成年人手术内低温的风险评估工具:范围审查
Hao Wang1, Ping Xu1, Jianying Luo1
1Sixth People's Hospital South Campus Affiliated to Shanghai Jiaotong University, Shanghai, China.
Nursing open
|March 16, 2026
概括
这次审查审查了评估无意中手术期间低温风险的工具. 患者和手术因素是关键因素,但需要更多的研究来验证现有的风险评估工具.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 临床风险管理临床风险管理
背景情况:
- 意外的手术内低温症 (IIH) 对患者构成重大风险.
- 有效的风险评估工具对于预防IIH至关重要.
研究的目的:
- 对用于评估IIH风险的工具进行全球审查.
- 建立一个标准化IIH风险评估的参考标准.
主要方法:
- 在英语和中文数据库以及指南网站上发表的综合范围审查研究.
- 在2022年12月31日之前进行系统搜索.
主要成果:
- 包括20项研究,将工具分类为风险预测模型 (15),风险评估表 (4) 和风险评估系统 (1).
- 患者因素 (20项研究),外科因素 (18项),麻醉因素 (16项) 和环境因素 (12项) 常被评估.
- 关键的评估组件包括年龄,BMI,基线温度,手术内液体/麻醉持续时间,手术持续时间和室温.
结论:
- 患者和手术因素是IIH风险评估工具的关键组成部分.
- 虽然存在各种工具,但它们的可靠性和有效性需要通过多中心的大规模临床研究进行进一步评估.
更多相关视频
08:22In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
3.5K
05:00Short-Duration Hypothermia Induction in Rats using Models for Studies examining Clinical Relevance and Mechanisms
Published on: March 3, 2021
3.3K
相关概念视频
Decreased Body Temperature
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 sustained extreme cold exposure, and severe...
Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Assessing Body Temperature - Temporal Artery
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 forehead...
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 forehead...
Respiratory Assessment: Purpose and Indications
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
