dc.contributor.author | Kioko,P M | |
dc.date.accessioned | 2014-01-10T07:23:56Z | |
dc.date.available | 2014-01-10T07:23:56Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Master of Medicine in Anaesthesia | en_US |
dc.identifier.uri | http://hdl.handle.net/11295/62822 | |
dc.description.abstract | The human thermoregulatory system maintains a core body temperature of 37 ± O.4°C by
effecting appropriate homeostatic responses aimed at maintaining a balance between heat loss
and heat production. General anaesthesia inhibits thermoregulation and hypothermia is the
commonest peri operative thermal disturbance with an incidence of 50 - 60% in the general
population. Intraoperative hypothermia is a significant independent predictor for the
development of postoperative complications with adverse outcomes. Physiologically and
anatomically, children are more susceptible to the development of hypothermia.
Objective
To determine the incidence and risk factors for intraoperative hypothermia in paediatric
patients undergoing general anaesthesia at the Kenyatta National Hospital.
Methodology
A prospective observational study of the relative contribution of selected risk factors to the
overall incidence of hypothermia in paediatric patients undergoing general anaesthesia at the
Kenyatta National Hospital.
Results
The incidence of intraoperative core hypothermia in paediatric patients undergoing general
anaesthesia at the Kenyatta National Hospital is 30%. Gender (male), lower body temperature
at induction, use of caudal block and the volume of IV fluids infused were significant
independent predictors of core hypothermia. The most important predictor was body
temperature at the time of induction of general anaesthesia. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | The incidence and risk factors For intra-operative Hypothermia among paediatric Patients undergoing general Anaesthesia at the kenyatta National hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |