Spruce Lisa
AORN J. 2018 Nov;108(5):533-541. doi: 10.1002/aorn.12389.
Unplanned perioperative hypothermia is a common occurrence and can negatively affect a patient's postoperative course. Perioperative nurses are responsible for identifying patients at risk for hypothermia and working with the entire surgical team to prevent this complication from occurring. Multiple interventions can be implemented to address hypothermia, including active or passive warming and warm IV and irrigation fluids. This Back to Basics article addresses patient assessment concerns, identifies a variety of evidence-based interventions that can prevent or mitigate perioperative patient temperature changes, and provides basic steps for perioperative RNs to follow to help prevent perioperative hypothermia in their patients.
围手术期意外低温是一种常见情况,会对患者的术后恢复过程产生负面影响。围手术期护士负责识别有低温风险的患者,并与整个手术团队合作以防止这种并发症的发生。可以采取多种干预措施来应对低温,包括主动或被动保暖以及使用温热的静脉输液和冲洗液。这篇“回归基础”文章讨论了患者评估问题,确定了各种可预防或减轻围手术期患者体温变化的循证干预措施,并为围手术期注册护士提供了基本步骤,以帮助预防其患者发生围手术期低温。