关注|从越野跑失温伤亡事件,谈谈麻醉后低体温的危害

2021-06-16 14:29 来源: 健康界

▲图 呼吸气体加热加湿装置

血管内热交换导管-- 有创血管内热交换导管比表面系统传递更多的热量。由于它们的侵入性和昂贵性,它们的使用仅限于建立故意的治疗性体温过低。

▲图 血管内热交换导管

总之,我们应在麻醉和手术期间应保持常温,监测持续时间超过30分钟的全身麻醉患者体温;在诱导麻醉前进行预热和术中主动对患者加温;应当在患者到达麻醉恢复室(PACU)或重症监护病房(ICU)时测量温度。术后早期温度异常很常见,体温过低会导致潜在的不良后果,应及时治疗。

部分参考文献:

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2.Matsukawa T, Sessler DI, Christensen R, et al. Heat flow and distribution during epidural anesthesia. Anesthesiology 1995; 83:961.

3.Sun Z, Honar H, Sessler DI, et al. Intraoperative core temperature patterns, transfusion requirement, and hospital duration in patients warmed with forced air. Anesthesiology 2015; 122:276.

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