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Is Temperature Monitoring Necessary in Pediatric Circumcision?
Cengiz Sahutoglu1, Canan Bor1, Zafer Dokumcu2
1Department of Anesthesiology and Reanimation, Ege University School of Medicine, İzmir, Turkey.
Insights
Pediatric patients undergoing circumcision have a high incidence of perioperative hypothermia. Prolonged operation duration is a significant risk factor for developing hypothermia in these young patients.
Area of Science:
- Pediatric Anesthesiology
- Perioperative Medicine
- Thermoregulation
Background:
- Perioperative hypothermia is a common complication in pediatric surgery.
- Pediatric circumcision, a brief procedure, is also susceptible to hypothermia.
- Understanding risk factors is crucial for prevention.
Purpose of the Study:
- To determine the incidence of perioperative hypothermia in pediatric circumcision.
- To identify risk factors associated with hypothermia in this population.
- To analyze the impact of operation duration on hypothermia development.
Main Methods:
- Prospective observational cohort study of 100 children undergoing circumcision under general anesthesia.
- Patients monitored for temperature drop below 36°C.
- Demographic data, ASA classification, operation time, and fluid amounts were recorded.
Main Results:
- Hypothermia developed in 39% of pediatric patients.
- Average operation duration was longer in the hypothermia group (30 min vs. 25 min).
- Operation duration was the sole independent risk factor for hypothermia (OR: 1.103).
Conclusions:
- High rates of hypothermia occur even in short pediatric procedures like circumcision.
- Extended surgery time significantly increases the risk of hypothermia.
- Strategies to mitigate hypothermia are essential for pediatric surgical care.
Objective:
Perioperative hypothermia occurs in the pediatric age group in the perioperative period at a high rate. In this study, it is aimed to reveal the incidence of perioperative hypothermia and the risk factors that play a role in its development in pediatric circumcision cases that have a brief operation duration.
Materials And Methods:
This prospective observational cohort study included 100 children who underwent circumcision under general anesthesia. All patients were heated with a passive heater and hypothermia was interpreted as a drop in body temperature below <36˚C. The patients were divided into 2 groups: group 1 (patients with body temperature <36˚C) and group 2 (≥36˚C). Demographic data, the American Society of Anesthesiologists' Classification of Physical Health Score, premedication method, operation time, fluid amount, preoperative and postoperative temperature of patients as tympanic were recorded.
Results:
The average age of the patients was 70 ± 40 months (median: 84) and 93% were ASA I. In 71% of patients, a decrease in body temperature and hypothermia developed in 39% compared to baseline. The duration of operation was longer in the group with hypothermia (30 min [15-70] vs. 25 min [15-60], P < .001). Only the duration of operation was determined as the independent risk factor associated with hypothermia (odds ratio: 1.103 [1.017-1.197], P=.018).
Conclusion:
In this study, it was found that high rates of hypothermia developed even in minor operations such as pediatric circumcision. The risk of hypothermia increases with the prolongation of surgery.
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