Access the full text.
Sign up today, get DeepDyve free for 14 days.
Philip Hess, C. Snowman, J. Wang (2005)
Hypothermia after cesarean delivery and its reversal with lorazepam.International journal of obstetric anesthesia, 14 4
Clarissa Shaw, V. Steelman, J. Deberg, M. Schweizer (2017)
Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: A systematic review and meta-analysis of randomized controlled trials.Journal of clinical anesthesia, 38
Young Ro, J. Huh, Se Min, Sung-Hee Han, Jung-Won Hwang, S. Yang, D. Kim, C. Kim (2009)
Phenylephrine Attenuates Intra-Operative Hypothermia during Spinal AnaesthesiaJournal of International Medical Research, 37
(2016)
An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and PerinatologyAnesthesiology, 124
A. Butwick, S. Lipman, B. Carvalho (2008)
Intraoperative forced air-warming during cesarean delivery under spinal anesthesia does not prevent maternal hypothermia.Anesthesia and analgesia, 105 5
D. Sessler (2008)
Temperature Monitoring and Perioperative ThermoregulationAnesthesiology, 109
J. Apfelbaum, J. Hawkins, M. Agarkar, B. Bucklin, Richard Connis, D. Gambling, J. Mhyre, D. Nickinovich, Heather Sherman, L. Tsen, Edward Yaghmour (2007)
Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia*Anesthesiology, 106
J. Munday, S. Osborne, P. Yates, D. Sturgess, Lee Jones, E. Gosden (2018)
Preoperative Warming Versus no Preoperative Warming for Maintenance of Normothermia in Women Receiving Intrathecal Morphine for Cesarean Delivery: A Single-Blinded, Randomized Controlled TrialAnesthesia & Analgesia, 126
(2007)
Intraoperative forced air-warming during cesarean delivery under spinal anesthesia does not prevent maternal hypothermiaAnesth Analg, 105
T. Allen, A. Habib (2018)
Inadvertent Perioperative Hypothermia Induced by Spinal Anesthesia for Cesarean Delivery Might Be More Significant Than We Think: Are We Doing Enough to Warm Our Parturients?Anesthesia and analgesia, 126 1
L. Carpenter, C. Baysinger (2012)
Maintaining Perioperative Normothermia in the Patient Undergoing Cesarean DeliveryObstetrical & Gynecological Survey, 67
Daniel Sessler (2000)
Perioperative heat balance.Anesthesiology, 92 2
Sahar Sayyid, Dima Jabbour, A. Baraka (2003)
Hypothermia and Excessive Sweating Following Intrathecal Morphine in a Parturient Undergoing Cesarean DeliveryRegional Anesthesia & Pain Medicine, 28
D. Sessler (1995)
Perioperative thermoregulation and heat balanceThe Lancet, 387
E. Horn, F. Schroeder, A. Gottschalk, D. Sessler, Natascha Hiltmeyer, T. Standl, J. Esch (2002)
Active Warming During Cesarean DeliveryAnesthesia & Analgesia, 94
Alaa Mazy (2016)
Excessive sweating following intrathecal μ agonists: Effective atropine managementEgyptian Journal of Anaesthesia, 32
AbstractObjectiveSpinal anaesthesia interferes with physiological thermoregulatory responses, potentially leading to peri-operative hypothermia. Spinal morphine can further compound this by a paradoxical clinical presentation leading to poor patient outcome.Case ReportFollowing an uneventful caesarean delivery (CD) under spinal anaesthesia with intrathecal morphine for post-operative analgesia, a parturient presented in the recovery room with increasing somnolence, excessive sweating and a sensation of feeling hot. She was haemodynamically stable, but her temperature was 34.5°C. Active warming measures were implemented, and normothermia was achieved in 3 hours.ConclusionSpinal morphine can alter the clinical presentation of hypothermia by manifesting as excessive sweating and subjective sensation of warmth. Teams involved in the perioperative care of parturients should be aware of (a) the possibility of spinal anaesthesia causing perioperative hypothermia, (b) intrathecal morphine masking the clinical presentation of hypothermia and (c) the importance of monitoring temperature of patients who have received spinal anaesthesia with added morphine.
Romanian Journal of Anaesthesia and Intensive Care – de Gruyter
Published: Jul 1, 2020
Keywords: caesarean delivery; spinal morphine; altered thermoregulation; hypothermia
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.