Abstract：
BACKGROUND:Postanesthetic shivering can be triggered by surgical stress and several aspects of anesthetic management and is frequently preceded by a decrease in peripheral blood flow due to thermoregulatory vasoconstriction. As perfusion index correlates with peripheral blood flow, we examined whether perioperative perfusion index, measured using pulse oximetry, might be correlated with postanesthetic shivering. METHODS:Twenty-eight patients presenting for elective abdominal surgery were enrolled. Core (esophagus) and peripheral (finger) temperatures and perfusion index were recorded in the perioperative periods. Correlations between perfusion index and peripheral temperature and core-to-peripheral temperature gradient were then explored. Plasma levels of epinephrine and norepinephrine were also measured. The extent of shivering was graded after emergence from anesthesia. RESULTS:Perfusion index declined before emergence from anesthesia in patients who then developed postanesthetic shivering. This coincided with the time at which the difference between core and peripheral temperature became dissociated and peripheral temperature declined. Perioperative perfusion index was correlated with peripheral temperature and peripheral-core temperature gradient. Perfusion index at closure of the peritoneum predicted postanesthetic shivering and was significantly correlated with the extent of shivering. Plasma levels of both epinephrine and norepinephrine were significantly elevated after shivering events. CONCLUSIONS:Perfusion index was significantly lower in patients with postanesthetic shivering before emergence from anesthesia, indicating that measurement of perfusion index during and before the end of anesthesia might be a useful means of predicting postanesthetic shivering.
journal_name
J Anesthjournal_title
Journal of anesthesiaauthors
Kuroki C,Godai K,Hasegawa-Moriyama M,Kuniyoshi T,Matsunaga A,Kanmura Y,Kuwaki Tdoi
10.1007/s00540-013-1658-9subject
Has Abstractpub_date
2014-02-01 00:00:00pages
19-25issue
1eissn
0913-8668issn
1438-8359journal_volume
28pub_type
临床试验,杂志文章abstract：:Enzyme inhibition on anaerobic dehalogenation of halothane by various analgesic or hypnotic agents was investigated in vitro using rat liver microsomal fraction. The production rate of chloro-difluoro-ethylene (CDE) and chloro-trifluoro-ethane (CTE), anaerobic metabolites of halothane, was measured when various concen...
journal_title：Journal of anesthesia
pub_type： 杂志文章
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更新日期：1991-10-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
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更新日期：2011-12-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1715-4
更新日期：2014-04-01 00:00:00
abstract：:Lead aprons are worn by medical workers to reduce the effects of the radiation doses to which they are exposed during radiography and surgery performed with radioscopic apparatus. Regarding the management of such aprons, the Radiation Protection Section of the Japanese Society of Radiological Technology issued the "Gu...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-016-2140-2
更新日期：2016-06-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-013-1770-x
更新日期：2014-08-01 00:00:00
abstract：:Airway management in patients of faciomaxillary injury is of great concern to the anesthesiologist. Bag and mask ventilation and orotracheal intubation may be difficult with these patients. Recently, a middle aged, obese female presented in the emergency department after sustaining a blast injury, with laceration of t...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-010-1091-2
更新日期：2011-04-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-004-0237-5
更新日期：2004-01-01 00:00:00
abstract：:Arthrogryposis multiplex congenita (AMC) consists of complex congenital anomalies characterized by multiple contractures. Anesthetic management of these patients requires special care: as this disease often progresses until dysfunction of multiple organ systems occur, it may have an impact on the anesthetic management...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-011-1309-y
更新日期：2012-04-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1618-4
更新日期：2013-10-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
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journal_title：Journal of anesthesia
pub_type： 杂志文章
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更新日期：2015-08-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-013-1571-2
更新日期：2013-08-01 00:00:00
abstract：:The concentrations of placental transfer of halothane (H), enflurane (E), sevoflurane (S), and isoflurane (I) were measured in 46 patients during cesarean section. The mean inhalation times of H (0.5%), E (1%), S (0.8%), and I (0.6%) were 13 min 27 s, 13 min 49s, 13 min 20s, and 8 min 8s, respectively. The mean concen...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02479867
更新日期：1995-09-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054020060461
更新日期：1992-10-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00540-012-1333-6
更新日期：2012-06-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-015-2035-7
更新日期：2015-12-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02878-5
更新日期：2021-02-01 00:00:00
abstract：PURPOSE:Our purpose was to examine the effect of dexmedetomidine, when used with phenylephrine during cardiopulmonary resuscitation (CPR), on the cerebral and systemic circulations. METHODS:In pentobarbital-anesthetized, mechanically ventilated dogs, we evaluated pial vessel diameters, cerebral oxygen extraction, and ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-006-0402-0
更新日期：2006-01-01 00:00:00
abstract：:A 24-year-old man underwent surgery for a fractured left clavicle and received an interscalene brachial plexus block for intraoperative and postoperative analgesia. After injection of 40 ml 0.5% ropivacaine and confirmation of analgesia, general anesthesia was induced and maintained with propofol. Although the operati...
journal_title：Journal of anesthesia
pub_type： 杂志文章
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更新日期：2011-06-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,评审
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更新日期：2007-01-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2017-04-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s005400200024
更新日期：2002-01-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-010-0913-6
更新日期：2010-06-01 00:00:00
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journal_title：Journal of anesthesia
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更新日期：2017-02-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-010-0907-4
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVES:The incidence of postoperative shivering is known to be inversely associated with core body temperature. However, previous studies have pointed out that the threshold of shivering could be affected by peripheral temperature or anesthetic agents. These reports pointed specific drugs, though, anesthesia techni...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02763-1
更新日期：2020-06-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章,评审
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更新日期：2013-06-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 杂志文章
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更新日期：2010-08-01 00:00:00
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journal_title：Journal of anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s00540-004-0233-9
更新日期：2004-01-01 00:00:00
abstract：:We tested hypertonic saline solution (HS) to determine its effectiveness in surgical procedures for prostatic hypertrophy. We randomly selected 40 patients undergoing elective transurethral resection of the prostate for either infusion of HS (3% NaCl) at 4ml·kg(-1)·min(-1) (HS group) or lactated Ringer's solution (LR)...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02471385
更新日期：1996-09-01 00:00:00
