Perspectives on Temperature Management

Andrews, Peter; Toossi, Shahed; Kurz, Michael C.; Jackson, T. L.

doi:10.1089/ther.2019.29061.pja

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…[ 14 ] Accordingly, special attention to pediatric temperature management is required during hip dislocation surgery. Previous research indicated that the risk of hypothermia can be decreased in patients by elevating the ambient temperature to 26°C [ 15 ] and suggested that control of the temperature in the operation room might be the most efficient strategy for maintaining the body temperature of children. In this study, we found that forced-air warming blankets set at 32, 38, or 43°C maintained the body temperature in a normal range during the entire operation in children undergoing surgery for DDH.…”

Section: Discussionmentioning

confidence: 99%

Effect of temperature maintenance by forced-air warming blankets of different temperatures on changes in inflammatory factors in children undergoing congenital hip dislocation surgery

Liu

Wen

et al. 2020

Chinese Medical Journal

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Background Hypothermia is associated with many adverse clinical outcomes in pediatric patients, and thus, it is important to find an effective and safe method for preventing peri-operative hypothermia and its associated adverse outcomes in pediatric patients. This study aimed to investigate the effect of forced-air warming blankets with different temperatures on changes in the transforming growth factor-β (TGF-β), tumor necrosis factor (TNF)-α, interleukin (IL)-1β, and IL-10 levels in children undergoing surgical treatment for developmental displacement of the hip (DDH). Methods The study included 123 children undergoing surgery for DDH under general anesthesia. The patients were randomly assigned to three groups, using a random number table: the 32, 38, and 43°C groups according to the temperature setting of the forced-air warming blankets. For each patient, body temperature was recorded immediately after anesthesia induction and intubation (T 0 ), at initial incision (T 1 ), at 1 h after incision (T 2 ), at 2 h after incision (T 3 ), at the end of surgery (T 4 ), immediately upon return to the ward after surgery (T 5 ), and then at 12 h (T 6 ), 24 h (T 7 ), 36 h (T 8 ), and 48 h (T 9 ) after the surgery. The serum levels of TGF-β, TNF-α, IL-1β, and IL-10 were measured at T 0 and T 4 for all groups. Results The number of patients with fever in the 38°C group was significantly less than those in the 32 and 43°C groups ( χ 2 = 6.630, P = 0.036). At T 0 , the body temperatures in the 38 and 43°C groups were significantly higher than that in the 32°C group ( F = 17.992, P < 0.001). At T 2 , the body temperature was significantly higher in the 43°C group than those in the 32 and 38°C groups ( F = 12.776, P < 0.001). Moreover, at T 4 , the serum levels of TGF-β ( F = 3286.548, P < 0.001) and IL-10 ( F = 4628.983, P < 0.001) were significantly increased in the 38°C group, and the serum levels of TNF-α ( F = 911.415, P < 0.001) and IL-1β ( F = 322.191, P < 0.001) were significantly decreased in the 38°C group, compared with the levels in the 32 and 43°C groups. Conclus...

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Section: Discussionmentioning

confidence: 99%