Perioperative Hypothermia in Children

Kälte und Kinder ist ein unterbelichtetes Thema. Zwei spannende Artikel fassen die derzeitige Evidenz zu Kinder und Hypothermie im Allgemeinen und im perioperativen Bereich im Speziellen zusammen.

Abstract

Background: First described by paediatric anaesthesiologists, perioperative hypothermia is one of the earliest reported side effects of general anaesthesia. Deviations from normothermia are associated with numerous complications and adverse outcomes, with infants and small children at the highest risk. Nowadays, maintenance of normothermia is an important quality metric in paediatric anaesthesia. Methods: This review is based on our collection of publications regarding perioperative hypothermia and was supplemented with pertinent publications from a MEDLINE literature search. Results: We provide an overview on perioperative hypothermia in the paediatric patient, including definition, history, incidence, development, monitoring, risk factors, and adverse events, and provide management recommendations for its prevention. We also summarize the side effects and complications of perioperative temperature management. Conclusions: Perioperative hypothermia is still common in paediatric patients and may be attributed to their vulnerable physiology, but also may result from insufficient perioperative warming. An effective perioperative warming strategy incorporates the maintenance of normothermia during transportation, active warming before induction of anaesthesia, active warming during anaesthesia and surgery, and accurate measurement of core temperature. Perioperative temperature management must also prevent hyperthermia in children.

Weitere Informationen

International Journal of Environmental Reserach and Public Health

Teil 1: Pediatric Hypothermia: An Ambiguous Issue

Kategorie: Blog, Alpine Notfallmedizin, Hypothermie

Datum: 16. Feb 2022

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24. Mär 2022
Blog
Alpine Notfallmedizin
Hypothermie