ORIGINAL RESEARCH article
Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1536782
Perioperative temperature management and coagulation: effects of mild hypothermia in a prospective study
Provisionally accepted- 1University Hospital Brno, Brno, South Moravia, Czechia
- 2Faculty of Medicine, Masaryk University, Brno, South Moravia, Czechia
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Background: Perioperative hypothermia is a common complication of general and regional anesthesia in children and is a known risk factor for the development of coagulation disorders. The primary aim of the study was to detect the occurrence of coagulopathy in hypothermic pediatric patients(0-18 years) undergoing arthroscopic surgery and open abdominal surgery. The secondary objective was to identify potential risk factors for both hypothermia and coagulopathy.: Prospective cohort study. The second part of our study Perioperative Management of Temperature in Children and Influence of Hypothermia on Blood Clotting in Children (Peritemp). We observed incidence of body temperature below normal values, i.e. 36.5 °C, and below 36 °C and incidence of pathological values in ROTEM -EXTEM and FIBTEM, and standard coagulation tests -APTT and PT. Results: 102 patients (55 females and 47 males) were enrolled from 22nd January 2018 to 27th
Keywords: Body Temperature, coagulopathy, Coagulation test, Rotem, Perioperative, Children, pediatric anesthesia, temperature management Trial registration: Clinicaltrials.gov identifier: NCT03273894
Received: 29 Nov 2024; Accepted: 20 May 2025.
Copyright: © 2025 Trčková, Bönischová, Zelinková and Štourač. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Tereza Bönischová, University Hospital Brno, Brno, CZ - 602 00, South Moravia, Czechia
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