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Altered Thermoregulatory Responses Following Spinal Morphine for Caesarean Delivery: A Case Report

Altered Thermoregulatory Responses Following Spinal Morphine for Caesarean Delivery: A Case Report 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Romanian Journal of Anaesthesia and Intensive Care de Gruyter

Altered Thermoregulatory Responses Following Spinal Morphine for Caesarean Delivery: A Case Report

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References (16)

Publisher
de Gruyter
Copyright
© 2020 Christopher Wolla et al., published by Sciendo
eISSN
2502-0307
DOI
10.2478/rjaic-2020-0008
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

Romanian Journal of Anaesthesia and Intensive Carede Gruyter

Published: Jul 1, 2020

Keywords: caesarean delivery; spinal morphine; altered thermoregulation; hypothermia

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