Bernard Helena
Nottingham University Hospitals, NHS Trust, Nottingham, UK.
Br J Nurs. 2013;22(6):319-20, 322-5. doi: 10.12968/bjon.2013.22.6.319.
Perioperative hypothermia is associated with poor outcomes for patients, yet it is preventable in most cases (National Institute for Health and Clinical Excellence (NICE), 2011a). NICE guideline 65 (2008) provides clear recommendations for avoiding perioperative hypothermia in surgical patients at each stage of their surgical journey, preoperatively, intraoperatively and postoperatively. This article describes the risks for patients at each of the three stages and disseminates the most recent NICE recommendations on how both patients and health professionals can work together to avoid perioperative hypothermia. The Enhanced Recovery after Surgery programme (ERAS) considers patient warming to maintain perioperative normothermia to be a key component in accelerating patient recovery. This article looks at how the NICE guidelines on inadvertent perioperative hypothermia and the ERAS programme complement each other to successfully and significantly improve patient recovery.
围手术期体温过低与患者预后不良相关，但在大多数情况下是可以预防的（英国国家卫生与临床优化研究所（NICE），2011a）。NICE指南65（2008）针对手术患者手术过程的每个阶段，即术前、术中和术后，提供了避免围手术期体温过低的明确建议。本文描述了这三个阶段中每个阶段患者面临的风险，并传播了NICE关于患者和医护人员如何共同努力避免围手术期体温过低的最新建议。术后加速康复计划（ERAS）将患者保暖以维持围手术期正常体温视为加速患者康复的关键组成部分。本文探讨了NICE关于围手术期意外体温过低的指南与ERAS计划如何相互补充，以成功且显著地改善患者康复情况。
