title: [Variations of esophageal temperature during general anesthesia with a low-flow circuit].
abstract: BACKGROUND
  Anaesthesia drugs cause the cutaneous vasodilatation that produces core temperature lowering at the beginning of general anaesthesia; when the thermal threshold for vasoconstriction is reached the cutaneous heat losses are decreased. Furthermore, the soda lime begins to produce water and heat after 40 minutes of closed circuit ventilation. WORK HYPOTHESIS: The technique of inhalatory anaesthesia affects the thermal loss of patients after some hours of ventilation.
  
  
  METHODS
  Prospective randomized clinical trial.
  
  
  METHODS
  Surgical Clinical operating theatre of the University of Florence.
  
  
  METHODS
  50 patients submited to abdominal non vascular surgery, for longer than 2 hours, with xifo-pubic cut, subdivided into two groups with the same anthropometric characters and age; the first ventilated with open system, the second with low flow circuit (fresh gas flow 700 ml/min).
  
  
  METHODS
  "t" Student test;
  
  
  METHODS
  Lower one third oesophageal and inspiratory jaw of the circuit temperatures recorded for three hours.
  
  
  RESULTS
  The savings of low flow anaesthesia begin to be significant in the third hour of anaesthesia.
  
  
  CONCLUSIONS
  The thermal saving of closed circuit anaesthesia is, very probably, related to the humidifying and the warming of inspired air by soda lime reaction; the effect is more evident if cutaneous losses are reduced.
authors.affiliation: Istituto di Anestesiologia e Rianimazione, Università degli Studi, Firenze.
authors.forename: A
authors.initials: A
authors.lastname: Di Filippo
authors.forename: C
authors.initials: C
authors.lastname: Minoni
authors.forename: L
authors.initials: L
authors.lastname: Bonetti
authors.forename: L
authors.initials: L
authors.lastname: Rizzo
authors.forename: G P
authors.initials: GP
authors.lastname: Novelli
mesh_terms: D000768:Anesthesia, General; D000776:Anesthesiology / Q000295:instrumentation*; D001831:Body Temperature / Q000502:physiology*; D004947:Esophagus / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies