In 2022, why is temperature monitoring not mandatory?

Excerpt

In 1940, Burford reported three cases of hyperthermia under anesthesia and commented that, “Axillary temperatures easily taken and made a part of the anesthesia record might provide a timely warning.”¹ Eighty-two years later, the Canadian Anesthesiologists’ Society (CAS) still has not made intraoperative temperature monitoring “required” in its Guidelines.² While it is “strongly recommended” in section 5.6, it is not mandatory, not even when using active warming. Both hypothermia and hyperthermia can only be detected if temperature is being monitored, and both lead to poor patient outcomes. Using active warming measures without temperature monitoring risks inadvertent overheating, especially in children. Some consider this malpractice. …