PERİOPERATİF HİPOTERMİ: MEKANİZMA, RİSK FAKTÖRLERİ VE ÖNLEME VE TEDAVİDE YENİ PROTOKOLLER

ABSTRACT Introduction: Perioperative hypothermia (POH) is defined as a core temperature drop below 36°C during anaesthesia and surgery and leads to coagulation disorders, increased transfusion requirements, delayed wound healing and an elevated infection risk, prolonged hospitalisation and increased costs. It is therefore vital to maintain normal body temperature both before and after surgery in order to ensure optimal surgical outcomes, as well as patient safety and satisfaction. Methods: In order to ensure optimal outcomes, it is imperative that prevention and management of POH should include preoperative risk assessments, monitoring of perioperative body temperature, control of environmental temperature, and the development of comprehensive warming protocols and checklists. Conclusion: The present review examines recent studies and technological advancements regarding risk factors and prevention strategies for POH, with the aim of providing a practical guide for clinicians. Keywords: Perioperative hypothermia, general anaesthesia, neuroaxial blocks, normothermia