{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T12:17:52Z","timestamp":1759666672942},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["An\u00e4sthesiol Intensivmed Notfallmed Schmerzther"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Schwere Verbrennungen f\u00fchren zu einer persistierenden hypermetabolen Antwort des Organismus mit signifikant gesteigertem Ruheenergieumsatz, Multiorgandysfunktion, Muskelabbau und erh\u00f6htem Infektionsrisiko. Charakteristisch sind erh\u00f6hte K\u00f6rperkern- und Hauttemperaturen. Eine weitere Steigerung der erh\u00f6hten metabolischen Rate kann durch W\u00e4rmeverluste ausgel\u00f6st werden, f\u00fcr die diese Patienten durch hohe W\u00e4rmeabgabe \u00fcber Verdunstung von Feuchtigkeit und Beeintr\u00e4chtigung der thermoregulatorischen und isolierenden Eigenschaften der verbrannten Haut besonders disponiert sind. Dies gilt besonders in allen Behandlungssituationen mit Exposition gro\u00dfer unbedeckter Hautfl\u00e4chen, wie bei der Prim\u00e4rversorgung, Verbandswechseln auf der Intensivstation und der Verbrennungschirurgie mit ausgedehntem sterilem Operationsfeld. Es konnte gezeigt werden, dass Hypothermie mit zahlreichen Risiken f\u00fcr den Verbrennungspatienten einhergeht. Ein konsequentes W\u00e4rmemanagement mit Messung der\n\t\t\t\t\tK\u00f6rperkerntemperatur und Anwendung von externen und internen W\u00e4rmeprotektionsma\u00dfnahmen wird empfohlen. Traditionell kommt hier eine Erh\u00f6hung der Raumtemperatur zum Einsatz. Dieser effektiven Ma\u00dfnahme sind jedoch durch die Belastbarkeit der Behandler auf der Intensivstation und der Operateure Grenzen gesetzt. Zur Vermeidung einer perioperativen Hypothermie sind eine stringente Operationsplanung mit Begrenzung der Operationsdauer und eine enge intraoperative Kommunikation \u00fcber das Hypothermierisiko von besonderer Bedeutung.<\/jats:p><jats:p>Bei der intensivmedizinischen Therapie ist die Differenzierung zwischen akzeptierter Temperaturerh\u00f6hung und infekti\u00f6sem Fieber h\u00e4ufig erst durch die Einbeziehung weiterer Untersuchungsbefunde m\u00f6glich. Als Kriterium f\u00fcr Sepsis gilt eine Temperatur \u00fcber 39\u200a\u00b0C oder unter 36,5\u200a\u00b0C.<\/jats:p>","DOI":"10.1055\/a-1137-2890","type":"journal-article","created":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T22:31:28Z","timestamp":1622068288000},"page":"356-365","source":"Crossref","is-referenced-by-count":1,"title":["Zieltemperaturkontrolle beim Patienten mit 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