降低外科手术期间低温的最佳升温策略:一项前性随机非盲目的临床试验
Ronak Desai1,2,3, Jason Gosschalk1,2, Noud van Helmond1,2,3
1Cooper Medical School of Rowan University, Camden, New Jersey, United States of America.
PloS one
|June 12, 2025
概括
导热 (CW) 比强制空气加热 (FAW) 更有效,在没有使用预热的情况下预防手术内低温. 积极预热使两种方法同样有效.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 热调节 热调节 热调节 热调节
背景情况:
- 周围手术性低温症是一种常见的并发症.
- 强制加热 (FAW) 和导热 (CW) 是防止低温的方法.
- 不同组合的手术前和手术内升温策略的有效性需要进一步研究.
研究的目的:
- 为了比较四种手术前和手术内加热方法的组合在减轻手术内低温的有效性.
- 分析温暖化策略与手术期间低温症的严重程度之间的关联.
主要方法:
- 一项前性随机试验与182名患者进行.
- 患者被分为四组:CW/CW,FAW/FAW,没有活跃预热 (NAPW) /CW,以及NAPW/FAW.
- 通过食道探针测量36°C以下的温度曲线下的面积 (AUC) 来量化术内低温.
主要成果:
- 没有主动预热/强制空气加热 (NAPW/FAW) 组的AUC最高,表明出现了更多的低温.
- 在CW/CW组中,AUC是最低的.
- 与NAPW/FAW相比,CW/CW和NAPW/CW显示出明显较低的AUC值,这表明降温减轻效果更好.
结论:
- 导电式加热 (CW) 比强制式空气加热 (FAW) 更有效,当FAW 没有预热时.
- 当患者接受主动预热时,CW和FAW都在维持手术期间温度方面表现出类似的有效性.
- 这些发现强调了预热与手术内加热方法相结合的重要性.
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
Methods of reducing fever
649
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
649
Factors Affecting Body Temperature
4.0K
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:
4.0K
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
Thermoregulation
928
The human body has a sophisticated thermoregulation system that employs negative feedback mechanisms to maintain an optimal core temperature. When the core temperature drops, peripheral and central thermoreceptors send signals to the hypothalamus, activating the heat-promoting center. This center triggers several responses aimed at increasing the core temperature. First, vasoconstriction reduces the flow of warm blood from internal organs to the skin so that the heat is not lost from the skin,...
928


