SavedAdd your journal

Journals / Ahi Evran Tıp Dergisi / 2022 / Volume: 6 Issue: 3

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

Pediyatrik Laparoskopik Cerrahide İstenmeyen Perioperatif Hipotermi İnsidansı: Tek Merkezli Gözlemsel Araştırma

Recai Dağlı(Ahi Evran Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon AD)0000-0002-6364-0545
Ülgen Çeltik(Kirsehir Training and Research Hospital)0000-0001-5707-2986
Fatma Çelik(KIRSEHIR AHI EVRAN UNIVERSITY, SCHOOL OF MEDICINE)0000-0003-0192-0151
Zeynel Abidin Erbesler(KIRSEHIR AHI EVRAN UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-1571-1695
Zeynep Köylü(MALATYA TURGUT OZAL UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-7774-9971
Pages
—
Publication Date
2022-12-25
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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.

📌 3 Key Takeaways

🎯
Objective & Hypothesis: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.
📊
Key Findings & Data: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.
💡
Conclusion & Impact: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.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Accidental hypothermia · Body temperature changes · General anaesthesia

Abstract

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.

Özet

Amaç: Pediyatrik yaş grubu yetersiz yağ dokusu ve gelişmemiş termoregulatuar cevapları nedeniyle istenmeyen perioperatif hipotermi (İPH) için risk grubudur. Laparoskopik cerrahi altındaki pediyatrik yaş grubundaki İPH sıklığını saptamayı amaçladık. Araçlar ve Yöntem: Bu araştırma gözlemsel prospektiftir. Genel anestezi altında laparoskopik cerrahi uygulanan pediyatrik hastalar (1-18 yaş) değerlendirildi. Hastaların timpanik membran sıcaklıkları (°C) anestezi indüksiyonu öncesi (T0) ve sonrasında cerrahi sırasında her 15 dakikada ölçüldü. Bulgular: Toplam 100 hasta değerlendirildi. İstenmeyen perioperatif hipotermi sıklığı 13(%13) saptandı. Elektif cerrahilerdeki İPH sıklığı acil cerrahilerdekinden daha fazladır (<0.001). Toplam 28 elektif hastanın 11’inde (39.3%) İPH gelişti. Hipotermik hastaların yaş, vücut kitle indeksi, intravenöz sıvı volümü ve insufle edilen CO2 volümünün normotermik hastalarınkinden istatiksel olarak daha düşük olduğu saptandı. Normotermik ve hipotermik hastaların T0 (°C) (37.8±0.53 vs 36.8±0.60, sırasıyla, 95% CI, 37.6 to 37.8, p<0.001) arasında anlamlı istatiksel farklılık saptandı. Toplamda, ilk 30 dakikada vücut sıcaklığında yaklaşık 0.7 °C azalma gelişti. Sonuç: Pediyatrik yaş grubundaki laparoskopik cerrahi sırasında İPH sıklıkla gelişmektedir. Kullandığımız güncel sıcaklık yönetimi ve pasif ısıtma sistemleri hipotermiden korumayı sağlamak için yeterli görünmemektedir.

🔖

Cite This Article

Dağlı, R., Çeltik, Ü., Çelik, F., Erbesler, Z. A., Köylü, Z. (2022). Incidence of Inadvertent Perioperative Hypothermia in Pediatric Laparoscopic Surgery: a Prospective Observational Single-Center Study. Ahi Evran Tıp Dergisi, Volume: 6 Issue: 3. https://doi.org/10.46332/aemj.1083413

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (21)

  1. Sessler DI. Complications and treatment of mild hypothermia. Anesthesiology. 2001;95(2):531-543.
  2. Collins S, Budds M, Raines C, Hooper V. Risk Factors for Perioperative Hypothermia: A Literature Review. J Perianesth Nurs. 2019;34(2):338-346.
  3. Kim P, Taghon T, Fetzer M, Tobias JD. Perioperative hypothermia in the pediatric population: a quality improvement project. Am J Med Qual. 2013;28(5): 400-406.
  4. Beedle SE, Phillips A, Wiggins S, Struwe L. Preventing Unplanned Perioperative Hypothermia in Children. AORN J. 2017;105(2):170-183.
  5. WHO. WHO guidelines for safe surgery 2009 – safe surgery saves life. WHO Press. Updated 01.04.2021. http://whqlibdoc.who.int/publications/2009/9789241598552_eng.pdf. Accessed 1 February, 2020.
  6. Gulack BC, Wong K, Sparks E, Ramjist J, Zhu H, Pierro A. Is the Laparotomy Here to Stay? A Review of the Disadvantages of Laparoscopy. Eur J Pediatr Surg. 2020;30(2):181-186.
  7. Fujimoto T, Segawa O, Lane GJ, Esaki S, Miyano T. Laparoscopic surgery in newborn infants. Surg Endosc. 1999;13(8):773-777.
  8. Ott DE. Laparoscopic hypothermia. J Laparoendosc Surg. 1991;1(3):127-131.
  9. Meng-Meng T, Xue-Jun X, Xiao-Hong B. Clinical effects of warmed humidified carbon dioxide insufflation in infants undergoing major laparoscopic surgery. Medicine (Baltimore). 2019;98(27):e16151.
  10. Sessler DI. Temperature monitoring and perioperative thermoregulation. Review. Anesthesiology. 2008;109 (2):318-338.
  11. American Society of Anesthesiologists AC. Standards for Basic Anesthetic Monitoring. https://www.asahq.org/standards-and-guidelines/standards-for-basic-anesthetic-monitoring. Accessed 1 February, 2020.
  12. Alderson P, Campbell G, Smith AF, Warttig S, Nicholson A, Lewis SR. Thermal insulation for preventing inadvertent perioperative hypothermia. Cochrane Database Syst Rev. 2014;(6):CD009908.
  13. Tander B, Baris S, Karakaya D, Ariturk E, Rizalar R, Bernay F. Risk factors influencing inadvertent hypothermia in infants and neonates during anesthesia. Paediatr Anaesth. 2005;15(7):574-579.
  14. Holland AJ, Ford WD. The influence of laparoscopic surgery on perioperative heat loss in infants. Pediatr Surg Int. 1998;13(5-6):350-351.
  15. Saad S, Minor I, Mohri T, Nagelschmidt M. The clinical impact of warmed insufflation carbon dioxide gas for laparoscopic cholecystectomy. Surg Endosc. 2000;14(9):787-790.
  16. Dean M, Ramsay R, Heriot A, Mackay J, Hiscock R, Lynch AC. Warmed, humidified CO2 insufflation benefits intraoperative core temperature during laparoscopic surgery: A meta-analysis. Asian J Endosc Surg. 2017;10(2):128-136.
  17. Cheong JY, Keshava A, Witting P, Young CJ. Effects of Intraoperative Insufflation With Warmed, Humidified CO2 during Abdominal Surgery: A Review. Ann Coloproctol. 2018;34(3):125-137.
  18. Birch DW, Dang JT, Switzer NJ, et al. Heated insufflation with or without humidification for laparoscopic abdominal surgery. Cochrane Database Syst Rev. 2016;10(10):CD007821.
  19. Journeaux M. Peri-operative hypothermia: implications for practice. Nurs Stand. 2013;27(45):33-38.
  20. Burns SM, Wojnakowski M, Piotrowski K, Caraffa G. Unintentional hypothermia: implications for perianesthesia nurses. J Perianesth Nurs. 2009;24(3): 167-173.
  21. Sessler DI. Temperature monitoring: the consequences and prevention of mild perioperative hypothermia. South. African J. Anaesth. Analg. 2014;20(1):25-31.