Three Basic Principles of Perioperative Body Temperature Management
Three Basic Principles of Perioperative
Body Temperature Management
The importance of perioperative body
temperature management has been repeatedly mentioned. Timely and effective body
temperature management has a great impact on the success rate of an operation.
At present, the topic of perioperative body
temperature management is attracting more and more attention from medical staff
and scientific researchers. In the national guidelines on perioperative body
temperature management issued a few days ago, three important measures of body
temperature management are worth promoting:
1. The hospital should strive to provide
appropriate active insulation measures for every patient undergoing surgery.
2. Preoperative insulation measures should
be implemented in each operation.
3. All intraoperative liquid infusion,
including intravenous fluids, blood products, intraoperative rinse solution and
lavage solution, must be heated before infusion.
The idea of perioperative body temperature
management focuses not only on prevention and insulation, but also on
strengthening intraoperative body temperature monitoring.
Body temperature monitoring mainly relies
on temperature detection equipment to provide data support. Currently, the body
temperature monitoring equipment in domestic surgery rooms has not been
popularized, and the absence of the equipment has some impact on the specific
implementation of body temperature management.
At present, the core temperature monitoring
mode adopted by the anesthesiology department of domestic hospitals is mainly
to monitor the temperature of nasal cavity, esophagus and bladder, etc.
Various types of disposable medical temperature
probes can be used respectively, including esophageal temperature probe, skin
temperature probe, body cavity temperature probe and catheter with temperature
probe.
When using the medical temperature probe,
it is recommended to warm up with warm air and warm up with blood transfusion
and infusion to ensure that the patient's temperature is always within the
stable line.
Although some hospitals have been equipped
with this type of temperature monitoring equipment, it is still not possible to
carry out routine temperature management for every patient at present,
especially for patients under local anesthesia and patients whose operation
time is less than two hours.
However, it is believed that with the
continuous progress of anesthesiology, medical conditions and the concept of
body temperature management, the perioperative body temperature management in
the future can be more scientific and effective implementation of the concept,
effectively prevent the occurrence of perioperative hypothermia, and provide a
better medical environment for patients.