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Anestesia en México
versión On-line ISSN 2448-8771versión impresa ISSN 1405-0056
Resumen
BOJORQUEZ-ARREDONDO, Alejandrina Guadalupe; ALVAREZ-BASTIDAS, Lucía y MARROQUIN-GONZALEZ, Jesús. Postoperative hypothermia in the pediatric patient in elective surgery. Anest. Méx. [online]. 2017, vol.29, n.3, pp.26-32. ISSN 2448-8771.
Temperature is one of the vital signs that occurs less frequently in anesthetic practice, lack of culture and in many cases of intraoperative resources make hypothermia pass unnoticed. Hypothermia is associated with significant adverse effects, as delay in the awakening of anesthetic, slowing the metabolism of relaxing muscle and regularization, increased blood loss and nosocomial infections.
Objective:
To know the incidence of hypothermia in the pediatric patient in elective surgery between 1 and 6 years of age.
Material and methods.
A clinical, observational, analytical, prospective and longitudinal study that evaluated the temperature of pediatric patients of one to six years old as they entered after elective surgery care postanestesia unit. Central hypothermia was considered to be a temperature lower than 36° C, and was measured at eardrum with a thermometer, ThermoScan Pro-6000. The analysis included measures of central tendency and relative risk, 95% CIS were used.
Results:
The incidence of hypothermia was 57%. The population from one year to one year and 11 months obtained relative risk of 1.667 within 95% CI going (1.078 to 2.578). A relative risk of 1,222 in the patients undergoing general anesthesia with epidural blockage, with CI 95% (0.794 -1882).
Conclusions:
We recommend monitoring, in an obligatory manner, all children admitted to surgery and the postanesthetic care unit. Key words: hypothermia. Postoperative period. Pediatric patient.
Palabras llave : Hypothermia; Postoperative Period; Pediatric Patient.
