The efficacy of active warming in preventing unplanned hypothermia during perioperative period in pediatric surgery patients in a tertiary care center

Aim: To investigate the effects of using the active warming method on children with hypothermia in the perioperative period and examining the effects of hypothermia on awakening time, pain, shivering and hospital stay. Methods: This study included patients 18 years of age and younger who underwent surgery in the pediatric surgery department of a tertiary hospital. The active warming group consisted of 28 patients and the control group consisted of 29 patients. The first group of patients was actively warmed during the surgery and the second group was treated as the control group and did not actively receive any warming therapy. Preoperative body temperatures of the cases were measured. In addition, body temperatures were recorded every 15 minutes in the intraoperative and postoperative periods. Results: There was no statistically significant difference in preoperative body temperature between the control group and the active warming group. When body temperature were examined in the intraoperative period, there was no significant difference between the groups at the first 15 minutes of operation; however, the mean of the body temperature in active warming group was significantly higher than the control group at the 30th, 45th , and 60th minutes of operation. It was determined that patients in the control group had a longer stay in the hospital and the amount of time for waking at the end of the anesthesia was shorter in the active heating group than in the control group. Conclusions: The results of our study suggest that active heating with a carbon fiber resistant system is an effective method to prevent unplanned hypothermia in operated children.

Kaynakça

[1] Cassey JG, Peter JA, Gıl ES, et al. The safety and effectiveness of a modified convection heating system for children during anesthesia. Pediatr Anesth. 2006;16(6):654– 62.

[2] The World Health Organisation. The Clinical Use of Blood The Clinical Use of Blood: General Medicine, Paediatrics, Obstetrics Trauma, Anaesthesia. 2017. 1– 349 p.

[3] Çinar ND, Filiz TM. Neonatal thermoregulation. J Neonatal Nurs. 2006;12(2):69–74.

[4] Eras Z, Bingöler Pekcici EB, Atay G. Mortality and morbidity of premature infants. Medical Journal of Bakırköy. 2011;7(3):85-88.

[5] Collins S, Budds M, Raines C, et al. Risk Factors for Perioperative Hypothermia: A Literature Review. J Perianesthesia Nurs. 2019;34(2):338–46.

[6] Ellis J. Neonatal hypothermia. J Neonatal Nurs. 2005;11:76–82.

[7] Kösa E, Çınar N. Prevent hypothermia in premature infants: use plastic wrap. Balikesir Health Sciences Journal. 2014;3(3):161–65.

[8] Morehouse D, Williams L, Lloyd C. Perioperative hypothermia in NICU infants: its occurrence and impact on infant outcomes. Adv Neonatal Care. 2015;14(3):154–64.

[9] Tander B, Baris S, Karakaya D, et al. Risk factors influencing inadvertent hypothermia in infants and neonates during anesthesia. Paediatr Anaesth. 2005;15(7):574–79.

[10] Sappenfield JW, Hong CM, Galvagno SM. Perioperative temperature measurement and management: moving beyond the Surgical Care Improvement Project. J Anesthesiol Clin Sci. 2013;2(1):1-9.

[11] Beedle SE, Phillips A, Wiggins S, et al. Preventing Unplanned Perioperative Hypothermia in Children. AORN J. 2017;105(2):170–83.

[12] Walker S, Amin R, Arca MJ, et al. Effects of intraoperative temperatures on postoperative infections in infants and neonates. J Pediatr Surg. 2020;55(1):80–85.

[13] Sessler D. Temperature monitoring and perioperative thermoregulation. Anesthesiology. 2008;109(2):318–38.

[14] Adriani MB, Moriber N. Preoperative forced-air warming combined with intraoperative warming versus intraoperative warming alone in the prevention of hypothermia during gynecologic surgery. AANA J. 2013;81(6):446–51.

[15] Garami A, Ibrahim M, Gilbraith K, et al. Prevent Anesthesia-induced Hypothermia and Decrease. Anesthesiology. 2017;127(5):813–23.

[16] Engorn BM, Kahntroff SL, Frank KM, et al. Perioperative hypothermia in neonatal intensive care unit patients: effectiveness of a thermoregulation intervention and associated risk factors. Paediatr Anaesth. 2017;27(2):196–204.

[17] Soysal GE, Ilce A, Erkol MH. Effect of ‘“ An Innovative Technology ”’ Active Warming and Passive Warming on Unplanned Hypothermia During Perioperative Period : Ther Hypothermia Temp Manag. 2018;8(4):216–24.

[18] Witt L, Dennhardt N, Eich C, et al. Prevention of intraoperative hypothermia in neonates and infants: results of a prospective multicenter observational study with a new forced-air warming system with increased warm air flow. Pediatr Anesth. 2013;23(6):469–74.

[19] Pu Y, Cen G, Sun J, et al. Warming with an underbody warming system reduces intraoperative hypothermia in patients undergoing laparoscopic gastrointestinal surgery: A randomized controlled study. Int J Nurs Stud. 2014;51(2):181–89.

[20] Gharavifard M, Peivandi A, Amini S. Evaluation of the Effect of Amino Acid Administration on Hypothermia during General Anesthesia in Hypospadias Surgery on Children Aged 2 to 6 Years. Int J Pediatr. 2014;2(3-1):203–210.

[21] Lyon A. Temperature control in the neonate. Paediatr Child Health (Oxford). 2008;18(4):155–60.

[22] Cassey JG, Armstrong PJ, Smith GE, et al. The safety and effectiveness of a modified convection heating system for children during anesthesia. Pediatr Anesth. 2006;16(6):654–62.

[23] Sultan P, Habib AS, Cho Y, et al. The Effect of patient warming during Caesarean delivery on maternal and neonatal outcomes: A meta-analysis. Br J Anaesth. 2015;115(4):500–510.

[24] Shen J, Wang Q, Zhang Y, et al. Combination of warming blanket and prewarmed intravenous infusion is effective for rewarming in infants with postoperative hypothermia in China. Paediatr Anaesth. 2015;25(11):1139–143.

[25] Yurdadur Duman A, Yılmaz E. Incidence of perioperative hypothermia in orthopaedic surgery and risk factors. Cukurova Med J. 2016;41(4):687–94.

[26] World Health Organisation. Hospital care for children, guidelines for the management of common illnesses with limited resources [Internet]. WHO. 2005. 177–178 p.Available from: http://apps.who.int/iris/bitstream/handle/10 665/43206/9241546700.pdf?sequence=1.

Kaynak Göster

266 202

Arşiv
Sayıdaki Diğer Makaleler

Optimization and screening of solid lipid nanoparticle production for gene delivery by factorial design and response surface methodology

Hasan AKBABA, Melike ÖZDER

The efficacy of active warming in preventing unplanned hypothermia during perioperative period in pediatric surgery patients in a tertiary care center

Ganime Esra SOYSAL, Arzu İLCE, Ümmühan YİĞİT SEYFİ, Hülya ÖZTÜRK TEL, Murat BİLGİ

Investigation of the presence of pregnancy rhinitis in the third trimester with rhinomanometry

Rüstem FİLİZ, Ahmet Turhan URAL, Mehmet Ata TOPÇUOĞLU, Muharrem DAĞLI

Evaluation of epicardial fat tissue thickness in patients with multiple sclerosis

Mehmet COŞGUN, İsa SİNCER, Güneş Nurdan YILMAZ, Zafer KÖK, Şule AYDIN TÜRKOĞLU

Changes in levothyroxine pharmacokinetics following bariatric surgery in obese hypothyroid patients

Feyzi GÖKOSMANOĞLU, Atilla ÖNMEZ

Investigation of a healthcare-associated candida infections in a Turkish intensive care unit: risk factors, therapy and clinical outcome

Fatma AVCIOĞLU, Fatma SİRMATEL, Mustafa BEHCET, Oğulcan OZARSLAN, Hasan Tahsin GÖZDAŞ

Evaluation of risk factors associated with pancreatic adenocarcinoma in Black Sea region, Turkey

Murat DEREBEY, Kağan KARABULUT, Saim Savaş YURUKER, İlhan KARABICAK, Necati ÖZEN

Effect of gallic acid on liver injury during obstructive cholestasis after bile duct ligation in rat

Erol BASUGUY, Mehmet Hanifi OKUR, Aziz Serkan ARSLAN, Hikmet ZEYTUN, Gülay AYDOĞDU, Aysın EKİNCİ