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Hypothermia can be the first and only sign of sepsis in young infants, yet there is a paucity of standard recommendations for pediatric primary-care office management of those infants identified. The SMART aim of this study was to standardize the identification and care of infants age 0 to 49 days at risk of hypothermia in pediatric primary care by decreasing the percent of infants with temperatures ≤36.5°C from 24% to 10% within 2 years. Over the course of this project, variation in documented temperatures ≤36.5°C decreased from 24% to 7% of encounters. Temperatures ≤36.5°C were documented for 951 infants or 13.4% (1078 of 8020 encounters). Of the 951 infants with temperatures ≤36.5°C, 96.1% were rewarmed in the office. Thirty-one patients ultimately required hospitalization. Application of quality improvement in a primary-care office decreased low temperatures by standardizing care, empowering staff, and triaging at-risk infants to the most appropriate level of care. [ABSTRACT FROM AUTHOR]

The article focuses on the use of intravenous immunoglobulin (IVIg) in treating conditions like Kawasaki disease and multisystem inflammatory syndrome in children (MIS-C), highlighting its potential adverse effects including hypothermia, a rare occurrence. It presents cases of two children who developed hypothermia during IVIg infusion, prompting further discussion about this phenomenon, although the exact mechanism behind it remains unclear.

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Aim: Hypothermia (HT) is a common and serious problem during anesthesia. As the ratio of skin surface area to body volume is higher in neonates than in adults, heat loss and ultimately HT are more common in the intraoperative period. This study aimed to determine the incidence and independent risk factors of HT in the neonatal period. Materials and Methods: This retrospective observational cohort study included 63 patients who underwent neonatal surgery within a one-year period. HT was defined as body temperature <36 °C and the patients were divided into two groups: Group I (body temperature <36 °C) and Group II (≥36 °C). Demographic data, ASA score, operative diagnosis, duration of surgery and anesthesia, amount of fluid, inotrope and vasopressor therapy, amount of bleeding, amount of blood transfusion, preoperative and postoperative temperatures, and the heating methods of the patients were recorded. Results: The median age of the patients was 5 days (0-28 days) and their mean weight was 2,792±782 grams. The esophageal method was used for temperature monitoring in 88.9% (56 patients) and the rectal method in 10.1% (7 patients). HT developed in 54% of the patients. Caps and socks were used to prevent HT in 96.8% of the patients, forced-air warming blankets in 95.2%, warming gel mattresses in 27%, and fluid and blood warming devices in 17.5%. In the logistic regression model, the operating room temperature was identified as the only independent risk factor associated with neonatal HT. Conclusion: Despite the use of active and passive warming methods, the incidence of HT in the neonatal period was found to be high. Cold operating rooms were found to be the only independent factor associated with neonatal HT. [ABSTRACT FROM AUTHOR]

Accidental perioperative hypothermia is a common but preventable surgical complication. This study aimed to review the risk factors for hypothermia in major abdominal surgery patients. Databases (CINAIL via EBSCO, Embase, Ovid MEDLINE, and Cochrane Center Register of Controlled Trials) were searched from inception to September 27, 2022. Meta-analyses were performed to calculate the pooled effects of risk factors. The Newcastle-Ottawa Scale was used to assess the quality of studies, and heterogeneity was examined by I-square tests. A total of 12 studies were involved in this review. The meta-analysis showed that hypothermia had an association with ASA (OR 0.48, 95% CI 0.30–0.77), mode of warming (OR 10.48, 95% CI 2.23–49.28), mode of presentation (OR 45.50, 95% CI 11.55–179.35), and baseline temperature (OR 5.54, 95% CI 2.30–13.25). Healthcare professionals should pay more attention to patients with these risk factors mentioned and reduce the risk of hypothermia. Besides, more evidence supported by high-quality studies is needed to explore the powers of the risk factors of hypothermia. [ABSTRACT FROM AUTHOR]