Prevalence of perioperative hypothermia and predisposing factors in a children's hospital
Aim: Perioperative hypothermia is more common in pediatric patients than in adult patients due to increased body surface area/weight ratio and limited subcutaneous fat deposits. Therefore, active and passive warming techniques are used more frequently in the surgeries applied to pediatric patients....
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Alanya Alaaddin Keykubat University
2022-08-01
|
| Series: | Acta Medica Alanya |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2452164 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849311567632400384 |
|---|---|
| author | Murat Celal Sözbilen Kübra Evren Şahin |
| author_facet | Murat Celal Sözbilen Kübra Evren Şahin |
| author_sort | Murat Celal Sözbilen |
| collection | DOAJ |
| description | Aim: Perioperative hypothermia is more common in pediatric patients than in adult patients due to increased body surface area/weight ratio and limited subcutaneous fat deposits. Therefore, active and passive warming techniques are used more frequently in the surgeries applied to pediatric patients. This study presents the prevalence of perioperative hypothermia and the predisposing conditions for perioperative hypothermia in pediatric orthopedic surgeries in which active and passive warming techniques are applied.Methods: This cross-sectional, descriptive, and observational study included 102 children admitted to the pediatric orthopedic clinic of a children’s hospital. Temperature measurements were made with a calibrated infrared tympanic thermometer in all cases while they were waiting in the service room, when they entered the operation theater, when they left the operation theater and when they left the postoperative care unit. Their demographic data, hemogram and thyroid hormone parameters, preoperative fasting times related to the procedure and temperature were recorded. Also, the humidity and temperature values of the operating theater, the operation type performed, the duration of the operation, the time spent in the operating theater and the recovery time from anesthesia, were all recorded in their follow-up forms. Data analysis was done using the SPSS V21.0 and was conducted at a 95% confidence interval.Results: Hypothermia was observed in 20.58% of 102 patients included in the study. Predisposing factors for perioperative hypothermia included the fact that the patient had a diagnosis of concomitant cerebral palsy, the patient's body temperature was low in the service area, low temperature and humidity values in the operating theatre and staying in the operating theatre for a prolonged period of time.Conclusion: Although active and passive warming techniques are applied during the operation, perioperative hypothermia was observed in 20.58% of pediatric patients who underwent the orthopedic operation. Consideration of predisposing factors together with active and passive warming techniques may reduce the incidence of perioperative hypothermia. |
| format | Article |
| id | doaj-art-a23caa6f82e146c2a47f83aafd0eb883 |
| institution | Kabale University |
| issn | 2587-0319 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj-art-a23caa6f82e146c2a47f83aafd0eb8832025-08-20T03:53:22ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192022-08-016217317810.30565/medalanya.1122479727Prevalence of perioperative hypothermia and predisposing factors in a children's hospitalMurat Celal Sözbilen0https://orcid.org/0000-0001-7128-6227Kübra Evren Şahin1https://orcid.org/0000-0003-0284-0241Ege Üniversitesi Tıp Fakültesi Hastanesi Ortopedi ve Travmatoloji Anabilim DalıSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İZMİR DR. BEHÇET UZ ÇOCUK HASTALIKLARI VE CERRAHİSİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİAim: Perioperative hypothermia is more common in pediatric patients than in adult patients due to increased body surface area/weight ratio and limited subcutaneous fat deposits. Therefore, active and passive warming techniques are used more frequently in the surgeries applied to pediatric patients. This study presents the prevalence of perioperative hypothermia and the predisposing conditions for perioperative hypothermia in pediatric orthopedic surgeries in which active and passive warming techniques are applied.Methods: This cross-sectional, descriptive, and observational study included 102 children admitted to the pediatric orthopedic clinic of a children’s hospital. Temperature measurements were made with a calibrated infrared tympanic thermometer in all cases while they were waiting in the service room, when they entered the operation theater, when they left the operation theater and when they left the postoperative care unit. Their demographic data, hemogram and thyroid hormone parameters, preoperative fasting times related to the procedure and temperature were recorded. Also, the humidity and temperature values of the operating theater, the operation type performed, the duration of the operation, the time spent in the operating theater and the recovery time from anesthesia, were all recorded in their follow-up forms. Data analysis was done using the SPSS V21.0 and was conducted at a 95% confidence interval.Results: Hypothermia was observed in 20.58% of 102 patients included in the study. Predisposing factors for perioperative hypothermia included the fact that the patient had a diagnosis of concomitant cerebral palsy, the patient's body temperature was low in the service area, low temperature and humidity values in the operating theatre and staying in the operating theatre for a prolonged period of time.Conclusion: Although active and passive warming techniques are applied during the operation, perioperative hypothermia was observed in 20.58% of pediatric patients who underwent the orthopedic operation. Consideration of predisposing factors together with active and passive warming techniques may reduce the incidence of perioperative hypothermia.https://dergipark.org.tr/tr/download/article-file/2452164hypothermiarisk factorsorthopedic surgeryhipotermiortopedik cerrahirisk faktörleri |
| spellingShingle | Murat Celal Sözbilen Kübra Evren Şahin Prevalence of perioperative hypothermia and predisposing factors in a children's hospital Acta Medica Alanya hypothermia risk factors orthopedic surgery hipotermi ortopedik cerrahi risk faktörleri |
| title | Prevalence of perioperative hypothermia and predisposing factors in a children's hospital |
| title_full | Prevalence of perioperative hypothermia and predisposing factors in a children's hospital |
| title_fullStr | Prevalence of perioperative hypothermia and predisposing factors in a children's hospital |
| title_full_unstemmed | Prevalence of perioperative hypothermia and predisposing factors in a children's hospital |
| title_short | Prevalence of perioperative hypothermia and predisposing factors in a children's hospital |
| title_sort | prevalence of perioperative hypothermia and predisposing factors in a children s hospital |
| topic | hypothermia risk factors orthopedic surgery hipotermi ortopedik cerrahi risk faktörleri |
| url | https://dergipark.org.tr/tr/download/article-file/2452164 |
| work_keys_str_mv | AT muratcelalsozbilen prevalenceofperioperativehypothermiaandpredisposingfactorsinachildrenshospital AT kubraevrensahin prevalenceofperioperativehypothermiaandpredisposingfactorsinachildrenshospital |