The Effect of Temperature Chain Management Scheme During Gynecological Laparoscopic Surgery Under General Anesthesia

This study aimed to explore the effect of the temperature chain management scheme on inadvertent perioperative hypothermia (IPH) during gynecological laparoscopic surgery. A total of 48 female adult patients who underwent elective gynecological laparoscopic surgery under general anesthesia from November 2023 to April 2024 in a teaching hospital were enrolled and randomized to receive either intraoperative prewarming fluid alone (Group C) or temperature chain management (Group T). Comparing the perioperative core and peripheral temperatures, IPH rates, shivering in postanesthesia care unit (PACU), and thermal comfort in two groups, perioperative core temperature of Group T was higher than that of Group C (<i>p</i> < 0.05); IPH rates and the incidence of shivering in PACU of Group T were lower than that of Group C (<i>p</i> < 0.05); Group T scored higher in thermal comfort than Group C when entering PACU (<i>p</i> < 0.05). This study reports that the use of intraoperative prewarming fluid alone does not sufficiently warm the patients. The optimal temperature management is achieved when using temperature chain management during gynecological laparoscopic surgery.