body temperature increases during pediatric full mouth rehabilitation surgery under general anesthesia

Aumento de la temperatura corporal durante la cirugía de rehabilitación oral completa pediátrica bajo anestesia general

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ID: 143960
2015
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Abstract
Background/purpose: General anesthesia is necessary for full mouth rehabilitation surgery in children. Pediatric patients are susceptible to developing hypothermia during surgery under general anesthesia. This study reports gradually increased body temperature in pediatric patients receiving full mouth rehabilitation surgery. Materials and methods: Following institutional review board approval, the medical records of pediatric patients who received full mouth rehabilitation surgery from 2011 through 2012 were collected. The body temperatures (preoperative, periodic during operation, and postoperative 5 hours and 12 hours) and the maximum differences in temperature change during operation were recorded. Results: A total of 34 patients were enrolled in this study. An increase in body temperature was found. The mean ± standard deviation of the difference in temperature change was found to be 2.50 ± 1.17°C. A significant positive correlation was noted (r = 0.464, P = 0.006) between the maximum temperature changes and the operation duration. At 12 hours after operation, no patients were reported to have a tympanic temperature >37.5°C. Conclusion: Body temperature transiently increased during pediatric full mouth rehabilitation surgery. The increase in body temperature was associated with operation duration. The etiology is uncertain. Continuous body temperature monitoring and the application of both heating and cooling devices during pediatric full mouth rehabilitation surgery should be mandatory.
Antecedentes/objetivo: La anestesia general es necesaria para la cirugía de rehabilitación oral completa en niños. Los pacientes pediátricos son susceptibles de desarrollar hipotermia durante las intervenciones quirúrgicas bajo anestesia general. Este estudio describe un aumento progresivo de la temperatura corporal en pacientes pediátricos sometidos a cirugía de rehabilitación oral completa. Materiales y métodos: Tras la aprobación del comité de revisión institucional, se recopilaron las historias clínicas de pacientes pediátricos que fueron sometidos a cirugía de rehabilitación oral completa entre 2011 y 2012. Se registraron las temperaturas corporales (preoperatoria, periódica intraoperatoria, y posoperatoria a las 5 y 12 horas), así como las diferencias máximas en el cambio de temperatura durante la intervención. Resultados: Se incluyó a un total de 34 pacientes en este estudio. Se constató un aumento de la temperatura corporal. La media ± desviación estándar de la diferencia en el cambio de temperatura fue de 2,50 ± 1,17 °C. Se observó una correlación positiva significativa (r = 0,464; p = 0,006) entre las variaciones térmicas máximas y la duración de la intervención quirúrgica. A las 12 horas del posoperatorio, ningún paciente presentó una temperatura timpánica >37,5 °C. Conclusión: La temperatura corporal aumentó de forma transitoria durante la cirugía pediátrica de rehabilitación oral completa. Dicho incremento se asoció con la duración de la intervención quirúrgica. La etiología es incierta. La monitorización continua de la temperatura corporal y la disponibilidad de dispositivos tanto de calentamiento como de enfriamiento durante la cirugía pediátrica de rehabilitación oral completa deberían ser de carácter obligatorio.
Reference Key
chuang2015journalbody Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Yi-Shan Chuang;Chung-Hsing Li;Chen-Hwan Cherng
Journal world academy of science, engineering and technology
Year 2015
DOI
10.1016/j.jds.2015.01.003
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