ERAS術中體溫維持

ERAS Guideline for Normothermia

圍術期低體溫是一個常見的問題，對於接受手術的病患，在手術相關併發症發生率上有直接的影響。本文對於發生原因、危險因子、預防措施、照護設備做一廣泛性的回顧介紹，並將低體溫引起的相關併發症，包括心臟血管意外、凝血功能影響、術後傷口感染率、藥物代謝率等等問題作一整理。在照護設備上，做一廣泛性的比較，提出以主動加溫方式照護低體溫高風險病患。本文由台灣麻醉醫學會ERAS Normothermia小組共同努力，除了整理相關國內外文獻，同時收集了台灣部分醫學中心歷年關於體溫照顧的資料，並佐以最新證據，提出圍術期體溫照護之現況與建議。 Incidence of inadvertent perioperative hypothermia is still high. This is a review of perioperative hypothermia mechanism, risk factors, prevention, and warming devices. Moreover, side effects including cardiovascular disease, coagulation function problem, surgical site infection rate, drug metabolism rate, gastro-intestinal movement function, and consciousness disturbance are also reviewed. Forced-air warming is a common and extensively tested warming modality that outperforms passive insulation and water mattresses. This review article was done by all the members of ERAS (enhanced recovery after surgery) Normothermia group in Taiwan Society of Anesthesiologists.