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Comparison of Core Temperature Changes Between Pediatric Patients Lying on Regular Operating Room Linen Drapes and
C-E Huang1, H F Lu1, C-L Chen2
1Department of Anesthesiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Insights
A water-repellent sheepskin rug effectively prevents profound hypothermia in pediatric patients during living donor liver transplantation (LDLT). Patients on sheepskin maintained significantly higher core temperatures compared to those on standard drapes.
Area of Science:
- Medical research
- Pediatric surgery
- Anesthesiology
Background:
- Maintaining core body temperature is critical during pediatric liver transplantation.
- Fluid overflow from the abdominal cavity can lead to profound hypothermia.
- Standard operating room drapes may not adequately insulate patients.
Purpose of the Study:
- To compare core temperature changes in pediatric liver transplant recipients based on surface material.
- To evaluate the efficacy of a water-repellent sheepskin rug in preventing hypothermia during living donor liver transplantation (LDLT).
Main Methods:
- Retrospective review of operative records for pediatric patients undergoing LDLT (June 1994-September 2003).
- Comparison of nasopharyngeal temperature (NT) changes between patients on regular drapes (Group I) and a water-repellent sheepskin rug (Group II).
- Statistical analysis using the Mann-Whitney U test (P < .05 significance).
Main Results:
- Thirty-two patients in Group I and 56 in Group II were analyzed.
- No profound hypothermia was observed in Group II (sheepskin rug).
- Nasopharyngeal temperatures were significantly higher in Group II compared to Group I throughout the procedure.
Conclusions:
- Pediatric patients on a water-repellent sheepskin rug demonstrated better core temperature preservation.
- The sheepskin rug appears effective in preventing hypothermia caused by fluid contact during LDLT.
Objectives:
The aims of this study were to compare the core temperature changes between pediatric patients lying on regular operating room linen drapes and a water-repellent sheepskin rug during living donor liver transplantation (LDLT) and to evaluate the effectiveness of using a water-repellent sheepskin rug in preventing profound hypothermia due to fluid overflow from the abdominal cavity during LDLT.
Patients And Methods:
The operative records of pediatric patients who underwent LDLT from June 1994-September 2003 were reviewed retrospectively. The nasopharyngeal temperature (NT) changes during the LDLT procedure between patients lying on regular operating room drapes (GI) and water-repellent sheepskin rug (GII) were compared and analyzed using the Mann-Whitney U test. A P value <.05 was regarded as significant.
Results:
Thirty-two patients were included in GI and 56 in GII. Profound hypothermia was not observed in any recipients lying on a water-repellent sheepskin rug (GII). The NT after induction and the following 4 hours into the LT procedure were significantly higher in GII than GI.
Conclusion:
Pediatric patients lying on water-repellent sheepskin preserved their core temperature better in comparison to patients lying on linen drapes. The use of a water-repellent sheepskin rug seems to be effective in preventing profound hypothermia related to physical contact with abdominal fluid overflow during the LDLT.
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