Department of Neurosurgery, The University of Sydney, Sydney, New South Wales, Australia.
Department of Neurosurgery, Macquarie University, Sydney, New South Wales, Australia.
J Neurol Surg A Cent Eur Neurosurg. 2024 Jul;85(4):405-411. doi: 10.1055/a-2156-5285. Epub 2023 Aug 18.
Hemostasis in neurosurgery is crucial to patient and surgery outcomes, with many techniques developed for this. One area that is not appropriately characterized despite continuous anecdotal evidence the temperature of the irrigation fluid (IF) used and its effects on stemming hemorrhages. Given the ubiquitous use of IF in neurosurgery for clearing blood from the surgical field, it is important to explore its role as a hemostat and whether or not the temperature of the IF influences its hemostatic capacity. This review explored the literature for an optimal IF temperature for hemostasis in neurosurgery.
Database searches were conducted using MEDLINE, Scopus, Web of Science, and CINAHL, with citation chaining occurring where applicable. Standard terms around neurosurgery, hemostasis, and irrigation were used.
Seven articles were identified. No optimal temperature for hemostasis could be confidently synthesized from the literature owing to lack of primary investigation on the subject. After collating available information into common themes, it is suggested that that temperatures >38°C are preferred.
The literature in this area is limited. Despite a lack of applicable systematic investigation on the topic, by exploring the physiology of hemostasis and IF, best practice guidelines for IF, and the literature on the role of the temperature of IF in other surgical specialties, it is suggested that a temperature in the range of 38 to 40°C would be most applicable to a value optimal for neurosurgery.
神经外科中的止血对于患者和手术结果至关重要，为此开发了许多技术。尽管有持续的传闻证据表明冲洗液 (IF) 的温度及其对止血的影响，但仍有一个领域没有得到适当描述。鉴于 IF 在神经外科中广泛用于清除手术部位的血液，因此探讨其作为止血剂的作用以及 IF 的温度是否影响其止血能力非常重要。本综述探讨了神经外科止血的最佳 IF 温度的文献。
使用 MEDLINE、Scopus、Web of Science 和 CINAHL 进行数据库搜索，并在适用时进行引文链接。使用了与神经外科、止血和冲洗相关的标准术语。
确定了 7 篇文章。由于缺乏对该主题的初步调查，因此无法从文献中综合出最佳止血温度。将可用信息整理成共同主题后，建议选择 >38°C 的温度。
该领域的文献有限。尽管缺乏针对该主题的适用系统调查，但通过探索止血和 IF 的生理学、IF 的最佳实践指南以及 IF 温度在其他外科专业中的作用的文献，建议在 38 到 40°C 的范围内的温度最适用于神经外科。
