不故意的外科手术期间低温
Casandra Garceau1, Marianne S Cosgrove2, Kimberly Gonzalez3
1is a staff CRNA at Yale New Haven Hospital, New Haven, Connecticut.
AANA journal
|August 1, 2023
概括
在手术期间保持正常的体温 (正常热量) 对于患者的安全和康复至关重要. 预防无意的外科手术期间低温 (IPH) 可以降低感染和死亡等风险.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 患者安全 患者安全
背景情况:
- 维持正常热量 (核心体温>36°C) 对于患者的安全和康复至关重要,这是世界卫生组织建议的.
- 无意的外科手术期间低温 (IPH) 是多因素的,源于手术前的暴露,低手术室温度和缺乏加热装置.
- 麻醉会削弱身体对寒冷的自然反应,增加对低温的敏感性.
研究的目的:
- 为了强调在外科手术期间温度调节的重要性.
- 讨论意外外科手术期间低温 (IPH) 的原因和后果.
- 强调预防IPH的策略.
主要方法:
- 审查导致IPH的因素.
- 讨论对低温的生理反应.
- 分析与低温相关的并发症.
主要成果:
- IPH是由各种因素引起的,包括环境条件,患者暴露和麻醉剂.
- 手术后期的低温与手术部位感染,死亡率和长时间住院的增加有关.
- 积极识别风险因素和实施变暖战略是预防的关键.
结论:
- 在手术期间有效的温度管理对于尽量减少患者的发病率和死亡率至关重要.
- 预防意外的外科手术期间低温症需要采取全面的方法,解决手术前,手术内和手术后的因素.
- 监测患者的体温和使用加热设备是关键干预措施.
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