ArticleThe Journal of thoracic and cardiovascular surgery2024
Perioperative hypothermia in robotic-assisted thoracic surgery: Incidence, risk factors, and associations with postoperative outcomes.
Article in The Journal of thoracic and cardiovascular surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 15 citations in OpenAlex.
- Effect of transcutaneous electrical acupoint stimulation on perioperative hypothermia in video-assisted thoracoscopic surgery: a randomized controlled trial.Frontiers in medicine · 2026Trial
- An evidence-based whole-process perioperative temperature management protocol for elderly patients undergoing robot-assisted radical prostatectomy: development and preliminary clinical evaluation.Journal of robotic surgery · 2026Article
- iThermonitor: A wearable non-invasive high-precision alternative to traditional temperature monitoring in thoracoscopic surgery of lateral decubitus position.Journal of clinical monitoring and computing · 2026Article
- Clinical Impact of Intraoperative Hypothermia on Outcomes Following Esophagectomy for Esophageal Cancer.Annals of surgical oncology · 2026Article
- Phased active warming protocol for prevention of intraoperative hypothermia in Da Vinci robot-assisted radical resection of rectal cancer.Journal of robotic surgery · 2026Article
- Incidence, causes, and effects of intraoperative hypothermia during elective oesophagectomy at a tertiary care centre- An observational study.Indian journal of anaesthesia · 2025Article
- Article
- The relationship between preoperative temperature and intraoperative hypothermia in patients undergoing robotic colorectal cancer surgery.Journal of robotic surgery · 2025Article
- Evaluation of a Perioperative Hypothermia Prevention Protocol in Thoracic Surgery with Comparison to Historical Control.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
- Construction and application of composite insulation scheme in the perioperative period of patients undergoing laparoscopic colorectal cancer surgery.World journal of gastrointestinal surgery · 2025Article
- Perioperative anesthesia management of remote 5G robot surgery and precautions for operation team.Journal of robotic surgery · 2025Review
- Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
objectiveInadvertent perioperative hypothermia has been associated with poor surgical outcomes. The purpose of this study was to evaluate the incidence and associated postoperative complications of inadvertent perioperative hypothermia in patients undergoing robotic-assisted thoracic surgery lung resections.
methodsThis was a single-center, retrospective cohort study evaluating all consecutive patients who underwent robotic-assisted thoracic surgery lung resection between January 1, 2021, and November 30, 2022. Temperatures were measured at 5 time points: preprocedure unit, anesthesia induction, 30 minutes postinduction, extubation, and recovery room arrival. Temperature changes were calculated at each interval. Adjusted and unadjusted comparison was performed between those who experienced varying levels of inadvertent perioperative hypothermia (Hypothermia I: <36 °C, Hypothermia II: <35.5 °C, and Hypothermia III: <35 °C) and those who did not.
resultsA total of 313 patients were included, and 201 (64.2%) lobectomies, 50 (16.0%) segmentectomies, and 62 (19.8%) wedge resections were performed. Across all patients, 291 (93.0%) had a temperature less than 36 °C, 195 (62.3%) had a temperature less than 35.5 °C, and 100 (31.9%) had a temperature less than 35.0 °C. Patients experienced significant temperature change at all intervals (P < .001), with the greatest loss occurring during the preprocedure interval (between leaving preprocedure unit and anesthesia induction). On adjusted analysis, patients who experienced inadvertent perioperative hypothermia less than 35.5 °C were older (odds ratio, 1.03; 95% CI, 1.01-1.05), had lower body mass index (odds ratio, 0.95; 95% CI, 0.87-0.98), and had increasing operative time (odds ratio, 1.00; 95% CI, 1.00-1.01). Patients who experienced inadvertent perioperative hypothermia had higher risk-adjusted rates of overall morbidity and infectious postoperative complications.
conclusionsThe majority of patients undergoing robotic-assisted thoracic surgery lung resections experience some degree of inadvertent perioperative hypothermia and have associated increased rates of 30-day morbidity. Structured and interval-specific interventions should be implemented to decrease rates of inadvertent perioperative hypothermia and subsequent complications.
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