Perioperative Temperature Management

A perioperative temperature management guide for anaesthetists and surgeons, covering physiological basics to warming therapy techniques.

Anselm Bräuer (Author)

9781107535770, Cambridge University Press

Paperback / softback, published 8 June 2017

216 pages, 111 b/w illus. 4 tables
23.4 x 15.7 x 1 cm, 0.39 kg

'Short manageable chapters. The short notes sections provided an overview or snapshot, to help the reader manage and digest the in-depth information provided.' Angela Cobbold, Journal of Perioperative Practice

This practical text offers a comprehensive guide to perioperative temperature management for anaesthetists, surgeons and nurses. The physiological basics of thermoregulation and heat exchange are covered, before the changes that occur during general and regional anaesthesia are outlined. The relevant adverse scenarios associated with perioperative hypothermia, including morbid cardiac events, impairment of coagulation, increased blood loss and surgical site infections are discussed, before the methods of measuring core temperature and the equipment and techniques to keep patients warm are described. Richly illustrated and clearly structured for quick reference, Perioperative Temperature Management is an essential daily resource to help ensure safe, effective practice.

Part I. Introduction: 1. History of perioperative hypothermia
2. Physiology of heat and cold sensation
3. Physiology of thermoregulation
4. Physiology of heat gain and heat loss
Part II. Changes Induced by Anaesthesia and Surgery: 5. Influence of preanaesthetic core temperature and premedication
6. Influence of transportation to the operating room and preparation for surgery
7. Influence of general anaesthesia
8. Influence of regional anaesthesia
9. Influence of regional anaesthesia and sedation
10. Influence of epidural anaesthesia and general anaesthesia
11. Influence of the surgical environment and surgery
Part III. Adverse Effects of Perioperative Hypothermia: 12. Incidence of perioperative hypothermia
13. Influence on pharmacokinetics and pharmacodynamics
14. Influence on coagulation and blood loss
15. Feeling cold and shivering
16. Postoperative pain, pulmonary complications and length of stay in the postanaesthetic care unit
17. Cardiovascular consequences
18. Influence on wound healing and infections
19. Postoperative protein catabolism, length of stay, costs and mortality
Part IV. Measurement of Core Temperature: 20. Equipment to measure core temperature
21. Measurement of core temperature
Part V. Equipment and Methods to Keep Patients Warm: 22. Forced-air warmers
23. Conductive warmers
24. Infusion warmers
25. Warming of irrigation fluids
26. Insulation
27. Radiative warmers
28. Airway heating and humidification
29. Oesophageal warmers, negative pressure warmers and endovascular warming catheters
30. Augmentation of heat production by amino acids or fructose
Part VI. Perioperative Temperature Management: 31. Modern perioperative temperature management
32. Prewarming
33. Warming therapy during anaesthesia
34. Postoperative therapy
Index
References.

Subject Areas: Peri-operative care [MNZ], Anaesthetics [MMB]