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KMID : 0853020070100010031
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Journal of Korean Burn Society
2007 Volume.10 No. 1 p.31 ~ p.35
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Correlation Change of Core Temperature and Cardiac Output in Patients with Major Burn
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Kwak In-Suk
Kwak Tae-Yong
Woo Chul-Ho
Kim Kwang-Min
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Abstract
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Backgrounds: Ability of keeping body temperature of the patient with thermal injury evidently decreases due to the external injury and all forms of heat loss increase. For this reason, burnt patients are more likely to be in danger of hypothermia. The temperature probes were placed in the severly burnt patient’s esophagus and bladder to see whether the bladder temperature reflects the esophageal temperature. The relationship of cardiac output with body temperature was observed.
Methods: Twenty ASA physical II or III adult major burn patients, admitted for escharectomy and skin graft for burn wound care, were enrolled. After induction, esophageal stethoscope (T1) and foley catheter (T2) were placed for monitoring the core temperature. Cardiac index was measured by the esophageal Doppler monitor every five minutes.
Results: T2 after 10 min was significantly higher than T1. There was no significant differences between core temperatures and cardiac index.
Conclusions: In case of the burnt patient, monitoring of the core temperature of the bladder enables continuous monitoring of the intraoperative temperature with convenience. About 2∼3oC of the temperature drop did not have any effect on cardiac output. (Journal of Korean Burn Society 2007;10:31-35)
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KEYWORD
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Cardiac index, Core temperature, Hypothermia
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