Protocolo de prevención de la hipotermia perioperatoria

Una estrategia de manejo de la temperatura basada en la evidencia actual para evitar las complicaciones asociadas a la hipotermia

  • Miguel Miró Murillo Jefe de servicio de anestesia, reanimación y tratamiento del dolor. HU Torrejón, Madrid.
  • Jesús Recio Pérez FEA anestesia, reanimación y tratamiento del dolor. HU Torrejón, Madrid.
  • Patricia Salinero Fernández Supervisora bloque quirúrgico. HU Torrejón, Madrid.
  • Eva María Paz Pacheco Supervisora bloque quirúrgico. HU Torrejón, Madrid.
Palabras clave: Hipotermia, normotermia, protocolo, precalentamiento, Hypothermia, normothermia, protocol, prewarming

Resumen

La hipotermia perioperatoria es una complicación muy frecuente en nuestro medio que compromete la seguridad de nuestros pacientes quirúrgicos aumentando la morbimortalidad perioperatoria. La hipotermia también aumenta de manera considerable los costes sanitarios por el aumento de las complicaciones y la estancia hospitalaria. Recientemente se ha publicado la guía de práctica clínica de hipotermia perioperatoria no intencionada de la SEDAR. En esta guía se presenta la evidencia científica actual sobre la hipotermia perioperatoria y las recomendaciones sobre su manejo.

Basado en esta guía, presentamos el protocolo de prevención de la hipotermia perioperatoria de nuestro centro con una estrategia basada en la monitorización de la temperatura central y en 3 medidas que han demostrado disminuir las complicaciones perioperatorias y ser coste-efectivas: el uso de mantas de aire convectivo, el calentamiento de los fluidos intravenosos y de irrigación, y el calentamiento activo previo a la cirugía.

ABSTRACT

Protocol for the prevention of perioperative hypothermia

Perioperative hypothermia is a very frequent complication that compromises the safety of our surgical patients, increasing perioperative morbidity and mortality. Hypothermia also considerably increases health costs due to the increase in complications and hospital length of stay. Recently, the clinical practice guide for unintentional perioperative hypothermia of the Spanish Society of Anaesthesia (SEDAR) has been published. This guide presents current scientific evidence on perioperative hypothermia and recommendations on its management.

Based on this guide, we present the protocol for the prevention of perioperative hypothermia in our institution. This protocol is based on a strategy that includes central temperature monitoring and 3 measures that have shown to reduce perioperative complications and be cost-effective: the use of convective air, warming of intravenous and irrigation fluids, and active warming prior to surgery.

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Publicado
02-05-2019
Cómo citar
Miró Murillo, M., Recio Pérez, J., Salinero Fernández, P., & Paz Pacheco, E. (2019). Protocolo de prevención de la hipotermia perioperatoria. Revista Electrónica AnestesiaR, 11(4), 5. https://doi.org/https://doi.org/10.30445/rear.v11i4.805