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Hypothermia and shivering Yuki KONDO 1 , Yusuke IIZUKA 1 1Department of Anesthesiology and Critical Care Medicine Jichi Medical University Saitama Medical Center pp.765-775
Published Date 2021/10/1
DOI https://doi.org/10.11477/mf.3102200918
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Perioperative hypothermia is a frequently observed complication in the surgical ICU. Intensivists must know how to manage patients with postoperative hypothermia. Intraoperative hypothermia results from a combination of impaired thermoregulation due to anesthesia, exposure to the environmental temperature of the operating room, open exposure of a body cavity during certain operations, hypothermia management during cardiac surgery, etc. Perioperative hypothermia can lead to various adverse events such as prolongation of anesthesia effects, coagulation disorders and platelet hypofunction, surgical site infections, perioperative myocardial ischemia, shivering, thermal discomfort, etc. In this article, we explain the mechanism of perioperative hypothermia and discuss methods of prevention and treatment. We present various theories about these complications, and discuss shivering in detail. We describe currently known mechanisms and adverse events due to shivering. There is a paucity of evidence for the prevention and treatment of shivering. We summarize current evidence regarding the pharmacological mechanisms for meperidine, tramadol, dexmedetomidine/ clonidine, ketamine, magnesium, and ondansetron.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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