Perioperative Hypothermia in the Pediatric Population: Prevalence, Risk Factors and Outcomes
- *Corresponding Author:
- Robert Christensen
The University of Michigan Hospitals and Health Centers, USA
E-mail: [email protected]
Received Date: August 19, 2010; Accepted Date: September 17, 2010; Published Date: September 17, 2010
Citation: Pearce B, Christensen R, Voepel-Lewis T (2010) Perioperative Hypothermia in the Pediatric Population: Prevalence, Risk Factors and Outcomes. J Anesthe Clinic Res 1:102. doi: 10.4172/2155-6148.1000102
Copyright: © 2010 Pearce B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Perioperative hypothermia has been associated with negative outcomes, and children may be at higher risk. This study describes the prevalence of pediatric perioperative hypothermia and evaluates its relationship to outcomes.
Methods: This observational cohort study included the following electronically and prospectively recorded data from children fewer than 18 years of age undergoing general anesthesia: perioperative temperatures, warming interventions, patient characteristics, and surgical procedures, duration of anesthesia and perioperative outcomes. Intraoperative hypothermia was defi ned as temperature (T) < 36°C for at least fi ve minutes, and postoperative hypothermia as any T<36°C.
Results: Of the 530 patients studied, 278 (52%) experienced intraoperative hypothermia. Invasive procedures and skin probe monitoring were associated with intraoperative hypothermia. In children with core T monitoring undergoing invasive procedures, older age, longer duration of anesthesia, greater blood loss and blood transfusion were associated with hypothermia. Warming interventions is used in most hypothermic children during operation, but in few in the postanesthesia care unit (PACU). T was re-assessed in <6% of children who were hypothermic in the PACU.
Conclusions: This study found a high prevalence of hypothermia and use of intraoperative warming techniques. Hypothermia was more common in older children and in those undergoing longer, invasive procedures and was associated with greater blood loss and blood transfusion.