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围手术期低体温的危险因素:文献综述

Risk Factors for Perioperative Hypothermia: A Literature Review.

作者信息

Collins Shawn, Budds Marisa, Raines Caitlin, Hooper Vallire

出版信息

J Perianesth Nurs. 2019 Apr;34(2):338-346. doi: 10.1016/j.jopan.2018.06.003. Epub 2018 Oct 17.

Abstract

PURPOSE

The purpose of this article was to review the literature to identify risk factors for the development of unplanned perioperative hypothermia and to evaluate the strength of the evidence for each risk factor.

DESIGN

Comprehensive literature review METHODS: An evidence rating scale was used to evaluate the strength and quality of the research gathered.

FINDINGS

At this time, only anecdotal evidence is available to guide our efforts in the maintenance of perioperative normothermia. There is currently no strong evidence to implicate risk factors that do or do not cause a patient to develop unplanned perioperative hypothermia.

CONCLUSIONS

It is crucial to prevention that health care providers are able to identify risk factors and implement interventions. However, vigilance in the perioperative period can only enhance patient safety when we know what to look for. More research is needed to identify risk factors of unplanned perioperative hypothermia and effectively maintain normothermia throughout the perioperative period.

摘要

目的

本文旨在回顾文献,以确定围手术期意外体温过低发生的风险因素,并评估每个风险因素的证据强度。

设计

全面的文献综述

方法

使用证据评级量表来评估所收集研究的强度和质量。

结果

目前,仅有轶事证据可指导我们维持围手术期正常体温的工作。目前尚无有力证据表明哪些风险因素会导致或不会导致患者发生围手术期意外体温过低。

结论

医疗保健提供者能够识别风险因素并实施干预措施对预防至关重要。然而,只有当我们知道要寻找什么时,围手术期的警惕才能提高患者安全性。需要更多研究来确定围手术期意外体温过低的风险因素,并在整个围手术期有效维持正常体温。

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