在接受门诊外科手术的患者中维持外科正常热量
AORN journal
|April 28, 2025
概括
在手术前使用强制空气加热装置预热患者,在麻醉诱导后一个小时显著改善了正常热率. 这项质量改进项目突显了在外科手术期间治疗中主动加热的好处.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的护理.
- 患者安全 患者安全
背景情况:
- 意外的外科手术期间低温是常见的并发症,定义为核心体温低于36°C.
- 在手术过程中维持正常热量对于患者的治疗结果至关重要.
研究的目的:
- 评估用强制空气加热装置预热的有效性,以防止低温.
- 为了改善外科手术中心的外科手术周热管理.
主要方法:
- 一个质量改进项目由外科护士进行.
- 收集患者的温度数据,并将没有预热 (n=40) 的组与预热 (n=40) 的组进行比较.
- 在手术前,在麻醉引发后30分钟和1小时,以及在进入麻醉后护理单位时,测量了体温.
主要成果:
- 诱导后30分钟,各组的正常热率在诱导后30分钟之间相似.
- 诱导后1小时,53%的预热患者是正常热的,而非预热组的患者为38%.
- 两组所有患者在到达后麻醉治疗单元时都处于正常热状态.
结论:
- 使用强制空气加热装置进行预热是一种有效的策略,可以增加手术内正常热量.
- 为了成功实施预热协议,全面的员工和患者教育至关重要.
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