Consequences of perioperative hypothermia
Consequences of perioperative hypothermia
复制标题
DOI：
10.1016/b978-0-444-64074-1.00041-0
复制
发表时间：
2018-01-01
期刊：
影响因子：
--
通讯作者：
Kurz, Andrea
中科院分区：
文献类型：
--
作者：
Ruetzler, Kurt;Kurz, Andrea
围术期体温过低很常见，发生率在20%到70%之间，定义为体温低于36.0摄氏度。围术期体温升高在上个世纪很少见，但后来被认为是导致围术期发病率和死亡率的重要因素。围手术期体温过低会导致药效学受损、手术部位感染、失血和凝血障碍、输血需求、体温不适、恢复时间延长和住院时间延长。因此，在围手术期测量中心核心体温、维持低温以及随后患者的体温升高是必不可少的。市面上有几种加温设备，包括主动皮肤加温，它是最有效、最便宜、最容易使用的，而且对大多数患者和手术来说大多具有良好的成本/效益比。
Perioperative hypothermia is common, with an incidence ranging between 20 and 70%, and is defined by a body core temperature below 36.0 degrees C. Perioperative warming was rare during the previous century, but was subsequently identified as a significant contributor to perioperative morbidity and mortality. Perioperative hypothermia causes impaired pharmacodynamics, surgical site infections, blood loss and coagulopathy, transfusion requirements, thermal discomfort, prolonged recovery, and prolonged duration of hospitalization.Measurement of central core temperature, maintaining normothermia, and consequent warming of patients in the perioperative period are therefore essential. Several warming devices are commercially available, including active skin warming as the most efficient, inexpensive, easy-to-use and mostly having a good cost/benefit ratio for the majority of patients and surgeries.