Frank S M, Nguyen J M, Garcia C M, Barnes R A
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Anesth Analg. 1999 Feb;88(2):373-7.
Monitoring and maintaining body temperature during the perioperative period has a significant impact on the risk of myocardial ischemia, cardiac morbidity, wound infection, surgical bleeding, and patient discomfort. To test the hypothesis that body temperature is inadequately monitored during regional anesthesia (RA), we randomly surveyed 60 practicing anesthesiologists to determine practice patterns for temperature monitoring. Only 33% of the clinicians surveyed routinely monitor body temperature during RA. Although skin temperature monitoring has limitations, it was the most commonly used method among the survey respondents. When temperature is monitored during RA, most clinicians use either liquid crystal skin-surface monitoring or axillary temperature probes. Of those surveyed, < 15% use acceptable core temperature monitoring techniques (urinary bladder or tympanic membrane). In conclusion, it seems that body temperature is often not monitored in patients receiving RA.
The results of this survey of practicing anesthesiologists indicate that body temperature is often not monitored in patients receiving regional anesthesia. It is therefore likely that significant hypothermia goes undetected and untreated in these patients.
围手术期监测和维持体温对心肌缺血风险、心脏发病率、伤口感染、手术出血及患者不适有重大影响。为检验区域麻醉（RA）期间体温监测不足这一假设，我们随机调查了60名执业麻醉医师以确定体温监测的实践模式。接受调查的临床医生中只有33%在区域麻醉期间常规监测体温。尽管皮肤温度监测有局限性，但它是受访者中最常用的方法。在区域麻醉期间进行体温监测时，大多数临床医生使用液晶体表监测或腋下温度探头。在接受调查的人中，不到15%使用可接受的核心体温监测技术（膀胱或鼓膜）。总之，接受区域麻醉的患者似乎常常未进行体温监测。
对执业麻醉医师的这项调查结果表明，接受区域麻醉的患者常常未进行体温监测。因此，这些患者很可能存在严重体温过低但未被发现和治疗的情况。
