■体温过低的特征是核心体温下降低于36°C。它在整个手术期间经常发生,并在发病率和死亡率方面不同地影响手术患者的结果。因为凝血功能障碍,代谢性酸中毒,多器官衰竭,血流动力学不稳定,和感染,核心温度低于34°C与死亡率密切相关。
■本研究旨在评估在艾德综合专科医院接受择期手术的儿科患者术中低体温的程度和相关因素。
■在提格雷的艾德综合专科医院对399名接受择期手术的儿科患者进行了一项前瞻性观察性横断面研究,埃塞俄比亚,从2023年5月1日至2023年7月30日。该研究的参与者是通过系统随机抽样技术选择的。数据收集程序是图表审查和术中温度测量,收集的数据采用SPSS23版进行分析。使用二元和多元逻辑回归分析自变量。赔率比,95%CI和p值小于0.05被认为有统计学意义。
■术中低温程度为52.9%。新生儿和婴儿[调整后比值比(AOR):6,95%CI:3.7,9.8],(AOR=4.5,95%CI:2.9,7),给药的液体量大于半升[AOR:4.37,(95%CI,3,6.4)],在早晨接受手术的患者[AOR:5.3,(95%CI:3.8,7.4)],手术和麻醉持续时间大于120分钟[AOR:2.7,(95%CI,1.8,4)]和(AOR=3.4,95%CI,2.4,4.9],分别,是与术中低体温显著相关的因素。
■这项研究揭示了儿科患者术中体温过低的严重程度。作为新生儿和婴儿,冷量的静脉输液量超过半升,早上进入手术,手术的持续时间,麻醉时间与术中低体温显著相关。作者建议麻醉师使用温暖的静脉输液,计算IV流体,并保持室温。
UNASSIGNED: Hypothermia is characterized by a drop in core body temperature of less than 36°C. It occurs frequently throughout the operating period and affects surgical patient outcomes differently in terms of morbidity and mortality. Because of coagulopathy, metabolic acidosis, multiple organ failure, hemodynamic instability, and infections, a core temperature below 34°C is strongly associated with mortality.
UNASSIGNED: This study aimed to assess the
magnitude and associated factors of intraoperative hypothermia in pediatric patients undergoing elective surgery at the Ayder Comprehensive Specialized Hospital.
UNASSIGNED: A prospective observational cross-sectional study was conducted on 399 pediatric patients undergoing elective surgery at Ayder Comprehensive Specialized Hospital in Tigray, Ethiopia, from 1 May 2023, to 30 July 2023. Participants in the study were selected by a systematic random sampling technique. The data collection procedure was chart review and intraoperative temperature measurement, and the collected data were analyzed by SPSS version 23. The independent variables were analyzed using binary and multi-logistic regression. The odds ratio, 95% CI, and p value of less than 0.05 were considered statistical significance.
UNASSIGNED: The
magnitude of intraoperative hypothermia was 52.9%. Neonate and infant [adjusted odds ratio (AOR): 6, 95% CI: 3.7, 9.8], (AOR=4.5, 95% CI: 2.9, 7) respectively, volume of fluid administered greater than half-liter [AOR: 4.37, (95% CI, 3, 6.4)], patients who underwent surgery during the morning [AOR: 5.3, (95% CI: 3.8, 7.4)], and duration of surgery and anesthesia greater than 120 minutes [AOR: 2.7, (95% CI, 1.8, 4)] and (AOR=3.4, 95% CI, 2.4, 4.9], respectively, were factors significantly associated with intraoperative hypothermia.
UNASSIGNED: This study revealed a high
magnitude of intraoperative hypothermia among pediatric patients. Being neonates and infants, having a cold volume of IV fluid administered greater than half a liter, entering surgery during the morning, the duration of surgery, and the anesthesia time were significantly associated with intraoperative hypothermia. The authors would like to advise anesthetists to use warm intravenous fluids, calculate IV fluids, and maintain room temperature.