Now showing 1 - 3 of 3
  • 2021Journal Article
    [["dc.bibliographiccitation.firstpage","7541"],["dc.bibliographiccitation.issue","14"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Nemeth, Marcus"],["dc.contributor.author","Miller, Clemens"],["dc.contributor.author","Bräuer, Anselm"],["dc.date.accessioned","2021-08-12T07:45:58Z"],["dc.date.available","2021-08-12T07:45:58Z"],["dc.date.issued","2021"],["dc.description.abstract","Background: First described by paediatric anaesthesiologists, perioperative hypothermia is one of the earliest reported side effects of general anaesthesia. Deviations from normothermia are associated with numerous complications and adverse outcomes, with infants and small children at the highest risk. Nowadays, maintenance of normothermia is an important quality metric in paediatric anaesthesia. Methods: This review is based on our collection of publications regarding perioperative hypothermia and was supplemented with pertinent publications from a MEDLINE literature search. Results: We provide an overview on perioperative hypothermia in the paediatric patient, including definition, history, incidence, development, monitoring, risk factors, and adverse events, and provide management recommendations for its prevention. We also summarize the side effects and complications of perioperative temperature management. Conclusions: Perioperative hypothermia is still common in paediatric patients and may be attributed to their vulnerable physiology, but also may result from insufficient perioperative warming. An effective perioperative warming strategy incorporates the maintenance of normothermia during transportation, active warming before induction of anaesthesia, active warming during anaesthesia and surgery, and accurate measurement of core temperature. Perioperative temperature management must also prevent hyperthermia in children."],["dc.description.abstract","Background: First described by paediatric anaesthesiologists, perioperative hypothermia is one of the earliest reported side effects of general anaesthesia. Deviations from normothermia are associated with numerous complications and adverse outcomes, with infants and small children at the highest risk. Nowadays, maintenance of normothermia is an important quality metric in paediatric anaesthesia. Methods: This review is based on our collection of publications regarding perioperative hypothermia and was supplemented with pertinent publications from a MEDLINE literature search. Results: We provide an overview on perioperative hypothermia in the paediatric patient, including definition, history, incidence, development, monitoring, risk factors, and adverse events, and provide management recommendations for its prevention. We also summarize the side effects and complications of perioperative temperature management. Conclusions: Perioperative hypothermia is still common in paediatric patients and may be attributed to their vulnerable physiology, but also may result from insufficient perioperative warming. An effective perioperative warming strategy incorporates the maintenance of normothermia during transportation, active warming before induction of anaesthesia, active warming during anaesthesia and surgery, and accurate measurement of core temperature. Perioperative temperature management must also prevent hyperthermia in children."],["dc.description.sponsorship","3M San Antonio, TX, USA"],["dc.identifier.doi","10.3390/ijerph18147541"],["dc.identifier.pii","ijerph18147541"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88585"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-448"],["dc.publisher","MDPI"],["dc.relation.eissn","1660-4601"],["dc.rights","https://creativecommons.org/licenses/by/4.0/"],["dc.title","Perioperative Hypothermia in Children"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2022-06-03Journal Article Research Paper
    [["dc.bibliographiccitation.firstpage","1054"],["dc.bibliographiccitation.issue","9"],["dc.bibliographiccitation.journal","Pediatric Anesthesia"],["dc.bibliographiccitation.lastpage","1061"],["dc.bibliographiccitation.volume","32"],["dc.contributor.affiliation","Miller, Clemens; 1\r\nDepartment of Anesthesiology\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.affiliation","Bräuer, Anselm; 1\r\nDepartment of Anesthesiology\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.affiliation","Asendorf, Thomas; 2\r\nDepartment of Medical Statistics\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.affiliation","Ernst, Marielle; 3\r\nDepartment of Neuroradiology\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.affiliation","von Gottberg, Philipp; 3\r\nDepartment of Neuroradiology\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.affiliation","Richter, Juliane; 1\r\nDepartment of Anesthesiology\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.affiliation","Saager, Leif; 1\r\nDepartment of Anesthesiology\r\nUniversity Medical Center Goettingen\r\nGoettingen Germany"],["dc.contributor.author","Miller, Clemens"],["dc.contributor.author","Asendorf, Thomas"],["dc.contributor.author","Ernst, Marielle"],["dc.contributor.author","von Gottberg, Philipp"],["dc.contributor.author","Richter, Juliane"],["dc.contributor.author","Bräuer, Anselm"],["dc.contributor.author","Saager, Leif"],["dc.contributor.author","Nemeth, Marcus"],["dc.contributor.editor","von Ungern‐Sternberg, Britta"],["dc.date.accessioned","2022-06-16T13:13:44Z"],["dc.date.available","2022-06-16T13:13:44Z"],["dc.date.issued","2022-06-03"],["dc.date.updated","2022-11-11T13:13:38Z"],["dc.description.abstract","Core temperature monitoring is indispensable to prevent children from perioperative thermal perturbations. Although nasopharyngeal measurements are commonly used in anesthesia and considered to reflect core temperature accurately, standardized target depths for probe insertion are unknown in children."],["dc.identifier.doi","10.1111/pan.14504"],["dc.identifier.pmid","35656935"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/111324"],["dc.language.iso","en"],["dc.relation.eissn","1460-9592"],["dc.relation.issn","1155-5645"],["dc.relation.issn","1460-9592"],["dc.rights","This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited."],["dc.title","Target insertion depth of nasopharyngeal temperature probes in children: A prospective observational study analyzing magnetic resonance images"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]
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  • 2021Journal Article
    [["dc.bibliographiccitation.firstpage","8749"],["dc.bibliographiccitation.issue","16"],["dc.bibliographiccitation.journal","International Journal of Environmental Research and Public Health"],["dc.bibliographiccitation.volume","18"],["dc.contributor.author","Rauch, Simon"],["dc.contributor.author","Miller, Clemens"],["dc.contributor.author","Bräuer, Anselm"],["dc.contributor.author","Wallner, Bernd"],["dc.contributor.author","Bock, Matthias"],["dc.contributor.author","Paal, Peter"],["dc.date.accessioned","2021-09-01T06:38:15Z"],["dc.date.available","2021-09-01T06:38:15Z"],["dc.date.issued","2021"],["dc.description.abstract","Unintentional hypothermia (core temperature < 36 °C) is a common side effect in patients undergoing surgery. Several patient-centred and external factors, e.g., drugs, comorbidities, trauma, environmental temperature, type of anaesthesia, as well as extent and duration of surgery, influence core temperature. Perioperative hypothermia has negative effects on coagulation, blood loss and transfusion requirements, metabolization of drugs, surgical site infections, and discharge from the post-anaesthesia care unit. Therefore, active temperature management is required in the pre-, intra-, and postoperative period to diminish the risks of perioperative hypothermia. Temperature measurement should be done with accurate and continuous probes. Perioperative temperature management includes a bundle of warming tools adapted to individual needs and local circumstances. Warming blankets and mattresses as well as the administration of properly warmed infusions via dedicated devices are important for this purpose. Temperature management should follow checklists and be individualized to the patient’s requirements and the local possibilities."],["dc.description.abstract","Unintentional hypothermia (core temperature < 36 °C) is a common side effect in patients undergoing surgery. Several patient-centred and external factors, e.g., drugs, comorbidities, trauma, environmental temperature, type of anaesthesia, as well as extent and duration of surgery, influence core temperature. Perioperative hypothermia has negative effects on coagulation, blood loss and transfusion requirements, metabolization of drugs, surgical site infections, and discharge from the post-anaesthesia care unit. Therefore, active temperature management is required in the pre-, intra-, and postoperative period to diminish the risks of perioperative hypothermia. Temperature measurement should be done with accurate and continuous probes. Perioperative temperature management includes a bundle of warming tools adapted to individual needs and local circumstances. Warming blankets and mattresses as well as the administration of properly warmed infusions via dedicated devices are important for this purpose. Temperature management should follow checklists and be individualized to the patient’s requirements and the local possibilities."],["dc.identifier.doi","10.3390/ijerph18168749"],["dc.identifier.pii","ijerph18168749"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/88898"],["dc.language.iso","en"],["dc.notes.intern","DOI-Import GROB-455"],["dc.publisher","MDPI"],["dc.relation.eissn","1660-4601"],["dc.rights","https://creativecommons.org/licenses/by/4.0/"],["dc.title","Perioperative Hypothermia—A Narrative Review"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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