ТЕМПЕРАТУРНИЙ БАЛАНС У ДІТЕЙ В ІНТРАОПЕРАЦІЙНОМУ ПЕРІОДІ

Actuality. Intraoperative hypothermia (IH) is a serious problem in pediatric anesthesiology. Despite the availability of numerous technical developments for warming patients on the operating table, their routine use does not always completely solve the problem of IH. The reason for this is insufficient efficiency, technical complexity, insufficient safety for patients and attention of medical personnel. To date, none of the known methods of hypothermia prevention has absolute effectiveness, so the search for alternatives continues all over the world. The purpose to study the features of the development of intraoperative hypothermia and its impact on the course of general anesthesia in children. Materials and methods. To study the effect of hypothermia on the course of anesthesia, 100 patients aged 5-10 years were divided into 2 groups: the control group consisted of 50 subjects who were warmed during surgery, the main group consisted of 50 examined children who were not warmed up. For active warming, a BARRIER EasyWarm blanket with The Bair Hugger Normothermia System heater was used. Body temperature was measured using a Gamma Thermo Scan infrared thermometer. Gas exchange in the examined children was evaluated based on indicators of saturation measurement (SpO2), partial pressure of CO2 at the end of exhalation (EtCO2). The state of hemodynamics was monitored based on heart rate and systolic, diastolic and mean arterial pressure. Expression of postoperative cold shivering using the BSAS scale. The results. In general, in both groups in the intraoperative period, the dynamics of temperature decrease was noted, but a greater trend was observed in children who were not warmed. In the control group where heating was carried out during anesthesia, the least pronounced decrease in body temperature was recorded. The minimum temperature value according to the median was 35,5°С (35,2- 35,8) (p < 0,05). In general, anesthesia in all children went smoothly, no complications were identified. In children without heating at the end of surgery, SpO2 was at the level of 93 %. Conclusions. The problem of intraoperative hypothermia is still relevant. A decrease in the body temperature of a sick child during surgery often goes unnoticed or is not perceived by the medical staff as a serious complication. To prevent the development of hypothermia, preventive sets of preoperative and intraoperative measures using active methods of warming are necessary