Application of comprehensive thermal insulation measures for maintaining body temperature during period of liver transplantation

Abstract

Objective To evaluate the effects of comprehensive thermal insulation measure for maintaining body temperature during perioperative period of liver transplantation for the late hepatic alveolar echinococcosis, and provide theoretical basis for improving the success rate of the operation. Methods A total of 18 patients undergoing liver transplantation for the late hepatic alveolar echinococcosis received comprehensive thermal insulation measure. The changes of nasopharyngeal and rectal temperature, pH, heart rate and blood pressure were monitored in the whole process of operation to justify the effective. Results After 5 min the new liver reperfusion, the nasopharyngeal and rectal temperature were (35.78±0.69) and (35.97±0.65)℃, and the value of pH decreased dramatically to (7.29±0.08), but the heart rate increased to (100.58±5.47) times/min (P<0.01). The systolic blood pressure were (82.21±10.45) and (83.59±12.71) mmHg during no liver period and 5 min new liver reperfusion (P<0.01), but all above indexes became normal after 30 min reperfusion. Conclusions During perioperative period of liver transplantation for the late hepatic alveolar echinococcosis, comprehensive thermal insulation measure can maintain the body temperature and other vital signs and effectively prevent the occurrence of intraoperative hypothermia. Key words: Echinococcosis, liver; Liver transplantation; Perioperative period; Comprehensive thermal insulation measure