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Body temperature management during pediatric full mouth rehabilitation surgery under general anesthesia

Wei-Lin Lin1, Chung-Hsing Li2, Chen-Hwan Cherng1

  • 1Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, ROC.

Journal of Dental Sciences
|March 22, 2019
PubMed

Insights

Maintaining normal body temperature in pediatric patients undergoing full mouth rehabilitation surgery is crucial. A novel "tent-like draping" method with forced-air cooling effectively controlled intraoperative hyperthermia, reducing temperature increases and high-temperature incidence.

Area of Science:

  • Pediatric Anesthesiology
  • Surgical Patient Management
  • Thermoregulation

Background:

  • Pediatric full mouth rehabilitation surgery is associated with a gradual increase in body temperature.
  • The exact cause of intraoperative hyperthermia in these patients remains unclear.
  • Effective methods for maintaining normothermia during this procedure are needed.

Purpose of the Study:

  • To introduce and evaluate an effective method for maintaining normothermia during pediatric full mouth rehabilitation surgery.
  • To assess the efficacy of a
  • tent-like draping
  • technique combined with forced-air warming in controlling intraoperative body temperature.
  • To compare the thermoregulatory outcomes with previous reports using standard surgical draping.

Main Methods:

  • A retrospective review of pediatric patients undergoing full mouth rehabilitation surgery between January 2014 and June 2016.
  • Implementation of a
  • tent-like draping
  • method utilizing a forced-air warmer (Life-Air 1000).
  • Monitoring and recording of preoperative, intraoperative, and postoperative body temperatures, with adjustments to forced-air temperature based on patient's body temperature.

Main Results:

  • Thirty-seven patients were included in the study.
  • The maximum intraoperative body temperature change was significantly lower with the
  • tent-like draping
  • method (2.08 ± 0.64 °C) compared to standard draping (2.50 ± 1.17 °C, p < 0.001).
  • The incidence of body temperature exceeding 37.5 °C was significantly reduced (10.8% vs. 32.4%, p < 0.05).

Conclusions:

  • Ambient forced-air cooling with
  • tent-like draping
  • is an effective strategy for controlling body temperature increases during pediatric full mouth rehabilitation surgery.
  • This technique helps maintain normothermia, reducing the risk of intraoperative hyperthermia.
  • The findings suggest a significant improvement in thermoregulation compared to conventional methods.
Abstract

Keywords:
Full mouth rehabilitationHyperthermiaPediatric

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