Magnitude of Interaoperative and Postoperative Hypothermia and Associated Factors, Among Pediatric Patients That were Operated In Tikur Anbessa Specialized Hospital

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2016-07

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Addis Abeba University

Abstract

BACKGROUND: -Humans maintain constant body temperature within a wide range of changes in external environment. Perioperative hypothermia is one of the major problems during surgery that can affect operated pediatric patients. OBJECTIVE: - The objective of this study was to determine magnitude of intraoperative and postoperative hypothermia and determinant factors among pediatric patients operated in Tikur Anbessa Specialized Hospital from January to February, 2016. METHODS: - Study was conducted with Cross sectional study design. All selected elective surgical pediatric patients, between 1 January 2016 and 30 March2016 were eligible to the study. Data was entered into Epi info version 7 and exported to SPSS version 20 for analysis. Binary Logistic regression was used to test each factor with the dependent variable, and variables with P value of <0.2 were carried to multi variant analysis. 95% C.I. and P value of <0.05 was used as a cutoff point to test for significance of associations. RESULTS: -A total number of 90 pediatric patients were enrolled to the study of whom 26 females and 64 males. The ages of patients varied from 26 days to 14 years (mean 5.63 ±4.40). Hypothermia incidence was calculated after induction, an hour and two hours of induction was 72.2%, 64.4%, 83.8% respectively. After third hours there were three cases but all had been hypothermic. And postoperative incidence of hypothermia was 78.9% of all pediatric patients. Conclusion: -Intraoperative and Postoperative hypothermia is a common problem in this Hospital. Therefore, we suggest that temperature monitoring, patient warming and OR temperature managing should be a routine procedure during anesthesia management and PACU

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Tikur Anbessa Specialized Hospital

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