Perioperative temperature monitoring in general and neuraxial anesthesia: a survey study


YÜKSEK A. , Talih G., Kantekin C. U. , YARDIMCI C.

AIN SHAMS JOURNAL OF ANESTHESIOLOGY, vol.12, no.1, 2020 (Journal Indexed in ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 1
  • Publication Date: 2020
  • Doi Number: 10.1186/s42077-020-00065-y
  • Title of Journal : AIN SHAMS JOURNAL OF ANESTHESIOLOGY
  • Keywords: Anesthesia, Perioperative hypothermia, Temperature monitoring, HYPOTHERMIA

Abstract

Background Perioperative hypothermia is an unintended decrease in the core temperature of patients. Hypothermia has many proven complications. The aim of this study is to investigate the perioperative temperature monitoring rates and the difficulties encountered during monitoring, particularly in patients undergoing neuraxial anesthesia. Methods Two hundred anesthesiologists were included in the study who work in Turkey and actively work in an operating room. A questionnaire was applied to the participants via printed form or e-mail. Results In Turkey, the overall temperature monitoring ratio was measured as 5.5%. Temperature monitoring was the most frequently used for cardiovascular surgery patients group. In neuraxial anesthesia, temperature monitoring was only 1.5%. The most common reason for not using a temperature monitor was the lack of appropriate equipment (45%). The most common temperature monitoring area was the axillary zone (48%). Conclusion Participants were aware of the importance of temperature monitoring but concluded that it was not sufficient in practice. Where and how to measure core temperature in awake patients is a controversial issue. Furthermore, the accuracy of measurements in neuraxial anesthesia should be discussed. Interestingly, raising awareness about this issue was not effective in the resolution of the problem. Still, in order to keep this issue up to date, the importance of perioperative temperature monitoring should be emphasized more frequently in anesthesia meetings and education programs.