Abstract:
ABSTRACT
BACKGROUND
Intraoperative hypothermia defined as core body temperature of <36oC have perioperative
unwanted complications and pediatrics patients are at high risk of developing it because of they
have anatomical, physiological and pharmacological differences with adults.
OBJECTIVE: the objective of this study was to determine the magnitude of intraoperative
hypothermia and determinant factors among pediatric patients operated in GUSH.
METHOD: Hospital based cross sectional study was used in all pediatrics patients that undergo
elective and emergency surgical procedures at GUSH in the main operation theater and
ophthalmic operation room from April/2019 to June 28/2019. Body temperature was recorded
pre operatively at the time before entrance to the OR. The intra operative temperature was
recorded before induction, immediately after induction and every 30 minutes till the end of the
procedure. The measurement was done by tympanic thermometer and data was collected by the
investigators and participants who is responsible for patient management peri operatively and
there were supervision and check up to ensure all data is obtained. Data was entered and
analyzed by SPSS version 20.
RESULT: the incidence of hypothermia was 49.2%(32) out of 65 patients whose surgery took
30 minutes and from 50 patients who lasted for an hour ,43.1%(28), patients who took one and
half hour are 14 from which 15.4%(n=10) and out of 3 patients whose surgical procedure lasted
for 2 hours and above, 3.1%(n=2)
CONCLUSION: This study revealed high incidence of inadvertent intraoperative
hypothermia in elective and emergency patients.
RECOMMENDATION: Since the incidence of hypothermia among pediatrics age group is
found to be high, we recommend to take interventions and measurements that are going to reduce
hypothermia and monitor the patients temperature intraoperativly.