CENTRAL TEMPERATURE-CHANGES ARE POORLY PERCEIVED DURING EPIDURAL-ANESTHESIA

被引:56
作者
GLOSTEN, B
SESSLER, DI
FAURE, EAM
KARL, L
THISTED, RA
机构
[1] UNIV CHICAGO,DEPT ANESTHESIA & CRIT CARE,CHICAGO,IL 60637
[2] UNIV CALIF SAN FRANCISCO,DEPT ANESTHESIA,SAN FRANCISCO,CA 94143
关键词
ANESTHESIA; COMPLICATIONS; HYPOTHERMIA; EPIDURAL; OBSTETRIC; CESAREAN DELIVERY; ANESTHESIA-RELATED; THERMAL PERCEPTION; TEMPERATURE MEASUREMENT; BLADDER; SKIN SURFACE; TYMPANIC;
D O I
10.1097/00000542-199207000-00003
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Hypothermia and shivering are common during epidural anesthesia for cesarean delivery but are not always accompanied by a sensation of coldness. To test the hypothesis that central temperature changes are not perceived during epidural anesthesia, we measured central and skin temperatures and thermal perception in 30 patients undergoing cesarean delivery with epidural anesthesia. Central temperature decreased 1.0 +/- 0.6-degrees-C from control values during anesthesia and surgery, but thermal perception scores did not reflect central temperatures (P = 0.56) or changes in central temperature (P = 0.63). A feeling of warmth was significantly correlated with increased mean skin temperature (P = 0.02) and increased upper body skin temperature (P = 0.03). We conclude that central temperature is poorly perceived and is less important than skin temperature in determining thermal perception during high levels of epidural anesthesia.
引用
收藏
页码:10 / 16
页数:7
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