Intraoperative temperature regulation in children using a liquid-warming garment
| Autor: | Gloria R. Leon, Victor S. Koscheyev, Daniel A. Saltzman, Mariya E. Skube, Robert D. Acton |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Anesthesia General Article Mean difference Body Temperature Clothing 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans 030212 general & internal medicine Lead (electronics) Body surface area Core (anatomy) Intraoperative Care business.industry Infant Newborn Infant Mean age General Medicine Surgical procedures Surgery Pediatric patient Elective Surgical Procedures Child Preschool Pediatrics Perinatology and Child Health Female business Body Temperature Regulation Surgical patients |
| Zdroj: | Pediatr Surg Int |
| ISSN: | 1437-9813 0179-0358 |
| Popis: | PURPOSE: Children undergoing operative intervention while induced under general anesthesia are at risk for experiencing a significant decrease in core body temperature that can lead to adverse systemic effects. Given that the head contributes an estimated 18% of a child’s body surface area, we theorized that a liquid-warming garment applied to the head could control a pediatric patient’s core body temperature during surgical procedures. METHODS: Patients undergoing elective, non-cranial, general surgical procedures were enrolled in the study. A head garment with an embedded network of tubing was placed on the patient. The garment connected to a computer-controlled water bath that managed the temperature of the water in the tubing through a feedback mechanism. RESULTS: Ten patients with ages ranging from 1 day to 3 years (mean age 10.5 months) were enrolled in this study. The average procedure length was 82.5 min. The mean core body temperature throughout the procedure for all-comers was 36.5 ± 0.9 °C with an overall mean difference in maximum and minimum temperatures of 1.32 ± 1.1 °C. CONCLUSION: A liquid-warming garment applied to the head of pediatric surgical patients is an innovative and relatively low-cost means to regulate and to maintain the ideal core body temperature of patients undergoing surgical procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink