PMID: 525732Sep 1, 1979Paper

Redistribution of body heat during anaesthesia. A comparison of halothane, fentanyl and epidural anaesthesia

Anaesthesia
A HoldcroftG M Cooper

Abstract

Epidural anaesthesia and high dose fentanyl (50 micrograms/kg) when used to supplement nitrous oxide and oxygen anaesthesia for a standard lower abdominal operation were associated with a mean fall in deep body temperature, as measured in the external auditory meatus, of 0.46 degrees C and 0.6 degrees C/hr respectively. This is significantly different from the mean values of 0.14 degrees C and 0.2 degrees C/hr which were recorded when moderate dose fentanyl (10 micrograms/kg) or 0.5% halothane were used to supplement anaesthesia. When mean skin temperature is combined with the core temperature to provide an estimate for total body heat, there is no difference between the groups. Redistribution of body heat occurs and this may be related to reduced adrenergic stimulation and altered regional blood flow. Where the facilities and environments are inadequate for the maintenance of normothermia, care should be taken in the choice of anaesthetic technique. In the recovery period mean body heat gain showed a wide scatter of results but those patients receiving epidural anaesthesia were slow to rewarm despite a high incidence of shivering in this group. The implications of this are discussed.

References

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Citations

Jan 1, 1988·European Journal of Applied Physiology and Occupational Physiology·J L SaumetM Freidel
Mar 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·W F CaseyS K Weeks
Oct 19, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A M Mitchell, R R Kennedy
May 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N Buckley
Jan 1, 1984·Pharmacology & Therapeutics·H M Chinyanga
Sep 1, 1996·Journal of Clinical Anesthesia·N PatelJ F Hagen
Apr 30, 2003·Journal of Clinical Anesthesia·Simone Maria D'Angelo VanniGeraldo Rolim Rodrigues
Aug 9, 2001·Anaesthesia·T J Papadimos, E Fowler
Mar 1, 1992·Anaesthesia·A W Crossley
Oct 1, 1992·Anaesthesia·A W Crossley
Jun 1, 1995·Anaesthesia·K F Cheong, T C Low
Oct 1, 1990·Acta Anaesthesiologica Scandinavica·B Eckerbom, C E Lindholm
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May 23, 1998·Acta Anaesthesiologica Scandinavica·Y H RasmussenN E Drenck
Mar 23, 2006·Archives of Disease in Childhood·A S El-Radhi, W Barry
Feb 11, 1999·Anesthesia and Analgesia·S M FrankR A Barnes
Jun 20, 2014·International Anesthesiology Clinics·Michael A Frölich
Aug 27, 2013·Clinics in Perinatology·Katherine W Arendt, B Scott Segal
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Nov 24, 2018·Journal of Clinical Monitoring and Computing·Eero PesonenMarja-Tellervo Mäkinen
Nov 21, 2007·Journal of Perioperative Practice·Saqeb MirzaSamira Akmal

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