Effect of Perioperative Active Warming on Postoperative Pain and Shivering in Preschool Pediatric Patients: A Randomized Controlled Trial

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dc.contributor.authorÇiftci, Cansuen_US
dc.contributor.authorKara, Incien_US
dc.contributor.authorBüyükcavlak, Mustafaen_US
dc.contributor.authorAslanlar, Emineen_US
dc.date.accessioned2025-05-09T10:00:42Z
dc.date.available2025-05-09T10:00:42Z
dc.date.issued2024-09
dc.description.abstractObjective: To evaluate the effects of perioperative active warming on the core body temperature, postoperative pain, shivering and agitation in pediatric patients. Method: Children aged 2-6 years undergoing elective surgery, including orthopedic soft tissue surgeries, ear nose throat surgical procedures and general surgical interventions, all performed under general anesthesia, were randomized to receive either active warming (using the forced-air warming gowns, Bair Hugger, in the pre- and postoperative period, and a carbon fiber blanket in intraoperative period; Group A), or conventional warming using green blankets pre-and post-operatively and a carbon fiber blanket intraoperatively (Group B). Children undergoing emergency surgery, surgeries involving major body cavities (abdominal, thoracic, cranial surgery), or those with endocrinological pathologies, or baseline fever, were excluded. Core body temperature (t-core), postoperative pain, shivering and agitation scores were compared between the two groups. Results: Seventy children were included, with 35 in each group. No significant difference was observed between the groups in t-core values at 0 and 15 minutes preoperatively (P > 0.05). However, the value at 30 minutes preoperatively and all subsequent t-core values were higher in Group A (P < 0.001). Postoperative pain and shivering scores at 0 minutes, 30 minutes and 6 hours were significantly lower in Group A compared to Group B. No significant difference was observed in agitation scores in the immediate postoperative period, although, Group A showed reduced agitation at 30 minutes (P = 0.03). Conclusion: Active warming in the pre- and post-operative period significantly maintained higher core temperatures and reduced postoperative pain and shivering in children undergoing surgery compared to those receiving conventional passive warming measures in the pre- and post-operative period.en_US
dc.identifier.affiliationsDepartment of Anesthesiology and Reanimation, Konya City Hospital, University of Health Sciences, Karatay, Konya, Turkey; Department of Anesthesiology and Reanimation, Faculty of Medicine, Selcuk University, Selçuklu, Konya, Turkeyen_US
dc.identifier.affiliationsDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Selcuk University, Selçuklu, Konya, Turkeyen_US
dc.identifier.affiliationsDepartment of Anesthesiology and Reanimation, Konya City Hospital, University of Health Sciences, Karatay, Konya, Turkeyen_US
dc.identifier.affiliationsDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Selcuk University, Selçuklu, Konya, Turkeyen_US
dc.identifier.citationÇiftci Cansu, Kara Inci, Büyükcavlak Mustafa, Aslanlar Emine . Effect of Perioperative Active Warming on Postoperative Pain and Shivering in Preschool Pediatric Patients: A Randomized Controlled Trial. Indian Pediatrics. 2024 Sep; 61(9): 829-834en_US
dc.identifier.issn0974-7559
dc.identifier.issn0019-6061
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/245721
dc.languageenen_US
dc.publisherThe Indian Academy of Pediatricsen_US
dc.relation.issuenumber9en_US
dc.relation.volume61en_US
dc.source.urihttps://indianpediatrics.net/sep2024/829.pdfen_US
dc.subjectAgitationen_US
dc.subjectAnalgesiaen_US
dc.subjectChilden_US
dc.subjectCore temperatureen_US
dc.subjectHypothermiaen_US
dc.titleEffect of Perioperative Active Warming on Postoperative Pain and Shivering in Preschool Pediatric Patients: A Randomized Controlled Trialen_US
dc.typeJournal Articleen_US
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