周周手术降温预防:使用基于共识的多学科方法开发简单的原则和实践建议
Judy Munday1,2, Jed Duff3,4, Fiona M Wood5,6
1School of Nursing/Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia judy.munday@qut.edu.au.
澳大利亚对外科手术期间低温预防的共识指南建议积极监测核心温度,保持体温在36°C以上,并尽量减少寒冷暴露. 这些基于证据的原则旨在提高手术期间的患者安全.
科学领域:
- 麻醉学和外科手术期间的医学.
- 基于证据的实践.
- 临床指南 开发 临床指南
背景情况:
- 外科手术期间的低温是手术过程中常见的并发症.
- 有效的预防策略对于患者的治疗结果至关重要.
- 需要针对澳大利亚的,基于证据的低温预防指南.
研究的目的:
- 为澳大利亚医疗保健环境量身定制的外科手术期间低温预防的基于证据的原则和建议达成共识.
- 为参与术后护理的临床医生提供明确,可操作的指导.
主要方法:
- 使用了由CAN-IMPLEMENT提供信息的ADAPTE流程来制定指南.
- 进行了系统的文献搜索,以确定有关外科手术期间低温预防现有的指导方针.
- 使用AGREE II评估指南和使用AGREE-REX提取建议,随后进行多学科临床医生反和代改进.
主要成果:
- 从23个来源综合证据,包括指导方针和证据摘要.
- 开发了三个核心原则,用于外科手术期间的低温预防:主动监测温度,主动升温到>36°C,并尽量减少寒冷暴露.
- 整合了219名外科临床医生的反,以完善推.
结论:
- 在澳大利亚关于预防外科手术期间低温症的实际,基于证据的原则和建议上达成共识.
- 这些原则已经准备好在澳大利亚医院进行本地适应和实施.
- 计划进行一项大型实施试验,以评估这些建议的有效性.
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