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术前保暖对患者术后体温的影响。

The effect of preoperative warming on patients' postoperative temperatures.

作者信息

Cooper Shauna

机构信息

Anderson Hospital, Maryville, IL, USA.

出版信息

AORN J. 2006 May;83(5):1073-6, 1079-84; quiz 1085-8. doi: 10.1016/s0001-2092(06)60118-x.

DOI:10.1016/s0001-2092(06)60118-x
PMID:16722285
Abstract

Many perioperative clinicians encounter difficulty in preventing hypothermia in surgical patients. One intervention to prevent perioperative hypothermia is the use of forced-air warming. Although forced-air warming is used most frequently in the intraoperative area, prewarming patients with forced-air warming systems before induction of anesthesia may be enough to prevent hypothermia throughout the surgical procedure, allowing patients to arrive in the postanesthesia care unit in a normothermic state. A review of the literature on preoperative forced-air warming is provided, and the effect of prewarming on postoperative patient temperatures is discussed.

摘要

许多围手术期临床医生在预防手术患者体温过低方面遇到困难。预防围手术期体温过低的一种干预措施是使用强制空气加温。虽然强制空气加温在术中区域使用最为频繁,但在麻醉诱导前使用强制空气加温系统对患者进行预加温可能足以在整个手术过程中预防体温过低,使患者在进入麻醉后护理单元时处于正常体温状态。本文提供了对术前强制空气加温文献的综述,并讨论了预加温对术后患者体温的影响。

相似文献

1
The effect of preoperative warming on patients' postoperative temperatures.术前保暖对患者术后体温的影响。
AORN J. 2006 May;83(5):1073-6, 1079-84; quiz 1085-8. doi: 10.1016/s0001-2092(06)60118-x.
2
Effects of a preoperative forced-air warming system for patients undergoing video-assisted thoracic surgery: A randomized controlled trial.术前强制空气加温系统对接受电视辅助胸腔镜手术患者的影响:一项随机对照试验。
Medicine (Baltimore). 2020 Nov 25;99(48):e23424. doi: 10.1097/MD.0000000000023424.
3
Active perioperative patient warming using a self-warming blanket (BARRIER EasyWarm) is superior to passive thermal insulation: a multinational, multicenter, randomized trial.主动围手术期患者保温使用自热毯(BARRIER EasyWarm)优于被动保温:一项多国家、多中心、随机试验。
J Clin Anesth. 2016 Nov;34:547-54. doi: 10.1016/j.jclinane.2016.06.030. Epub 2016 Jul 17.
4
[Prewarming according to the AWMF S3 guidelines on preventing inadvertant perioperative hypothermia 2014 : Retrospective analysis of 7786 patients].[根据德国医学科学院(AWMF)2014年预防围手术期意外体温过低的S3指南进行预加温:对7786例患者的回顾性分析]
Anaesthesist. 2018 Jan;67(1):27-33. doi: 10.1007/s00101-017-0384-3. Epub 2017 Nov 20.
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Effect of active forced air warming during the first hour after anesthesia induction and intraoperation avoids hypothermia in elderly patients.麻醉诱导后和手术期间主动强制空气加热可预防老年患者术中低体温。
BMC Anesthesiol. 2022 Feb 7;22(1):40. doi: 10.1186/s12871-022-01577-w.
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Efficacy of a novel prewarming system in the prevention of perioperative hypothermia. A prospective, randomized, multicenter study.一种新型预加温系统预防围手术期体温过低的疗效。一项前瞻性、随机、多中心研究。
Minerva Anestesiol. 2014 Apr;80(4):436-43. Epub 2013 Oct 3.
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A quality improvement project incorporating preoperative warming to prevent perioperative hypothermia in major burns.一项纳入术前保暖以预防大面积烧伤围手术期低体温的质量改进项目。
Burns. 2018 Aug;44(5):1279-1286. doi: 10.1016/j.burns.2018.02.012. Epub 2018 Mar 7.
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Warming before and after epidural block before general anaesthesia for major abdominal surgery prevents perioperative hypothermia: A randomised controlled trial.腹部大手术全身麻醉前硬膜外阻滞前后进行加温可预防围手术期体温过低:一项随机对照试验。
Eur J Anaesthesiol. 2016 May;33(5):334-40. doi: 10.1097/EJA.0000000000000369.
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Intraoperative forced air-warming during cesarean delivery under spinal anesthesia does not prevent maternal hypothermia.脊髓麻醉下剖宫产术中使用强制空气加温并不能预防产妇体温过低。
Anesth Analg. 2007 Nov;105(5):1413-9, table of contents. doi: 10.1213/01.ane.0000286167.96410.27.
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Effect of 10 Minutes of Prewarming and Prewarmed Intravenous Fluid Administration on the Core Temperature of Patients Undergoing Transurethral Surgery under General Anesthesia.全身麻醉下经尿道手术患者预热 10 分钟和输注预热静脉输液对中心体温的影响。
Int J Med Sci. 2024 Jan 1;21(1):1-7. doi: 10.7150/ijms.88943. eCollection 2024.

引用本文的文献

1
Nurses' Awareness and Practices of Unintentional Perioperative Hypothermia Prevention: A Cross-Sectional Study.护士对围手术期意外体温过低预防的认知与实践:一项横断面研究。
Ther Hypothermia Temp Manag. 2024 Dec;14(4):e323-e330. doi: 10.1089/ther.2022.0030. Epub 2022 Aug 25.
2
An Overview of the Implications for Perianesthesia Nurses in terms of Intraoperative Changes in Temperature and Factors Associated with Unintentional Postoperative Hypothermia.术中体温变化及与术后意外低体温相关因素对麻醉后护理护士的影响概述
J Healthc Eng. 2022 Apr 11;2022:6955870. doi: 10.1155/2022/6955870. eCollection 2022.
3
Physiological Factor Evaluation of the Warm Humidification of Anesthetic Gas Nursing Care.
麻醉气体护理中温湿化的生理因素评估
Asia Pac J Oncol Nurs. 2019 Oct-Dec;6(4):397-402. doi: 10.4103/apjon.apjon_23_19.
4
A novel thermal compression device for perioperative warming: a randomized trial for feasibility and efficacy.一种用于围手术期保暖的新型热压缩装置:可行性和有效性的随机试验。
BMC Anesthesiol. 2017 Aug 11;17(1):102. doi: 10.1186/s12871-017-0395-2.