Management of peri-operative hypothermia |
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Authors: | Fernández-Meré L A Alvarez-Blanco M |
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Institution: | 1. Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Central de Asturias, Oviedo, Asturias, España;2. Servicio de Cirugía General, Hospital del Oriente de Asturias, Fundación Pública Francisco Grande Covián, Arriondas, Asturias, España;1. División de Anestesiología, Hospital Dr. José Penna, Bahía Blanca, Provincia de Buenos Aires, Argentina;2. División de Anestesiología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile;1. Leeds University Teaching Hospital, Plastic and Reconstructive Surgery, Leeds, United Kingdom;2. Department of Obstetrics and Gynaecology, King Saud University Medical City, Riyadh, Saudi Arabia;3. Paediatric Surgery Department, Paediatric Urology Division, Leeds University Teaching Hospital, Leeds, United Kingdom;4. Trauma and Orthopaedic Department, Manchester Royal Infirmary Hospital, Manchester, United Kingdom;5. Nutrition Officer at Mercy Corps Europe, Kadugli, Sudan;6. Public Health and Community Medicine Department, Theodor Bilharz Research Institute, Academy of Scientific Research, Ministry of Higher Education, Cairo, Egypt;7. Morbidity and Mortality Review Unit, King Saud University Medical City, Riyadh, Saudi Arabia;8. Pediatrics Department, King Khalid University Hospital, Riyadh, Saudi Arabia;9. Research Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi Arabia;10. Clinical Practice Guidelines and Quality Research Unit, Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia;11. Alexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University, Alexandria, Egypt;12. Adaptation Working Group, Guidelines International Network, Perth, Scotland, United Kingdom;13. Department of Surgery, King Saud University Medical City, King Saud University, Saudi Arabia;14. Cardiac Science Department, King Fahad Cardiac Science Center, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia |
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Abstract: | Hypothermia (body temperature under 36°C) is the thermal disorder most frequently found in surgical patients, but should be avoided as a means of reducing morbidity and costs. Temperature should be considered as a vital sign and all staff involved in the care of surgical patients must be aware that it has to be maintained within normal limits. Maintaining body temperature is the result, as in any other system, of the balance between heat production and heat loss. Temperature regulation takes place through a system of positive and negative feedback in the central nervous system, being developed in three phases: thermal afferent, central regulation and efferent response. Prevention is the best way to ensure a normal temperature. The active warming of the patient during surgery is mandatory. Using warm air is the most effective, simple and cheap way to prevent and treat hypothermia. |
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