周回温度調節と熱バランス
1Department of Outcomes Research, Cleveland Clinic, Cleveland, OH, USA.
Lancet (London, England)
|January 18, 2016
まとめ
一般麻酔薬はヒトの体温調節を阻害し,患者の体温低下を引き起こします. 合併症を防ぐために 麻酔の間 ノルモサーミアを維持することが重要です
科学分野:
- 生理学
- 麻酔科
背景:
- 人間の体温は 厳格に規制されています
- 熱調節防御には 発汗,血管収縮,が含まれる.
- 麻酔はこれらの温度調節メカニズムを著しく損なう.
研究 の 目的:
- 麻酔が温度調節に 与える影響を説明するために
- 手術後の低体温症の リスクと合併症を強調するためです
- コア温度モニタリングとノルモサーミアの重要性を強調する.
主な方法:
- 生理学的温度調節メカニズムの見直し
- 全身麻酔と神経麻酔による熱調節効果の分析
- 核心体温の測定方法についての議論
主要な成果:
- 麻酔は温度調節防御の値を下げ,低体温 (1~2°C) を引き起こす.
- 低体温は熱の再分配と過度の熱損失によるものです
- 合併症には 凝固症,感染の増加,回復の遅れがあります.
結論:
- 術後の低体温は 麻酔に伴う重大なリスクです
- コア体温の監視と正常体温の維持は標準的なケアです.
- 低体温症の予防は 患者の安全と結果のために不可欠です
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