关注|从越野跑失温伤亡事件,谈谈麻醉后低体温的危害
▲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。
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