Abstract：
BACKGROUND: Hypothermia in the neonatal surgical population has been linked with significant morbidity and mortality. Our goal was to decrease intra and postoperative hypothermia.
METHODS: In November 2021, a radiant warmer and hat were included along with standard warming methods prior to the start of General Surgery procedures to minimize episodes of hypothermia.
METHODS: Core body temperature was measured pre, intra and post-operatively.
METHODS: Data were prospectively collected from electronic medical records from July 2021 to March 2023. A retrospective analysis was performed. Hypothermia was defined as a temperature <36.5C. Control charts were created to analyze the effect of interventions.
RESULTS: A total of 277 procedures were identified; 226 abdominal procedures, 31 thoracic, 14 skin/soft tissue and 6 anorectal. The median post-natal age was 36.1 weeks (IQR: 33.2-39.2), with a pre-surgical weight of 2.3 kg (IQR: 1.6-3.0) and operative duration of 181 min (IQR: 125-214). Hat and warmer data were unavailable for 59 procedures, both hat and warmer were used for 51 % procedures, hat alone for 29 %, warmer alone for 10 % and neither for 10 % of procedures. Over time there was a significant increase in hat utilization while warmer usage was unchanged. There was a significant increase in the mean lowest intra-operative temperature and decrease in proportion of hypothermic patients intra-operatively and post-operatively.
CONCLUSIONS: The inclusion of a radiant warmer and hat decreased the proportion of hypothermic patients during and after surgery. Further studies are necessary to analyze the impact on surgical outcomes.
METHODS: III.
METHODS: In November 2021, a radiant warmer and hat were included along with standard warming methods prior to the start of General Surgery procedures to minimize episodes of hypothermia.
METHODS: Core body temperature was measured pre, intra and post-operatively.
METHODS: Data were prospectively collected from electronic medical records from July 2021 to March 2023. A retrospective analysis was performed. Hypothermia was defined as a temperature <36.5C. Control charts were created to analyze the effect of interventions.
RESULTS: A total of 277 procedures were identified; 226 abdominal procedures, 31 thoracic, 14 skin/soft tissue and 6 anorectal. The median post-natal age was 36.1 weeks (IQR: 33.2-39.2), with a pre-surgical weight of 2.3 kg (IQR: 1.6-3.0) and operative duration of 181 min (IQR: 125-214). Hat and warmer data were unavailable for 59 procedures, both hat and warmer were used for 51 % procedures, hat alone for 29 %, warmer alone for 10 % and neither for 10 % of procedures. Over time there was a significant increase in hat utilization while warmer usage was unchanged. There was a significant increase in the mean lowest intra-operative temperature and decrease in proportion of hypothermic patients intra-operatively and post-operatively.
CONCLUSIONS: The inclusion of a radiant warmer and hat decreased the proportion of hypothermic patients during and after surgery. Further studies are necessary to analyze the impact on surgical outcomes.
METHODS: III.
摘要：
背景：新生儿手术人群的低体温与显著的发病率和死亡率有关。我们的目标是减少术中和术后低体温。
方法：在2021年11月，在普外科手术开始之前，包括辐射加热器和帽子以及标准的加温方法，以最大程度地减少体温过低。
方法：预先测量核心体温，术中和术后。
方法：前瞻性地从2021年7月至2023年3月的电子病历中收集数据。进行了回顾性分析。体温过低定义为温度<36.5C。创建控制图以分析干预措施的效果。
结果：总共确定了277个手术；226个腹部手术，31胸廓，14皮肤/软组织和6肛肠。产后年龄中位数为36.1周（IQR：33.2-39.2），术前重量为2.3公斤（IQR：1.6-3.0），手术持续时间为181分钟（IQR：125-214）。59例手术的帽子和温暖数据不可用，帽子和取暖器都用于51%的手术，仅帽子就占29%，仅在10%的程序中加热，而在10%的程序中都不加热。随着时间的推移，帽子的利用率显着增加，而温暖的使用保持不变。术中平均最低温度显着升高，术中和术后低体温患者的比例降低。
结论：包含辐射加热器和帽子降低了手术期间和术后低体温患者的比例。需要进一步的研究来分析对手术结果的影响。
方法：III.
方法：在2021年11月，在普外科手术开始之前，包括辐射加热器和帽子以及标准的加温方法，以最大程度地减少体温过低。
方法：预先测量核心体温，术中和术后。
方法：前瞻性地从2021年7月至2023年3月的电子病历中收集数据。进行了回顾性分析。体温过低定义为温度<36.5C。创建控制图以分析干预措施的效果。
结果：总共确定了277个手术；226个腹部手术，31胸廓，14皮肤/软组织和6肛肠。产后年龄中位数为36.1周（IQR：33.2-39.2），术前重量为2.3公斤（IQR：1.6-3.0），手术持续时间为181分钟（IQR：125-214）。59例手术的帽子和温暖数据不可用，帽子和取暖器都用于51%的手术，仅帽子就占29%，仅在10%的程序中加热，而在10%的程序中都不加热。随着时间的推移，帽子的利用率显着增加，而温暖的使用保持不变。术中平均最低温度显着升高，术中和术后低体温患者的比例降低。
结论：包含辐射加热器和帽子降低了手术期间和术后低体温患者的比例。需要进一步的研究来分析对手术结果的影响。
方法：III.
