Woolnough M J, Hemingway C, Allam J, Cox M, Yentis S M
Magill Department of Anaesthesia, Intensive Care and Pain Management, Chelsea & Westminster Hospital, 369, Fulham Road, London SW109NH, UK.
Anaesthesia. 2009 Jan;64(1):50-3. doi: 10.1111/j.1365-2044.2008.05677.x.
We contacted the duty obstetric anaesthetist in 219 of the 220 consultant-led maternity units in the UK (99.5%) and asked about departmental and individual practice regarding temperature management during Caesarean section. Warming during elective Caesarean section was routine in 35 units (16%). Intravenous fluid warmers were available in 213 units (97%), forced air warmers were available in 211 (96%) and warming mattresses were available in 42 (19%). Only 18 (8%) departments had specific guidelines for temperature management during Caesarean section. Personal intra-operative practice was variable, although all of those contacted would initiate some form of active temperature management after a mean (SD) volume of blood loss of 1282 (404) ml, length of surgery of 78 (24) min, or core body temperature (if measured) of median (IQR [range]), 36 (35.5-36 [34-37.2]) degrees C.
我们联系了英国220个由顾问主导的产科病房中的219个（99.5%），询问了剖宫产期间体温管理的科室和个人做法。35个科室（16%）在择期剖宫产时常规进行保暖。213个科室（97%）配备了静脉输液加温器，211个科室（96%）配备了强制空气加温器，42个科室（19%）配备了加温床垫。只有18个（8%）科室有剖宫产期间体温管理的具体指南。个人术中做法各不相同，尽管所有被联系者在平均（标准差）失血量达到1282（404）毫升、手术时长达到78（24）分钟或核心体温（如果测量）达到中位数（四分位间距[范围]）36（35.5 - 36[34 - 37.2]）摄氏度后，都会启动某种形式的主动体温管理。
