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Impact of hypothermia during craniosynostosis repair surgery.

Impact of hypothermia during craniosynostosis repair surgery.
González-Cárdenas, Víctor Hugo
Vanegas-Martínez, María Victoria
Rojas-Rueda, María Elvira
Burbano-Paredes, Claudia Cecilia
Pulido-Barbosa, Nadya Tatiana
Colombian Journal of Anesthesiology; Jul2016, 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]
Czasopismo naukowe
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