- Tytuł:
- Impact of hypothermia during craniosynostosis repair surgery.
- Autorzy:
- Temat:
-
HYPOTHERMIA -- Risk factors
CRANIOSYNOSTOSES
DISEASE complications
COHORT analysis
MORTALITY
BLOOD transfusion
PEDIATRICS
PATIENTS - Alternatywny tytuł:
- Impacto de la hipotermia durante la intervencion quirurgica de craneosinostosis. (Spanish)
- Źródło:
- Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología; 2016, Vol. 44 Issue 3, p235-241, 7p
- Abstract (English):
- Introduction: Hypothermia is recognized as a risk factor for perioperative complications in paediatric patients. High surgical risk procedures serve as a model of exposure to that risk factor. In particular, surgical correction of craniosynostosis serves as a model for measuring the impact of hypothermia. Objective: To assess hypothermia-related morbidity and mortality in paediatric patients taken to craniosynostosis correction. Methodology: Historical cohort study of patients taken to craniosynostosis correction and exposed to hypothermia. Results: With prior approval of the Ethics Committee of the institution, 54 records were included in the analysis. No statistically significant differences were found between hypothermia and its impact in terms of morbidity and mortality (death, major bleeding, massive haemorrhage massive transfusion, disseminated intravascular coagulation, need for vasopressor support, mechanical ventilation time and length of stay, including admission to the intensive care unit). A clinically significant increase in bleeding (severe and massive) and severe hypothermia was found (28.6% vs. 40% and 14.3% vs. 40%, respectively). Conclusions: No statistical differences were found in terms of morbidity and mortality with severe hypothermia (and moderate/severe hypothermia). [ABSTRACT FROM AUTHOR]
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