Body temperature and heating temperature in major burns patients care
Abstract
Objectives: To describe the heating methods and their application to maintain body temperature in majors burn patients.
Methodology: Bibliographic review carried out between September 2019 and February 2020 about the thermoregulation and heating of the burn patient in the CINHAL, CUIDEN, PUBMED, MEDES and WOS databases in Spanish and English, documents from the last 10 years, from which 26 were analyzed.
Results: Hypermetabolic response and hypothalamic reprogramming cause an increase in basal temperature in burn patients between 37 and 38.5ºC without infectious origin. To decrease the energy expenditure at rest and the hypermetabolic response, it is possible to act through a high ambient temperature between 28 and 32ºC as passive external heating.
Discussion: Other external heating methods can achieve this goal such as convective air blankets, heating plates, or surface systems.
Conclusions: The recommendation of warming by means of high ambient temperature, which creates hostile environments for workers and patients, should be reviewed through the study of the inclusion of active external warming methods.
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References
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