Incidence of Inadvertent Perioperative Hypothermia in Pediatric Laparoscopic Surgery: a Prospective Observational Single-Center Study
Küçük Resim Yok
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Purpose: The pediatric age group is a risk group for Inadvertent perioperative hypothermia (IPH) due to insufficient subcutane-ous adipose tissue and underdeveloped thermoregulatory responses. We aimed to determine the frequency of IPH in the pediatric age group undergoing laparoscopic surgery. Materials and Methods: The study is prospective observational. Pediatric patients (1-18 years old) who underwent laparoscopic surgery under general anesthesia were evaluated. The tympanic membrane temperature measurements of the patients (°C) were recorded before anesthesia induction (T0) and then every 15 minutes during the surgery. Results: A total of 100 patients were evaluated. The frequency of inadvertent perioperative hypothermia was detected as 13(13%). The frequency of IPH in elective surgery patients was higher than in emergency surgery (<0.001). IPH occurred in 11 of a total of 28(39.3%) patients during elective surgery. Age, body mass index, intravenous fluid volume, and insufflated CO2 volume of hypothermic patients were detected to be statistically significantly lower than the normothermic group. A significant statistical difference was detected between T0 (°C) of nor-mothermic and hypothermic patients (37.8±0.53 vs. 36.8±0.60, respectively, 95% CI, 37.6 to 37.8, P<0.001). In total, a decrease of approximately 0.7 °C in body temperature was observed in the first 30 minutes. Conclusion: IPH frequently develops during laparoscopic surgeries in the pediatric age group. The current temperature manage-ment practices and passive heating systems that we use do not seem adequate to provide protection from hypothermia.
Açıklama
Anahtar Kelimeler
Anestezi, Sağlık Bilimleri ve Hizmetleri, Pediatri, Cerrahi, Laparoscopy, Pediatric, General anaesthesia, Accidental hypothermia, Body temperature changes
Kaynak
Ahi Evran Medical Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
