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Treatment of Refractory Fever in the Burn ICU with an Intravascular Temperature Management Catheter

机译:用血管内温度管理导管治疗烧伤ICU的耐火发烧

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Loss of thermoregulation is one of many problems experienced by patients with severe burn injury. [Insert Reference Here]. Loss of skin integrity compromises intrinsic thermoregulatory mechanisms. Maintenance of normothermia in the periope-rative period has been extensively studied. [Insert Reference] Known benefits for the patient include surgical hemostasis, improved wound healing, reduced surgical site infection, reliable drug metabolism, reduced shivering, and improved patient comfort. Hypothermia is also the most frequent temperature-related malady in the operating room, occurring initially from the redistribution of core heat to the periphery, followed by a negative balance of heat production to environmental heat loss. Forced-air warming is the most frequently used and effective modality to prevent intraoperative hypothermia, being widely available, inexpensive and safe (X). Hypothermia in burn patients is independently associated with poor outcomes. (X)
机译:损失的损失是严重燃烧损伤患者经历的许多问题之一。 [插入参考]。皮肤完整性损失损害了内在的热调节机制。研究了恒温期间的维持常温期已经过度研究。 [插入参考]患者的已知益处包括外科止血,改善伤口愈合,手术部位感染,可靠的药物代谢,减少颤抖,提高患者舒适性。体温过低也是手术室中最常见的温度相关的疾病,最初从核心热量的重新分布到周边,然后是热量产生的负面的环境热量损失。强制空气变暖是预防术中低温的最常用和有效的态度,广泛可用,便宜和安全(x)。烧伤患者的低温与结果无关。 (X)

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