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[Perioperative thermal management in children]

Alexander Torossian1

  • 1Klinik für Anästhesie und Intensivtherapie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg. torossia@med.uni-marburg.de

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|May 2, 2013
PubMed

Insights

Effective perioperative temperature monitoring prevents inadvertent hypothermia in pediatric patients. Active warming strategies, especially for neonates, are crucial, with forced-air and fluid warming showing efficacy.

Area of Science:

  • Pediatric Anesthesiology
  • Thermoregulation Research

Context:

  • Inadvertent hypothermia poses risks during pediatric surgery.
  • Neonates and immature infants are particularly vulnerable to temperature fluctuations.

Purpose:

  • To outline essential strategies for preventing perioperative hypothermia in children.
  • To emphasize the importance of active warming measures tailored to infant age.

Summary:

  • Perioperative temperature monitoring is vital for preventing inadvertent hypothermia in pediatric patients.
  • Active warming, including pre-warming, intraoperative incubators, and combined forced-air/fluid warming, is effective.
  • Postoperative shivering requires prompt treatment with medications like pethidine or clonidine.

Impact:

  • Improved patient outcomes through effective thermoregulation during surgery.
  • Guidelines for optimizing warming protocols in pediatric anesthesia.
  • Reduced incidence of perioperative complications related to hypothermia.

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