在全膝关节整形手术前积极升温对手术期间体温和舒适度的影响:随机对照试验
1Gölhisar Vocational School of Health Services First and Emergency Aid Program, Burdur Mehmet Akif Ersoy University, Burdur, Türkiye.
概括
手术前和手术期间的积极升温显著改善了患者的体温和舒适度. 这种方法有效地在全膝关节整形手术过程中对抗低温症.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
背景情况:
- 在手术期间保持正常热量对于患者的治疗结果至关重要.
- 无法控制的手术内低温可能导致不良事件.
研究的目的:
- 评估主动加热方案对手术期间体温的影响.
- 为了评估主动加热对全膝关节整形手术前患者舒适度的影响.
主要方法:
- 一项随机对照试验,涉及54名接受全膝关节整形手术的患者.
- 干预组在手术前接受了30分钟的预热.
- 两组在手术过程中都使用了加热床.
主要成果:
- 接受主动升温的患者在麻醉诱导后的手术室入口温度较高.
- 与对照组相比,干预组的平均体温明显高.
- 活跃变暖组的患者平均舒适度得分显著更高.
结论:
- 将手术前预热与手术内加热相结合,可以有效地减轻手术内低温.
- 积极的升温策略可以在全膝关节整形术期间提高患者的舒适度.
- 这种方法为改善外科手术期间的温度管理提供了一个实际的解决方案.
相关概念视频
Decreased Body Temperature
602
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
602
Factors Affecting Body Temperature
3.9K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
3.9K
Temperature Measurement Sites
1.6K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
1.6K
Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
Assessing Body Temperature - Temporal Artery
533
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
533
Assessing Body Temperature - Axilla
576
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
576


