Summary
Introduction
Inadvertent perioperative hypothermia (a drop in core temperature to below 36 °C)
occurs because of interference with normal temperature regulation by anaesthetic drugs,
skin exposure for prolonged periods and the introduction of large volumes of intravenous
and irrigation fluids. If the temperature of these fluids is below core body temperature,
they can cause significant heat loss. Warming irrigation fluids might prevent some
of this heat loss and subsequent hypothermia and that is the role of warming irrigation
fluid systems.
Material and methods
The video describes prone ultra mini PCNL with suction-evacuation access sheath under
warming irrigation fluid system in a 15 month-old boy with a 2 cm-600HU staghorn calculi
and one stone of 7 mm-500HU in proximal ureter.
Results
The surgery was performed without intraoperative complications and perioperative hypothermia
was prevented. The patient started the surgery at 35.4 °C and the final temperature
was 36.3 °C in 90 min of procedure, in addition to being free of stones.
Conclusions
The warming irrigation fluid system can be helpful in preventing inadvertent perioperative
hypothermia in children, improving the safety of ultra mini PCNL with suction-evacuation
access sheath and shows promising results with high stone-free rates and low complications.
Keywords
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References
- Pediatric hospitalizations for upper urinary tract calculi: epidemiological and treatment trends in the United States, 2001-2014.J Pediatr Urol. 2018; 14 (13.e1-.e6)
- Significant factors influencing inadvertent hypothermia in pediatric anesthesia.J Clin Monit Comput. 2019; 33: 1105-1112
- Hypothermia as a risk factor for pediatric cardiothoracic surgical site infection.Pediatr Infect Dis J. 2001; 20: 459-462
- Perioperative hypothermia in NICU infants: its occurrence and impact on infant outcomes.Adv Neonatal Care. 2014; 14: 154-164
- EAU guidelines on paediatric Urology.2020
- Semi-closed-circuit vacuum-assisted mini percutaneous nephrolithotomy in the pediatric population: the initial experience of two tertiary referral centers.Minerva Urol Nefrol. 2020;
Article info
Publication history
Published online: February 10, 2021
Received in revised form:
January 13,
2021
Received:
October 12,
2020
Identification
Copyright
© 2021 Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company.
