Research on Intraoperative Hypothermia Risk Prediction Model and Temperature Management Strategy for Elderly Patients During Surgery Based on Dynamic Incremental Training

Research on Intraoperative Hypothermia Risk Prediction and Temperature Management Strategies in Elderly Patients: Construction of Intraoperative Hypothermia Prediction Model Based on Dynamic Incremental Training and Evaluation of Clinical Application Effectiveness

With the support of partial dual temperature monitoring (comparing the specific difference between standardized axillary temperature monitoring and esophageal temperature), this trial is divided into the following three parts:

1. Multi center observational study: Establish and validate a dynamic incremental training intraoperative hypothermia prediction model - Intelligent Care for the Elderly (ICE) - Intraoperative hypothermia warning system, and provide ICE Offline for use by healthcare professionals and ICE Online for further model updates when needed for clinical or research purposes.
2. Multi center non randomized controlled clinical trial: Conduct a multi center stratified temperature management clinical trial based on ICE Offline after dynamic incremental training to verify the clinical and economic benefits of the model and active warming.
3. Pre and post comparative study: Collect data before ICE application and compare it with data after ICE promotion.

Inclusion Criteria:

• Elderly patients (aged 60 and above) undergoing non cardiac elective surgery under general anesthesia;
• 30 minutes ≤ Estimated surgical duration ≤ 240 minutes ;
• Normal preoperative bleeding and clotting time
• American society of Aneshesiologists physical status classification system:Ⅰ～Ⅳ

Exclusion Criteria:

• Mental illness
• Cirrhosis
• Existence or potential central hyperthermia
• Metabolic thermoregulatory abnormalities
• History of malignant hyperthermia or family history
• Extensive skin burns or injuries
• Seriously infect
• Long term use of nonsteroidal anti-inflammatory drugs
• Expected difficult airway
• Researchers believe that individuals who are not suitable to participate in clinical trial
• Refusal to sign informed consent form
• Withdraw informed consent form
• Severe bleeding or shock during perioperative period.