Abstract
Objective: To examine the relationship between
Intra-operative
hyperthermia (IOH) and post-operative fever (POF) and local
complications in children undergoing CI surgery.
Study Design: Retrospective cohort study
Setting: Tertiary care University Hospital.
Participants: The study includes all pediatric CI surgery
procedures conducted in one hospital in [Blinded for review] between
2007 and 2017, A total of 213 CI procedures were performed on 191
children (ages 9 months to 17 years; mean 3.54 years)
Main outcome and measure: Clinical data included demographics,
type of surgery (unilateral, bilateral), presence of IOH and POF, and
local infectious complications within one month after surgery
Results: Ten patients (4.9%) developed IOH, of which
two developed POF. Of the remaining
non-IOH
cases (95.1%), 29 children (14.3%) developed POF.
IOH
correlated with cases of bilateral CI (80%
bilateral
CI versus 20% unilateral CI; p = 0.002 ). IOH also correlated
with the duration of operation (289 min versus 189 min, respectively;p = 0.025 ). Local complications were recorded in 30 patients: two
that developed POF in the IOH group, and 28 (14.3%) in the
non-IOH
group. No correlation was observed between
the
occurrence of either IOH or POF, and the occurrence of local
complications.
Conclusions: IOH and POF are not uncommon in children
undergoing CI surgery, yet, in the present study cohort, both conditions
are not associated with the development of
local
infectious complications. In addition, IOH does not appear to predict
the development of POF.
Keywords : Anesthesia, deafness, pediatric population,
susceptibility to infection, complications.