Sign inSign up

ADSA Society

Logo
IssuesFor AuthorsAdvertisingNewsHelp

ADSA Society

Search Results

You are looking at 1-5 of 5

Thermoregulation: Physiological and Clinical Considerations during Sedation and General Anesthesia
Marcos Díaz DDS and
 Daniel E. Becker DDS
Article Category: Research Article
Volume/Issue: Volume 57: Issue 1
Online Publication Date: Jan 01, 2010
DOI: 10.2344/0003-3006-57.1.25
Page Range: 25 – 33

INTRODUCTION Hypothermia during anesthesia is the most common perioperative thermal disturbance. 1 It is not uncommon for patients to become cold and exhibit uncontrollable episodes of shaking and shivering. These events are both troubling and perplexing to the anesthesia provider. The purposes of this article are to review the processes of heat loss and thermoregulation and to use this information to properly care for patients during sedation and general anesthesia. Although malignant hyperthermia is a relatively rare occurrence, we will

Download PDF
Marcos Díaz and
 Daniel E. Becker
Figure 1
Figure 1

Hypothalamic thermoregulation. Temperature inputs to the hypothalamus are integrated and compared with threshold temperatures that trigger appropriate thermoregulatory responses. Normally these responses are initiated at as little as 0.1°C above and below normal body temperature of 37°C (98.6°F). Therefore the difference between temperatures that initiate sweating versus those initiating vasoconstriction is only 0.2°C. This is defined as the interthreshold range and represents the narrow range at which the body does not initiate thermoregulatory efforts. Most general anesthetics depress hypothalamic responses, widening this interthreshold range to as much as 4°C. Therefore patients are less able to adjust to temperature changes that occur during treatment.


Article Category: Abstract
Volume/Issue: Volume 57: Issue 3
Online Publication Date: Jan 01, 2010
Page Range: 121 – 128

possible effects on central thermoregulation. Therefore, fluid balance and body temperature should be carefully controlled during oral and maxillofacial surgery when total intravenous anesthesia with propofol combined with remifentanil is used. Department of Anesthesiology, Osaka Dental University The Amnesic Effect of Intravenous Sedation According to Visual Memory Load: Comparison of Propofol with Dexmedetomidine Chloride Saori Ogawa,Yutaka Shinohe, Kana Murakami and Sigeharu Joh 2010;38(1): 6–12. This study

Taylor R. Gordon DDS and
 Richard J. Montandon DDS
Article Category: Case Report
Volume/Issue: Volume 64: Issue 1
Online Publication Date: Jan 01, 2017
Page Range: 33 – 38

to regain appropriate oxygen saturation. The patient demonstrated a low respiratory reserve and a tendency to desaturate very quickly, but airway management techniques quickly resolved the issue on both instances. Although minimal temperature instability was detected initially, the patient's skin temperature still decreased slightly from 35.4°C to 34.9°C over the course of the case, which may have been related to the dysautonomia. This was despite the patient being covered with multiple blankets to assist in thermoregulation. The surgery time totaled 160 minutes

Shamit Prabhu BS,
 Kevin Fortier MS,
 Lisa Newsome MD, DMD, and
 Uday N. Reebye MD, DMD
Article Category: Case Report
Volume/Issue: Volume 65: Issue 3
Online Publication Date: Jan 01, 2018
Page Range: 181 – 186

possibility of cardiac arrest, in addition to thermoregulation issues. 41 In particular, HSAN IV patients have absent or diminished autonomous protective airway reflexes that can increase the risk of regurgitation of gastric contents, leading to aspiration. 42 The current literature advocates for most surgical procedures to be performed in a hospital setting to most effectively manage these potential complications. As such, complex procedures should be conducted within a hospital. However, in our case, treatment in a hospital setting was challenging because of financial

ANPR logo
AboutIssuesAuthor InformationSubscriptions

ADSA Society

eISSN: 1878-7177

ISSN: 0003-3006

Powered by PubFactory