Prävention intraoperativer Hypothermie bei Kindern

Abstract

OR temperature seems to be a critical factor influencing heat loss. Increasing OR temperature and covering with cotton sheets was not effective in preventing the heat loss. Increasing room temperature in combination with aluminum sheets is one alternative to prevent HT. Our study shows that the use of a convective warming device prevents HT during a 2-hour surgery in young children even at a OR temperature of about 22 degrees C. In conclusion, in pediatric patients the use of a convective heating system proved to be an effective alternative to room heating.

The role of perioperative warming in surgery: a systematic review

“…Nineteen randomized controlled trials [11][12]14,18-32 on 1,785 patients qualified for this review in accordance with the inclusion criteria (Figure 1). Six trials 16,17,[33][34][35][36] were excluded for the reasons mentioned in Figure 1. The characteristics of the trials included are given in Table 1.…”

Thermostasis during Laparoscopic Urologic Surgery

“…17 Even the esophageal probes may be inaccurate if not placed distal to the carina of the respiratory tree. 5 The importance of ambient operating room temperature cannot be overemphasized: it is known to affect patient temperature under general anesthesia, particularly children, 18 and it was not recorded here. Other factors known to influence core body temperature, such as thyroid function, intraoperative anesthetics/drugs, phase in the menstrual cycle, and preinduction warming, were not examined either.…”