Clinical guideline for prevention and management of perioperative hypothermia by the Royal College of Anesthesiologists of Thailand

Abstract

Perioperative hypothermia is a relatively common occurrence that anesthetic providers may encounter in their daily work. Its effects can significantly impact overall treatment and outcomes, leading to issue such as coagulopathy, surgical wound infections, myocardia injury, prolonged drug actions, shivering and thermal discomfort. Thus, it is imperative for anesthetic providers to possess a comprehensive understanding of hypothermia, recognize its significance, and be well-versed in preventive measures to safeguard patients from its adverse effects. Preventing and treatment of perioperative hypothermia is highly feasible and pivotal for optimal patient care. However, the approach to managing perioperative hypothermia varies across Asia Pacific countries due to the difference in guidelines and socioeconomic factors. Some nations opt to adapt international Clinical Practice Guideline (CPGs) to align with their unique contexts. As a response to diversity, the Royal College of Anesthesiologists of Thailand has taken the initiative to develop a dedicated clinical practice guideline. The primary object of this guideline is to consolidate best practice for prevention and treatment of perioperative hypothermia in the setting in Thailand. Within the scope of this clinical practice guideline, a comprehensive framework is presented. It encompasses a clear definition of hypothermia and provides detailed clinical guidance spanning the entire perioperative continuum, including perioperative, intraoperative and postoperative care. By unifying and disseminating such standard guidance, the guideline aims to streamline practices, enhance patient safety and ensure optimal outcomes in the context of perioperative hypothermia.