关键词: perioperative shivering spinal anesthesia thermoregulation

来  源:   DOI:10.2147/IJGM.S370439   PDF(Pubmed)

Abstract:
UNASSIGNED: Perioperative shivering is a common problem faced in anesthesia practice. Unless it is properly managed and prevented, it causes discomfort and devastating problems, especially in patients with cardiorespiratory problems. Surgery, anesthesia, exposure of skin in a cool operating theater, and administration of unwarmed fluids are some of the major causes for the development of shivering among surgical patients. Currently, a variety of non-pharmacological and pharmacological techniques are available to prevent and manage this problem. The available options to prevent and treat shivering include but are not limited to pre-warming the patient for 15 minutes before anesthesia administration, administration of low dose ketamine, dexamethasone, pethidine, clonidine, dexmedetomidine, tramadol, and magnesium sulfate.
UNASSIGNED: To develop evidence-based recommendations for the prevention and management of shivering after spinal anesthesia in a resource-limited settings.
UNASSIGNED: The kinds of literature are searched from Google Scholar, PubMed, Cochrane library, and HINARI databases to get access to current and update evidence on the prevention and management of shivering after spinal anesthesia. The keywords for the literature search were (shivering or prevention) AND (shivering or management) AND (anesthesia or shivering).
UNASSIGNED: Pre-warming the patient with cotton, blanket, gown warming, and administering warm IV fluid 15 minutes before spinal anesthesia are possible non-pharmacologic options for the prevention of shivering. Furthermore, pharmacological medications like low dose ketamine, dexamethasone, magnesium sulfate, ad tramadol can be used as alternative options for the prevention and management strategies for shivering of different degrees in resource-limited areas.
摘要:
UNASSIGNED:围手术期寒战是麻醉实践中面临的常见问题。除非妥善管理和预防,它会导致不适和毁灭性的问题,尤其是有心肺问题的患者。手术,麻醉,在凉爽的手术室中暴露皮肤,和未加热液体的给药是导致手术患者发抖的主要原因。目前,各种非药理学和药理学技术可用于预防和管理这个问题。预防和治疗寒战的可用选项包括但不限于在麻醉施用前将患者预热15分钟。低剂量氯胺酮的给药,地塞米松,哌替啶,可乐定,右美托咪定,曲马多,还有硫酸镁.
UNASSIGNED:为在资源有限的情况下预防和管理脊髓麻醉后发抖制定循证建议。
未经授权:从GoogleScholar搜索各种文献,PubMed,科克伦图书馆,和HINARI数据库,以获取有关脊髓麻醉后发抖的预防和管理的最新证据。文献检索的关键词是(颤抖或预防)和(颤抖或处理)和(麻醉或颤抖)。
未经批准:用棉花预热患者,毯子,礼服变暖,脊髓麻醉前15分钟给予温热静脉输液是预防寒战的可能非药物选择.此外,药物如低剂量氯胺酮,地塞米松,硫酸镁,阿德曲马多可以作为资源有限地区不同程度寒颤的预防和管理策略的替代选择。
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