[Prevention of perioperative hypothermia].
Inadvertent perioperative hypothermia impairs postoperative outcome in surgical patients due to ischemic myocardial events, wound infections and coagulation disorders. Body core temperature should be assessed 1-2h preoperatively and continuously during surgery. To prevent hypothermia patients and nursing clinical staff should be teached and trained. Preoperatively surgical patients should always be prewarmed by using convective warming devices and active warming should be continued in surgeries longer than 1 hour. Warming of IV fluids is effective if infusion rates are above 1l/h. Core temperature should be measured in the recovery room and active warming should be started when patients are hypothermic or if they feel cold.
Klinik für Anästhesiologie, Intensivmedizin und OP-Management am Regio-Klinikum Pinneberg. Ernst-Peter.Horn@regiokliniken.de
Ernst-Peter
EP
Horn
Alexander
A
Torossian
D000328:Adult; D001831:Body Temperature; D002648:Child; D005260:Female; D006801:Humans; D007035:Hypothermia / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy*; D007262:Infusions, Intravenous; D007431:Intraoperative Complications / Q000517:prevention & control / Q000628:therapy; D009104:Multiple Trauma / Q000628:therapy; D019990:Perioperative Care; D011183:Postoperative Complications / Q000628:therapy; D011247:Pregnancy; D017694:Rewarming
Perioperative Hypothermie - Prophylaxe, Therapie und Physiologie.