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Three Basic Principles of Perioperative Body Temperature Management

2019.04.11 / Thursday

Three Basic Principles of Perioperative Body Temperature Management

 

 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.


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