Dexamethasone decreases the incidence of shivering after cardiac surgery: A randomized, double-blind, placebo-controlled study

Anesthesia and Analgesia

Volumn 87, Issue 4, 1998, Pages 795-799

  Yared, Jean Pierre ^a   Starr, Norman J ^a   Hoffman Hogg, Lori ^a   Bashour, C Allen ^a   Insler, Steven R ^a   O'Connor, Michael ^a   Piedmonte, Marion ^a   Cosgrove III, Delos M ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DEXAMETHASONE; PLACEBO;

ADULT; AGED; ANESTHESIA INDUCTION; ARTICLE; CARDIOPULMONARY BYPASS; CLINICAL TRIAL; CONTROLLED STUDY; CORE TEMPERATURE; CORONARY ARTERY SURGERY; DOUBLE BLIND PROCEDURE; ELECTIVE SURGERY; FEMALE; HEART SURGERY; HEART VALVE SURGERY; HUMAN; HYPOTHERMIA; INCIDENCE; MAJOR CLINICAL STUDY; MALE; PEROPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SHIVERING; SKIN TEMPERATURE;

ANTI-INFLAMMATORY AGENTS; BODY TEMPERATURE; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; DEXAMETHASONE; DOUBLE-BLIND METHOD; FEMALE; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; SHIVERING;

EID: 0031666093     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000539-199810000-00010     Document Type: Article

References (24)

1. Fogliani J, Guillen JC, Vanuxem D, et al. Shivering during recovery after cardiac surgery under extracorporeal circulation: inconveniences and methods of prevention. Ann Anesthesiol Fr 1976;17:1422-31.
2. Earp JK, Finlayson DC. Urinary bladder/pulmonary artery temperature ratio of less than 1 and shivering in cardiac surgical patients. Am J Crit Care 1992;2:43-52.
3. Zwischenberger JB, Kirsh MM, Dechert RE, et al. Suppression of shivering decreases oxygen consumption and improves hemodynamic stability during postoperative rewarming. Ann Thorac Surg 1987;43:428-31.
4. Estafanous FG, Smith CE, Selim W, Tarazi RC. Cardiovascular effects of acute normovolemic hemodilution in rats with disopyramide induced myocardial depression. Basic Res Cardiol 1990;85:227-36.
5. Sessler DI, Rubinstein EH, Moayeri A. Physiologic responses to mild perianesthetic hypothermia in humans. Anesthesiology 1991;75:594-610.
6. Sessler DI, Israel D, Pozos RS, et al. Spontaneous post-anesthetic tremor does not resemble thermoregulatory shivering. Anesthesiology 1988;68:843-50.
7. Horn E-P, Schroeder F, Sessler DI, et al. Postanesthetic shivering in normothermic or hypothermic patients after isoflurane anesthesia [abstract]. Anesth Analg 1998;86:S33.
8. Hall RI, Smith MS, Rocker G. The systemic inflammatory response to cardiopulmonary bypass: pathophysiological, therapeutic, and pharmacological considerations. Anesth Analg 1997; 85:766-82.
9. Jansen NJG, van Oeveren W, v.d. Broek L, et al. Inhibition by dexamethasone of the reperfusion phenomena in cardiopulmonary bypass. J Thorac Cardiovasc Surg 1991;102:515-25.
10. Blick M, Sherwin SA, Rosenblum M, Gutterman J. Phase I study of recombinant tumor necrosis factor in cancer patients. Cancer Res 1987;47:2986-9.
11. Negishi C, Lenhardt R, Sessler DI, et al. Desflurane reduces the febrile response to administration of interleukin-2. Anesthesiology 1998;88:1162-9.
12. Ramathan NL. A new weighting system for mean surface temperature of the human body. J Appl Physiol 1964;19:531-3.
13. Rubinstein EH, Sessler DI. Skin-surface temperature gradients correlate with fingertip blood flow in humans. Anesthesiology 1990;73:541-5.
14. Spaniol SE, Bond EF, Brengelmann GL, et al. Shivering following cardiac surgery: predictive factors, consequences, and characteristics. Am J Crit Care 1994;3:356-67.
15. Crossley AWA. Perio-operative shivering. Anaesthesia 1992;47: 193-5.
16. Holdcroft A, Hall GM. Heat loss during anaesthesia. Br J Anaesth 1978;50:157-64.
17. Horn E-P, Ramsperger K, Sessler DI, et al. Shivering following normothermic desflurane or isoflurane anesthesia [abstract]. Anesthesiology 1997;87:A321.
18. Matsukawa T, Hanagata K, Kumazawa T, et al. The effect of prostaglandin E1 (PGE1) on body temperature and on postoperative shivering under high dose epidural fentanyl [Japanese]. Masui Jpn J Anesthesiol 1991;40:1495-502.
19. American Hospital Formulary Service. Drug information. Bethesda, MD: American Society of Hospital Pharmacists, 1993; 1901-4.
20. Frank SM, Fleisher LA, Olson KF, et al. Multivariate determinants of early postoperative oxygen consumption in elderly patients. Anesthesiology 1995;83:241-9.
21. Horn E-P, Standl T, Sessler DI, et al. Physostigmine prevents postanesthetic shivering as does meperidine or clonidine. Anesthesiology 1998;88:108-13.
22. Hill GE, Alonso A, Spurzem JR, et al. Aprotinin and methyl-prednisolone equally blunt cardiopulmonary bypass-induced inflammation in humans. J Thorac Cardiovasc Surg 1995;110: 1658-62.
23. Haeffner-Cavaillon N, Rousselier N, Ponzio O. Induction of interleukin-1 production in patients undergoing cardiopulmonary bypass. J Thorac Cardiovasc Surg 1989;98:1100-6.
24. Tonz M, Mihaljevic T, von Segesser LK, et al. Normothermia versus hypothermia during cardiopulmonary bypass: a randomized, controlled trial. Ann Thorac Surg 1995;59:137-43.