Perioperative thermoregulation and heat balance

Lancet
Daniel I Sessler

Abstract

Core body temperature is normally tightly regulated to within a few tenths of a degree. The major thermoregulatory defences in humans are sweating, arteriovenous shunt vasoconstriction, and shivering. The core temperature triggering each response defines its activation threshold. General anaesthetics greatly impair thermoregulation, synchronously reducing the thresholds for vasoconstriction and shivering. Neuraxial anaesthesia also impairs central thermoregulatory control, and prevents vasoconstriction and shivering in blocked areas. Consequently, unwarmed anaesthetised patients become hypothermic, typically by 1-2°C. Hypothermia results initially from an internal redistribution of body heat from the core to the periphery, followed by heat loss exceeding metabolic heat production. Complications of perioperative hypothermia include coagulopathy and increased transfusion requirement, surgical site infection, delayed drug metabolism, prolonged recovery, shivering, and thermal discomfort. Body temperature can be reliably measured in the oesophagus, nasopharynx, mouth, and bladder. The standard-of-care is to monitor core temperature and to maintain normothermia during general and neuraxial anaesthesia.

References

Sep 1, 1992·The Journal of Trauma·R L ReedR P Fischer
Dec 1, 1991·Anesthesiology·D I SesslerJ McGuire
Jul 1, 1985·Pflügers Archiv : European journal of physiology·J R HalesR B King
Sep 1, 1984·The Journal of Clinical Investigation·C A DinarelloF Coceani
Nov 1, 1995·Anesthesiology·T MatsukawaM Schroeder
Aug 1, 1995·Anesthesia and Analgesia·A KurzA R Bjorksten
Mar 1, 1995·Anesthesiology·T MatsukawaC Cheng
Mar 1, 1995·Anesthesiology·D I SesslerC Cheng
Jul 1, 1993·Anesthesia and Analgesia·D I Sessler, M Schroeder
Apr 1, 1996·Anesthesia and Analgesia·P A IaizzoD I Sessler
Jun 1, 1996·Anesthesiology·K Leslie, D I Sessler
Jan 1, 1996·European Journal of Applied Physiology and Occupational Physiology·C E JohnstonG G Giesbrecht
Jan 7, 1998·Anesthesiology·R LenhardtF Lackner
Feb 28, 1998·Pflügers Archiv : European journal of physiology·F TayefehD Marder
Feb 3, 1998·Anesthesiology·E P HornJ Schulte am Esch
May 21, 1999·The American Journal of Medicine·R LenhardtA R Bjorksten
Oct 16, 1999·Anesthesiology·E P HornJ Schulte am Esch
Jan 19, 2000·Anesthesiology·J E CaldwellD I Sessler
Feb 26, 2000·Anesthesiology·D I Sessler
Dec 13, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C M BlatteisS Li
Jun 8, 2001·European Journal of Applied Physiology·D A EyolfsonG G Giesbrecht
Aug 17, 2001·Anesthesiology·D I Sessler

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Citations

Apr 5, 2016·Expert Review of Medical Devices·Melissa NaimanErik Kulstad
Jul 28, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Masanori TsukamotoTakeshi Yokoyama
Oct 4, 2016·AORN Journal·Emma L Kurnat-ThomaEleanor B Corcoran
Dec 4, 2010·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Vallire D HooperUNKNOWN ASPAN
Apr 25, 2017·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Alois J SchiefeckerRaimund Helbok
Jun 16, 2017·Anesthesia and Analgesia·Shmuel EvronTiberiu Ezri
Jun 16, 2017·Clinical Nursing Research·Hsiao-Chi Nieh, Shu-Fen Su
Oct 19, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N A HenriksenF E Muysoms
Apr 25, 2018·Korean journal of anesthesiology·Hyeryung KangGaab-Soo Kim
Apr 13, 2018·Minerva anestesiologica·Antonio CorcioneUNKNOWN Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI) and Società Italiana di Chirurgia (SIC)
Nov 1, 2018·Revista latino-americana de enfermagem·Cibele Cristina Tramontini FugantiCristina Maria Galvão
Oct 10, 2018·Anesthesia and Analgesia·Yehoshua N SchachamDaniel I Sessler
May 21, 2019·Journal of Oncology Practice·Patrick J McCormickLuis Tollinche
Jan 10, 2018·International Journal for Numerical Methods in Biomedical Engineering·X HeS Elghobashi
Sep 20, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Helmut PiazenaPeter Vaupel
Dec 17, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Juan P CataOscar Perez-Gonzalez
Feb 14, 2020·British Journal of Nursing : BJN·Ek MatildaMaria Henricson
Jun 18, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Andrew B KayStephen J Incavo
Mar 8, 2020·FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology·Anna EskilssonAnders Blomqvist
May 29, 2020·AORN Journal·Terri Link
Oct 30, 2016·Annals of the Royal College of Surgeons of England·K E RollinsD N Lobo
Jun 18, 2017·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·François-Pierrick DesgrangesLionel Bouvet
Mar 30, 2018·Pediatric Radiology·Monica FumagalliFabio Triulzi

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