial gastrectomy patients.
Methods: Descriptive cross-sectional study on 65 laparoscopic partial gastrectomy patients under general endotracheal anesthesia, from February 2021 to July 2021. The temperature was continuously measured and noted every 30 minutes from induction to the end of surgery by esophageal probe.
Results: In the study, all patients were under endotracheal anesthesia, The proportion of the age group 70 years and older is 35.38%, the rate of male 76.92%. The average anesthetic time was 166,77±44,05 minutes, the mean surgery time was 145,0±42,70 minutes. The average temperature of the operating room is 23,79°C. The rate of 87,69% of patients was warmed with just a sheet. Research results show that the rate of hypothermia in patients after surgery is 72,31%. Factors related to the rate of hypothermia include age group over 70, smoking, method of warming, BMI, operating room temperature.
Conclusion: Need to monitor the body-temperature and use continously critacal warming methods the prevent the hypothermia during and after gastrectomy surgery patients.
Hypothermia, laparoscopic partial gastrectomy, risk factors, Cho Ray Hospital.
 Leslie K, Sessler DI, Bjorksten AR et al., Mild hypothermia alters propofol pharmacokinetics and increases the duration of action of atracurium, Anesth Analg., 1995; 80: 1007-1014.
 Sheffield CW, Sessler DI, Hopf HW et al., Centrally and locally mediated thermoregulatory responses alter subcutaneous oxygen tension, Wound Repair Regen, 1996; 4(3): 339-345.
 Linh KNM, Thanh NT, Survey on the rate of hypothermia in patients under anesthesia - laparoscopic abdominal surgery, Ho Chi Minh Journal of Medicine, 2019; 23 (4): 54-61. (in Vietnamese)
 NICE Guidance, Hypothermia: prevention and management in adults having surgery, https://www.nice.org.uk/guidance/cg65, 2016. Accessed 14th June 2021.
 Thu PTM, Chung NV, Long LV, Survey on the rate of hypothermia and risk factors in anesthesia for abdominal surgery, Ho Chi Minh Journal of Medicine, 2011; 15(1): 327-332. (in Vietnamese)
 Constantine RS, Kenkel M, Hein RE et al., The impact of perioperative hypothermia on plastic surgery outcomes: a multivariate logistic regression of 1062 cases, Aesthet Surg J., 2015; 35(1): 81-8.
 Pei L, Huang Y, Xu Y et al., Effects of Ambient Temperature and Forced-air Warming on Intraoperative Core Temperature: A Factorial Randomized Trial, Anesthesiology, 2018; 128(5): 903-911.
 Agrawal N, Sewell DA, Griswold ME et al., Hypothermia During Head and Neck Surgery, The Laryngoscope, 2003; 113: 1278-1282.