Fanelli G, Berti M, Casati A, Baroncini S, Busoni P, Montanini S, Musto P, Pattono R, Proietti R, Torri G
Istituto di Anestesiologia e Rianimazione, IRCCS, Ospedale San Raffaele, Milano.
Minerva Anestesiol. 1997 Jun;63(6):193-204.
Anaesthesia, surgical procedures and operating room temperature can deeply alter the human thermoregulatory system. Unexpected and sometimes serious perioperative complications can occur. Many studies have been carried out in order to describe and evaluate the detrimental effects produced by different anaesthesia procedures (whether by general, regional or integrated anaesthesia) on thermic homeostasis. More recently it has also been reported that perioperative hypothermia significantly affects patients' outcome, increasing intraoperative blood losses, incidence of postoperative wound infection, and hospital stay. Italian anaesthetists have still a poor consideration about intraoperative body temperature monitoring and patients' warming as basic important skills for a better anaesthesiologic patients management. According with the literature, we do believe that this is not a right opinion. The purpose of the present paper would be to point out the most important knowledges concerning thermic homeostasis management, in order to increase anaesthesiologist's awareness in this essential field of patients perioperative care.
麻醉、外科手术和手术室温度会深刻改变人体体温调节系统。可能会出现意想不到的，有时甚至是严重的围手术期并发症。为了描述和评估不同麻醉程序（无论是全身麻醉、区域麻醉还是联合麻醉）对热稳态产生的有害影响，已经开展了许多研究。最近也有报道称，围手术期体温过低会显著影响患者的预后，增加术中失血量、术后伤口感染发生率和住院时间。意大利麻醉医生对术中体温监测和患者保暖作为改善麻醉患者管理的基本重要技能仍缺乏重视。根据文献，我们确实认为这不是正确的观点。本文的目的是指出有关热稳态管理的最重要知识，以提高麻醉医生在这一患者围手术期护理重要领域的认识。
