According to the American Society of Anesthesiologists (ASA), basic anesthetic monitoring addresses a set of parameters (oxygenation, ventilation, circulation, and temperature) that should be continually evaluated. Among these, temperature monitoring might be the most neglected by medical staff, entailing various consequences that might be undervalued and not seen as directly correlated with poor patient outcome. This clinical case depicts a postoperative patient with a state of hypothermia and severe shivering, clinically and objectively registered, that could have led to disastrous consequences, highlighting the importance of normothermia throughout the perioperative period.
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References
1.
CamusY, DelvaE, CohenS, et al.The effects of warming intravenous fluids on intraoperative hypothermia and postoperative shivering during prolonged abdominal surgery. Acta Anaesthesiol Scand, 1996; 40:779–782.
2.
ChiangMH, ChungKC, SyueYJ, et al.The role of meperidine in reduction of postanesthetic shivering and its possible impact on flap outcomes. Microsurgery, 2014; 34:106–111.
HopfHW. Perioperative Temperature Management: time for a new standard of care?. Anesthesiology, 2015; 122:229–230.
5.
LewisSR, NicholsonA, SmithAF, et al.Alpha-2 adrenergic agonists for the prevention of shivering following general anaesthesia. Cochrane Database Syst Rev, 2015; 8:CD011107.
6.
LopezMB. Postanaesthetic shivering—from pathophysiology to prevention. Rom J Anaesth Intensive Care, 2018; 25:73–81.
YiJ, LeiY, XuS, et al.Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: national study in China. PLoS One, 2017; 12:e0177221.
