title: [Prevention of perioperative hypothermia : Implementation of the S3 guideline].
abstract: To improve perioperative quality and patient safety, the German S3 guideline should be consistently implemented to avoid perioperative hypothermia. Perioperative normothermia is a quality indicator and should be achieved by anesthesiologists and surgeons. To detect hypothermia early during the perioperative process, measuring body temperature should be started 1-2 h preoperatively. Patients should be actively warmed for 20-30 min before starting anesthesia. Prewarming is most effective and should be included in the preoperative process. Patients should be informed about the risks of perioperative hypothermia and members of the perioperative team should be educated. A standard operating procedure (SOP) to avoid hypothermia should be introduced in every operative unit. The incidence of postoperative hypothermia should be evaluated in operative patients every 3-6 months. The goals should be to measure body temperature in >80% of patients undergoing surgery and for >70% to exhibit a core temperature >36 °C at the end of surgery.
authors.affiliation: Anästhesiologie, Regio Kliniken, Fahltskamp 74, 25421, Pinneberg, Deutschland. ernst-peter.horn@sana.de.
authors.forename: E-P
authors.initials: EP
authors.lastname: Horn
authors.affiliation: Abteilung für Allgemeine, Thorax-, Gefäß- und Transplantationschirurgie, Universitätsmedizin Rostock, Chirurgische Klinik und Poliklinik, Rostock, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Klar
authors.affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Höcker
authors.affiliation: Klinik für Anästhesiologie, Universitätsklinikum Göttingen, Göttingen, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Bräuer
authors.affiliation: Klinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Asklepios Klinik St. Georg, Hamburg, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Bein
authors.affiliation: Klinik für Anästhesie und Intensivmedizin, Universitätsklinikum Marburg, Marburg, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Wulf
authors.affiliation: Klinik für Anästhesie und Intensivmedizin, Universitätsklinikum Marburg, Marburg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Torossian
mesh_terms: D001831:Body Temperature; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D007035:Hypothermia / Q000517:prevention & control*; D007318:Inservice Training; D007431:Intraoperative Complications / Q000517:prevention & control*; D010348:Patient Care Team; D061214:Patient Safety; D011785:Quality Assurance, Health Care; D019984:Quality Indicators, Health Care; D012016:Reference Values
keywords: Body temperature; Guideline; Hypothermia; Perioperative care; Wound infection