The Effect of Intraoperative Body Temperature on Postoperative Nausea and Vomiting in Pediatric Patients

Sümer İ., Uysal H., Yeşiltaş S., Türkay M.

JOURNAL OF PERIANESTHESIA NURSING, vol.36, no.6, pp.706-710, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 6
  • Publication Date: 2021
  • Doi Number: 10.1016/j.jopan.2021.04.012
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE, DIALNET
  • Page Numbers: pp.706-710
  • Keywords: perioperative hypothermia, postoperative nausea and vomiting, pediatric patient, POSTANESTHESIA RECOVERY, RISK-FACTORS, TRIAL, HYPOTHERMIA, PREVENTION, INFANTS, SCORE
  • Bezmialem Vakıf University Affiliated: Yes


Purpose: Pediatric patients are at greater risk for both perioperative hypothermia and postoperative nausea and vomiting (PONV). The primary aim of this study was to investigate whether there is a relationship between intraoperative body temperature and PONV in children undergoing anesthesia. The secondary aim was to investigate the relationship between PONV and intraoperative fentanyl use, age and duration of operation. Design: A prospective cohort study Methods: The study included 80 children who were undergoing lower abdominal surgery. Body temperature was monitored after routine preoperative preparation and standard induction. Analgesic and antiemetic requirements and the presence of nausea and vomiting were assessed postoperatively on the 30th minute and the 6th, 12th and 24th hour. Findings: The children with or without PONV were compared. At the postoperative 6th hour, the incidence of nausea was statistically significant in the children with a mean body temperature below 36 degrees C (P = 0.044; P < 0.05). The mean duration of the surgery was statistically significant longer in the children with PONV (P = 0.001; P = 0.004; P <0.05). Mean body temperature was not statistically significant when comparing children with and without vomiting(P> 0.05). Conclusion: While a body temperature below 36 degrees C increases the incidence of postoperative nausea, it does not cause an increase in the incidence of vomiting. A long operation time in pediatric patients causes an increase in the incidence of PONV. Although not statistically significant, PONV is encountered more than twice as much in patients receiving intraoperative fentanyl administration. (c) 2021 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.