2020, Number 1
<< Back Next >>
Acta Med 2020; 18 (1)
The importance given by the anesthesiologist to the monitoring of the patient’s temperature under general anesthesia during the transanesthetic period
Cárdenas GA, Martínez CF, Athié GJM, Nava AA, Lozano RS
Language: Spanish
References: 16
Page: 17-22
PDF size: 144.61 Kb.
ABSTRACT
Introduction: The physiological temperature of the human body fluctuates between 36.5 and 37.2
oC. In the perioperative period the temperature balance is lost; and under anesthesia the thermoregulatory mechanisms are modified, resulting in a temperature decrease of up to 6
oC. The consequences of hypothermia on a patient under general anesthesia can be prevented or repaired in time with an adequate monitoring of the temperature during the transanesthetic period, however, it is not always accomplished.
Material and methods: A prospective, observational, descriptive study was implemented in a group of 29 anesthesiologists from three private hospitals in Mexico City, through a survey focused on the percentages of those who monitor the temperature of their patients and those who know the strategies to avoid the loss of temperature in the transanesthetic period.
Conclusions: Despite knowing the measures of preservation of temperature, and having the resource and available equipment, this parameter is not monitored.
REFERENCES
Uriostegui-Santana ML, Nava-López JA, Mendoza-Escoto VM. Alteraciones de la temperatura y su tratamiento en el perioperatorio. Revista Mexicana de Anestesiología. 2017; 40 (1): 29-37.
Vargas Tellez LE. Hipotermia. Archivos de Medicina de Urgencias de México. 2009; 1 (2): 55-62.
Sessler D. Perioperative thermoregulation and heat Balance. Lancet. 2016; 387: 2655-2664.
Quast S, Kimberguer O. La importancia de la temperatura corporal central: fisiopatología y métodos de revisión. Alemania. Drägerwerk; 2016.
Jie Y, Liang H, Song R. Maintaining intraoperative normothermia reduces blood loss in patients undergoing major operations: a pilot randomized controlled clinical trial. BMC Anesthesiology. 2018; 126 (18): 1-7.
Avellanas ML, Ricart A, Botella J. Manejo de la hipotermia accidental severa. Elsevier. 2012; 36 (3): 200-212.
Castillo CG, Candia CA, Marroquín HA. Manejo de la temperatura en el perioperatorio y frecuencia de hipotermia inadvertida en un hospital general. Rev Colomb Anestesiología. 2013; 41 (2): 97-103.
Pearce B, Mattheyse L, Ellard L, Desmond F, Pillai P, Weinberg L. Comparison of the warmcloud and bair hugger warming devices for the prevention of intraoperative Hypothermia in patients undergoing orthotopic liver transplantation: a randomized clinical trial. Transplantation Direct. 2018; 4 (1): 1-6.
Mommsen P, Andruszkow H, Frömke C, Zeckey C, Wagner U, van Griensven M et al. Effects of accidental hypothermia on posttraumatic complications and outcome in multiple trauma patients. Injury. 2013; 44 (1): 86-90.
Su SF, Nieh HC. Efficacy of forced-air warming for preventing perioperative hypothermia and related complications in patients undergoing laparoscopic surgery: A randomized controlled trial. Int J Nurs Pract. 2018; 24 (5): 1-10.
Olivas MR, Ruiz R. Monitor biomédico portátil con comunicación vía bluethooth a dispositivos móviles con sistemas operativo Windows. Memorias del Congreso Nacional de Ingeniería Biomédica. 2017; 2 (1): 323-327.
Pino R, Albrecht M, Bittner E. Manual de procedimientos de anestesia clínica del Massachusetts General Hospital. USA. Wolters Kluwer; 2016.
Horosz B, Malec-MilewskaM. Inadvertent intraoperative hypothermia. Anaesthesiol Intensive Ther. 2013; 45: 38-43.
Uriostegui-Santana M. Alteraciones de la temperatura y su tratamiento. Rev Mex Anest. 2017; 40 (1): 29-37. Disponible en: https://www.medigraphic.com/pdfs/rma/cma-2017/cma171e.pdf.
Mendonça FT, Lucena MC, Quirino RS, Govêia CS, Guimarães GM. Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study. Rev Bras Anestesiol. 2019; 69 (2): 122-130. doi:10.1016/j.bjan.2018.10.001. Epub 2019 Jan 23.
Ruetzler K, Kurz A. Consequences of perioperative hypothermia. Handb Clin Neurol. 2018; 157: 687-697.