Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates

Perioperative hypothermia in children

  • Osman ESEN Department of Anesthesiology & Reanimation, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey https://orcid.org/0000-0001-6280-5064
  • Gülseren YILMAZ Department of Anesthesiology & Reanimation, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey https://orcid.org/0000-0003-2984-156X
  • Nevin AYDIN Department of Anesthesiology & Reanimation, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey
Keywords: Hypothermia, Postoperative, Temperature, Thermoregulation

Abstract

Background & Objectives: Hypothermia, described as temperature < 35°C, is a frequent condition encountered in patients operated under general anesthesia. It is associated with significant morbidity and mortality. We aimed to estimate its incidence and to investigate the conditions associated with hypothermia in pediatric patients.

Methods: This prospective clinical study was carried out in the operating theatre of a tertiary care center between August 2015 and September 2015. A total of 108 pediatric patients who underwent various surgical procedures that lasted for more than 30 minutes were enrolled. Baseline demographic data, types of surgical procedures, duration of operations, preoperative and perioperative body temperatures were recorded. The incidence of hypothermia and its possible correlates were sought.

Results: Our series consisted of 108 children (77 males, 71.3%; 31 females, 28.7%) with an average age of 6.08±5.09 years were included in the study. There was no case diagnosed with hypothermia in the preoperative, perioperative and postoperative periods. Patients in American Society of Anesthesiologists classification (ASA) three group had significantly higher preoperative body temperatures compared to those in ASA-1 and ASA-2 groups (p = 0.027). The postoperative body temperature in patients receiving intravenous fluid replacement was significantly lower (p=0.017).

Conclusion: For pediatric patients scheduled for surgical interventions, we recommend close monitorization and follow-up of body temperature, implementation of preventive measures to avoid hypothermia and routine perioperative heating. Avoidance of hypothermia may prevent hazardous consequences of postoperative hypothermia.

doi: https://doi.org/10.12669/pjms.36.4.456

How to cite this:
Esen O, Yilmaz G, Aydin N. Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates. Pak J Med Sci. 2020;36(4):793-798. doi: https://doi.org/10.12669/pjms.36.4.456

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2020-05-14
How to Cite
ESEN, O., YILMAZ, G., & AYDIN, N. (2020). Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates. Pakistan Journal of Medical Sciences, 36(4). https://doi.org/10.12669/pjms.36.4.456
Section
Original Articles