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- Title
Perioperatives Wärme-management bei Kinder.
- Authors
Bräuer, A.; Nemeth, M.; Fazliu, A.; Eberhardt, I. M.; Stein, D.; Miller, C.
- Abstract
Children are particularly vulnerable to develop perioperative hypothermia. In general, the smaller the child, the greater the sensitivity to heat loss. In newborns, hypothermia can lead to the life-threatening triad of hypoxemia, metabolic acidosis and hypoglycemia, and is associated with increased morbidity such as apnea, the need for mechanical ventilation, arrhythmia, infection, intraventricular cerebral haemorrhage, prolonged hospital stays and poor neurological outcome. Retrospective studies showed that perioperative hypothermia leads to increased surgical site infections, higher blood loss, and the need for transfusion, longer stay in the recovery room, in the intensive care unit, and overall longer hospital stay. To avoid perioperative hypothermia, it should be critically examined whether the planned procedure can be performed in the intensive care unit in premature or newborn infants, since transportation in these children is associated with an increased risk of hypothermia. The operating room temperature should be increased for pediatric surgical procedures. Heat loss before induction of anesthesia should be prevented by active prewarming. During anesthesia, active warming therapy should be applied to the body surface. If larger amounts of fluids are given, infusion warming should be used in addition. In order to recognize and treat changes in core temperature, accurate measurement of the core temperature of children is mandatory.
- Subjects
PERIOPERATIVE care; LENGTH of stay in hospitals; OPERATING rooms; GENERAL anesthesia; RECOVERY rooms; PEDIATRICS; CONTINUING education units; DISEASES; ARTIFICIAL respiration; HYPOTHERMIA; SURGICAL site infections; CHILDREN
- Publication
Anaesthesiologie & Intensivmedizin, 2024, Vol 65, p28
- ISSN
0170-5334
- Publication type
Article
- DOI
10.19224/ai2024.028