Zusammenfassung
Die unbeabsichtigte perioperative Hypothermie (Körperkerntemperatur < 36 °C) ist ein
potenziell komplikationsträchtiges, schwerwiegendes Ereignis: Sie führt zu einer erhöhten
Inzidenz an Wundinfektionen und vermehrten Blutverlusten/Transfusionsbedarf. Dieser
Beitrag thematisiert die praktische Umsetzung der AWMF-S3-Leitlinie „Vermeidung von
perioperativer Hypothermie“ von 2014 [1]. Er soll als Leitfaden für die tägliche klinische Arbeit dienen.
Abstract
Inadvertent perioperative hypothermia (body core temperature < 36 °C) is a serious
complication leading to increased rates of wound infection, higher blood loss associated
with increased transfusion requirements as well as patient dissatisfaction among others.
Body core temperature is a vital parameter and needs constant monitoring just like
heart rate, blood pressure and arterial oxygen saturation. Patient-, anesthesia-,
surgery- and environment-related risk factors were identified for occurring perioperative
hypothermia.
The avoidance of perioperative hypothermia requires a multidisciplinary approach for
both medical and assistant staff. A bundle of procedures has to be arranged in order
to improve patient outcome. Steps include general (e.g. staff instruction), pre- (e.g.
prewarming), intra- (e.g. active warming) and postoperative (e.g. drug therapy) actions.
An effective concept for prevention of perioperative hypothermia has to be adjusted
to departmentsʼ specific constructional, organizational, process-related and staff
characteristics with clearly visible and assigned responsibilities.
Schlüsselwörter
perioperative Hypothermie - Körpertemperatur - Vorwärmung
Key words
perioperative hypothermia - body temperature - prewarming
