从短时间的手术中去除强迫空气加热后评估和低温
Anders Peder Højer Karlsen1,2, Thomas Bjerring Enevoldsen1, Mette Windeleff Svejstrup1
1Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Acta anaesthesiologica Scandinavica
|February 17, 2026
概括
在短时间的手术中省略强制空气加热会增加患者的低温和. 虽然这降低了成本和碳排放,但对患者结果的影响需要进一步调查.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 卫生经济学 卫生经济学
背景情况:
- 单次使用的强制空气加热毯可以防止手术期间的低温,但会带来环境和经济成本.
- 在短期手术中不使用这些毯子对患者结局的影响尚不清楚.
研究的目的:
- 为了评估去除强制加热空气对短时间外科手术过程中发和低温的影响.
主要方法:
- 一项务实,前性前后队列研究于2023年在一所中等大学医院进行.
- 包括经历了不到90分钟的骨科或腹部手术的成年患者.
- 同一主要结局是手术内低温 (<35.5°C) 和麻醉后护理单位 (PACU) ,比较主动强制空气加热与不加热.
主要成果:
- 放弃强制空气加热导致手术期间体温下降 (5.58% vs 2.73%) 和 (6.1% vs 4.0%) 的显著增加.
- 为了防止一个动事件的估计成本是235美元和62.9公斤二氧化碳等价物.
- 在麻醉出现时间或PACU停留时间方面没有发现显著差异.
结论:
- 删除短时间手术的强制空气加热显著增加了低温和发作的发生率.
- 这种做法降低了成本和碳排放,在患者福祉和环境/经济利益之间形成了有争议的平衡.
- 需要进一步的研究来探索患者对热舒适度结果的看法.
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