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土耳其麻醉学与复苏专家对围手术期体温过低的处理方法:一项调查研究

Approach to Perioperative Hypothermia by Anaesthesiology and Reanimation Specialist in Turkey: A Survey Investigation.

作者信息

İnal Meltem Aktay, Ural Sedef Gülçin, Çakmak Hamiyet Şenol, Arslan Mahmut, Polat Reyhan

机构信息

Clinic of Anaesthesiology and Reanimation, Osmaniye State Hospital, Osmaniye, Turkey.

Clinic of Anaesthesiology and Reanimation, Samsun Gynaecology and Child Diseases Hospital, Samsun, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2017 Jun;45(3):139-145. doi: 10.5152/TJAR.2017.81567. Epub 2017 Feb 1.

Abstract

OBJECTIVE

The aim is to investigate the attitudes of anaesthesiologists working in Turkey on perioperative temperature monitoring.

METHODS

The questionnaire comprised 25 questions. Data were obtained through the completion of the questionnaire by hand or via the web.

RESULTS

Two hundred and four questionnaires were evaluated. Most physicians were working in government hospitals. We determined that 26% of physicians often use temperature monitoring and that physicians who works in university hospitals are significantly more common monitor the body temperature. There are different approachs on core temperature. The skin/axilla was the most preferred monitoring site; forced-air warming devices were the most common preferred heating systems. New-borns were the most commonly monitored group, and the Turkish Anaesthesiology and Reanimation Society guideline was the most commonly used reference. Physicians working in university or private hospitals were significantly more able to adjust the operating room temperature on demand.

CONCLUSION

There are different applications to prevent perioperative hypothermia. Although physicians are aware of the effects of anaesthesia on hypothermia and the contribution of hypothermia to complications, this awareness was not enough for them to make temperature monitoring a routine practice. To make temperature monitoring a standard practice, we believe that more studies should be conducted and that this issue needs to be more frequently addressed in congresses, anaesthesia conferences and particularly in residency training clinics.

摘要

目的

旨在调查在土耳其工作的麻醉医生对围手术期体温监测的态度。

方法

问卷包含25个问题。数据通过手工填写问卷或通过网络填写问卷获得。

结果

共评估了204份问卷。大多数医生在政府医院工作。我们确定26%的医生经常使用体温监测,并且在大学医院工作的医生更常监测体温。在核心体温监测方面存在不同方法。皮肤/腋窝是最常用的监测部位;强制空气加温设备是最常用的加热系统。新生儿是最常被监测的群体,土耳其麻醉与复苏学会指南是最常用的参考依据。在大学医院或私立医院工作的医生更有能力根据需要调节手术室温度。

结论

在预防围手术期体温过低方面存在不同的应用方法。尽管医生们意识到麻醉对体温过低的影响以及体温过低对并发症的影响,但这种认识还不足以使他们将体温监测作为常规做法。为了使体温监测成为标准做法,我们认为应该进行更多的研究,并且这个问题需要在大会、麻醉会议尤其是住院医师培训诊所中更频繁地被提及。

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