Incidence of Inadvertent Perioperative Hypothermia in Pediatric Laparoscopic Surgery: a Prospective Observational Single-Center Study

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dc.contributor.authorDagli, Recai
dc.contributor.authorCeltik, Ulgen
dc.contributor.authorÇELİK, FATMA
dc.contributor.authorerbesler, zeynel abidin
dc.contributor.authorMızrak, Zeynep Koylu
dc.date.accessioned2025-10-24T18:04:01Z
dc.date.available2025-10-24T18:04:01Z
dc.date.issued2022
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractPurpose: 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.
dc.identifier.doi10.46332/aemj.1083413
dc.identifier.endpage303
dc.identifier.issn2619-9203
dc.identifier.issue3
dc.identifier.startpage297
dc.identifier.trdizinid1146042
dc.identifier.urihttps://doi.org/10.46332/aemj.1083413
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1146042
dc.identifier.urihttps://hdl.handle.net/20.500.12899/2604
dc.identifier.volume6
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofAhi Evran Medical Journal
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzTR-Dizin_20251023
dc.subjectAnestezi
dc.subjectSağlık Bilimleri ve Hizmetleri
dc.subjectPediatri
dc.subjectCerrahi
dc.subjectLaparoscopy
dc.subjectPediatric
dc.subjectGeneral anaesthesia
dc.subjectAccidental hypothermia
dc.subjectBody temperature changes
dc.titleIncidence of Inadvertent Perioperative Hypothermia in Pediatric Laparoscopic Surgery: a Prospective Observational Single-Center Study
dc.typeArticle

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