Is Temperature Monitoring Necessary in Pediatric Circumcision?
Makaleler > Tam Makale · 2022
Yazarlar: Cengiz ŞAHUTOĞLU, Canan BOR, Ülküm Zafer DÖKÜMCÜ, Taner Balcıoğlu
Eurasian Journal of Medicine, ESCI İndekslerine Giren Dergi, Uluslararası, Emerging Sources Citation Index (ESCI), 2022, cilt 54, ss 39-42
Özet
<p>Objective: Perioperative hypothermia occurs in the pediatric age group in the perioperative period at a high</p><p>rate. In this study, it is aimed to reveal the incidence of perioperative hypothermia and the risk factors that</p><p>play a role in its development in pediatric circumcision cases that have a brief operation duration.</p><p>Materials and Methods: This prospective observational cohort study included 100 children who underwent</p><p>circumcision under general anesthesia. All patients were heated with a passive heater and hypothermia was</p><p>interpreted as a drop in body temperature below <36°C. The patients were divided into 2 groups: group 1</p><p>(patients with body temperature <36°C) and group 2 (?36°C). Demographic data, the American Society</p><p>of Anesthesiologists’ Classification of Physical Health Score, premedication method, operation time, fluid</p><p>amount, preoperative and postoperative temperature of patients as tympanic were recorded.</p><p>Results: The average age of the patients was 70 ± 40 months (median: 84) and 93% were ASA I. In 71% of</p><p>patients, a decrease in body temperature and hypothermia developed in 39% compared to baseline. The</p><p>duration of operation was longer in the group with hypothermia (30 min [15-70] vs. 25 min [15-60], P <</p><p>.001). Only the duration of operation was determined as the independent risk factor associated with hypothermia</p><p>(odds ratio: 1.103 [1.017-1.197], P = .018).</p><p>Conclusion: In this study, it was found that high rates of hypothermia developed even in minor operations</p><p>such as pediatric circumcision. The risk of hypothermia increases with the prolongation of surgery.</p><p>Keywords: Heating systems, hypothermia, pediatric surgery, surgery duration</p>