Effects of epidural anesthesia on thermal sensation

Regional Anesthesia and Pain Medicine

Volumn 26, Issue 6, 2001, Pages 527-531

  Rajek, Angela ^a,b   Greif, Robert ^a,c   Sessler, Daniel I ^b,d  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF VIENNA   (Austria)

^c DANUBE HOSPITAL   (Austria)

^d University of Louisville School of Medicine   (United States)

Author keywords

Behavior; Neuraxial anesthesia; Regional anesthesia; Temperature; Thermoregulation

Indexed keywords

ROPIVACAINE;

ADULT; ANESTHESIA MECHANISM; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORE TEMPERATURE; CROSSOVER PROCEDURE; EPIDURAL ANESTHESIA; HEAT SENSITIVITY; HUMAN; HUMAN EXPERIMENT; NORMAL HUMAN; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SHIVERING; SKIN SENSATION; SKIN TEMPERATURE; TEMPERATURE SENSITIVITY; THERMOREGULATION; VASOCONSTRICTION;

EID: 0035170853     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1053/rapm.2001.25924     Document Type: Article

References (18)

1. Thermoregulatory response thresholds during spinal anesthesia
2. Epidural anesthesia impairs both central and peripheral thermoregulatory control during general anesthesia
3. Epidural anesthesia increases apparent leg temperature and decreases the shivering threshold
4. Increasing mean skin temperature linearly reduces the core - Temperature thresholds for vasoconstriction and shivering in humans
5. Relative contribution of skin and core temperatures to vasoconstriction and shivering thresholds during isoflurane anesthesia
6. Primary afferent input from cutaneous thermoreceptors
7. Relative contribution of core and cutaneous temperatures to thermal comfort, autonomic, and metabolic responses in humans
8. Optimal duration and temperature of pre-warming
9. Heat flow and distribution during epidural anesthesia
10. Heat loss in humans covered with cotton hospital blankets
11. Behavioral thermoregulation in rats with anterior hypothalamic lesions
12. Behavioural responses to hypothalamic cooling and heating in the rat
13. Does epidural anesthesia have general anesthetic effects? A prospective, randomized, double-blind, placebo -controlled trial
14. Isoflurane produces marked and non-linear decreases in the vasoconstriction and shivering thresholds
15. Desflurane slightly increases the sweating threshold, but produces marked, non-linear decreases in the vasoconstriction and shivering thresholds
16. Propofol linearly reduces the vasoconstriction and shivering thresholds
17. Alfentanil slightly increases the sweating threshold and markedly reduces the vasoconstriction and shivering thresholds
18. Meperidine decreases the shivering threshold twice as much as the vasoconstriction threshold