Anest. intenziv. Med. 2018;29(6):346-352

Hypothermia in the operating theatre in paediatric patients: A prospective, monocentric, observational studyDětská anestezie a intenzivní medicína - původní článek

A. Trčková¹, P. Košut¹, M. Klincová¹, H. Zelinková², T. Musilová³, P. Štourač^1,*

¹ Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta, Masarykova univerzita

² Institut biostatistiky a analýz, Lékařská fakulta, Masarykova univerzita

³ Lékařská fakulta, Masarykova univerzita

Objective:
Perioperative hypothermia is a common complication of general anaesthesia in children. The primary objective of the study was to detect the occurrence of hypothermia in a group of paediatric patients. The study enrolled paediatric patients aged 0-18 years of age indicated for surgery of estimated duration of more than 30 minutes. The secondary objective was to identify the risk factors for hypothermia.


Setting:
Department of Paediatric Anaesthesia and Intensive Care Medicine of University Hospital.

Materials and methods:
Prospective observational monocentric study conducted from the 1^st April 2017 to 8^th December 2017 at the Department of Paediatric Anaesthesiology and Intensive Care Medicine, University Hospital Brno. We observed the incidence of body temperature below 36.5 °C and below 36.0 °C




Results:
Temperature < 36.5 °C occurred in 66 % of patients, in the subgroup of patients under one year of age in 73 % and in the neonatal group in 87 %. 36 % of all patients experienced core body temperature under 36.0 °C. In the under one year subgroup it was captured in 41 % patients and in the neonatal subgroup we found temperature under 36.0 °C in 63 % of cases. We recorded a significantly higher incidence of body temperature below 36.5 °C in the subgroup of patiens with opening of a body cavity. We identified the operating theatre temperature as a statistically significant factor.

Conclusion:
The incidence of perioperative hypothermia under 36.0 °C in our paediatric patients was 36%. We identified the groups of patients at the highest risk of perioperative hypothermia: patients undergoing surgery involving body cavity opening and the low-age patient group.

Keywords: body temperature; perioperative; children; paediatric anaesthesia; temperature management

Received: November 29, 2018; Accepted: November 30, 2018; Published: December 1, 2018  Show citation