Publication details
Perioperative temperature management during general anaesthesia in children: audit in tertiary paediatric care center.
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| Year of publication | 2018 |
| Type | Conference abstract |
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| Description | Background and Goal of Study: Perioperative hypothermia is one of the most common disorders of vital functions that occur during general anaesthesia. It is associated with cardiovascular system and coagulation involvement, acid-base disorder and respiratory distress. Paediatric patients are a risk group for increased temperature loss during anaesthesia. The aim of our study was to describe temperature management in our paediatric patients undergoing surgery with the expected duration over 30 minutes at the Children’s Hospital of Brno University Hospital, Czech Republic. Materials and Methods: After approval by the Ethics Committee, we included patients (birth to 18 years) undergoing surgery with the expected duration over 30 minutes. We recorded demographic data, type of surgery and diagnosis, temperature management parameters and tools, body temperature recorded every 15 minutes. Data were evaluated by descriptive statistics in Statistica 12, StatSoft Inc., temperature difference in patients with open body cavity and others was evaluated by Pearson’s Chi-squared test. Results and Discussion: We included 366 paediatrics patients, average age was 7 years and average weight was 29.8kg. Patients under 1 year of age were 21%. Types of surgery were general surgery (24%), plastic surgery (19%), orthopaedics (18%), urology (9%), traumatology (9%), otorhinolaryngology (7%), neurosurgery (6%), ophthalmology (5%), dentistry (3%) and gynaecology (0.2%). Central core temperature below 36.5°C occurred in 66% of patients. It was 73% in the group of patients under one year of age and 87% in group of newborns. Patients undergoing surgery with opening of body cavity were 17% (62 of 364). There was significant difference in incidence of temperature below 36.5°C in group with opening of body cavity in comparison to others (77%, 63%; p=0.0309). The most used passive heating tool was to cover the patient with paper and cotton wrinkles (97%, 82%). The most used active heating tool was circulating water mattresses (41%). The temperature was measured predominantly in nasopharynx, rectum and oesophagus (60%, 19%, 13%). Conclusion: Incidence of hypothermia in our paediatric patients was relatively high despite the use of temperature management. High risk patients were those who underwent procedure with open body cavity. This audit is important starting point for future improvement. |