Lower-body warming mimics the normal epidural-induced reduction in the shivering threshold

Anesthesia and Analgesia

Volumn 106, Issue 1, 2008, Pages 252-256

  Doufas, Anthony G ^a   Morioka, Nobutada ^b   Maghoub, Adel N ^b   Mascha, Edward ^c   Sessler, Daniel I ^c  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c LERNER RESEARCH INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; CHLOROPROCAINE; LIDOCAINE;

ADULT; ARTICLE; BODY TEMPERATURE; CONFIDENCE INTERVAL; CONTROLLED STUDY; EPIDURAL ANESTHESIA; FEMALE; HUMAN; HUMAN EXPERIMENT; HYPOTHESIS; LEG; NORMAL HUMAN; PRIORITY JOURNAL; SHIVERING; SKIN TEMPERATURE; TEMPERATURE MEASUREMENT; THERMOREGULATION;

ADULT; ANESTHESIA, EPIDURAL; ANESTHETICS, LOCAL; CROSS-OVER STUDIES; FEMALE; HEATING; HUMANS; LEG; PROCAINE; SENSORY THRESHOLDS; SHIVERING; SKIN TEMPERATURE;

EID: 37549028428     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ane.0000287814.78990.4e     Document Type: Article

References (22)

1. Ozaki M, Kurz A, Sessler DI, Lenhardt R, Schroeder M, Moayeri A, Noyes KM, Rotheneder E. Thermoregulatory thresholds during spinal and epidural anesthesia. Anesthesiology 1994;81:282-8
2. Emerick TH, Ozaki M, Sessler DI, Walters K, Schroeder M. Epidural anesthesia increases apparent leg temperature and decreases the shivering threshold. Anesthesiology 1994;81:289-98
3. Cheng C, Matsukawa T, Sessler DI, Kurz A, Merrifield B, Lin H, Olofsson P. Increasing mean skin temperature linearly reduces the core-temperature thresholds for vasoconstriction and shivering in humans. Anesthesiology 1995;82:1160-8
4. Pierau F-K, Wurster RD. Primary afferent input from cutaneous thermoreceptors. Fed Proc 1981;40:2819-24
5. Kalso E, Aromaa U, Tammisto T. Sensitivity, specificity and predictive value of the sensation of warmth as a method of detecting inadvertent subarachnoid injection of local anaesthetic when performing extradural blocks. Br J Anaesth 1991;66:614-6
6. Rajek A, Greif R, Sessler DI. Effects of epidural anesthesia on thermal sensation. Reg Anesth Pain Med 2001;26:527-31
7. Lopez M, Sessler DI, Walter K, Emerick T, Ozaki M. Rate and gender dependence of the sweating, vasoconstriction, and shivering thresholds in humans. Anesthesiology 1994;80:780-8
8. Sessler DI Monitoring Body Temperature. In: Saidman LJ, Smith TN, eds. Monitoring in Anesthesia Boston: Butterworth-Heinemann, 1993:315-37
9. Merilainen PT. Metabolic monitor. Int J Clin Monit Comput 1987;4:167-77
10. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB, Schwam EM, Siegel JL. Validity and reliability of the Observer's Assessment of Alertness/Sedation Scale: Study with intravenous midazolam. J Clin Psychopharmacology 1990;10:244-51
11. Schuirmann DJ. A comparison of the two one-sided tests procedure and the power approach for assessing the equivalence of average bioavailability. J Pharmacokinet Biopharm 1987;15:657-80
12. Hodgson PS, Liu SS, Gras TW. Does epidural anesthesia have general anesthetic effects? A prospective, randomized, double-blind, placebo-controlled trial. Anesthesiology 1999;91:1687-92
13. Doufas AG, Wadhwa A, Shah YM, Lin CM, Haugh GS, Sessler DI. Block-dependent sedation during epidural anaesthesia is associated with delayed brainstem conduction. Br J Anaesth 2004;93:228-34
14. Kurz A, Sessler DI, Annadata R, Dechert M, Christensen R. Midazolam minimally impairs thermoregulatory control. Anesth Analg 1995;81:393-8
15. Inoue R, Suganuma T, Echizen H, Ishizaki T, Kushida K, Tomono Y. Plasma concentrations of lidocaine and its principal metabolites during intermittent epidural anesthesia. Anesthesiology 1985;63:304-10
16. Kaba A, Laurent SR, Detroz BJ, Sessler DI, Durieux ME, Lamy ML, Joris JL. Intravenous Lidocaine Infusion Facilitates Acute Rehabilitation after Laparoscopic Colectomy. Anesthesiology 2007;106:11-8
17. Schwarz SK, Puil E. Analgesic and sedative concentrations of lignocaine shunt tonic and burst firing in thalamocortical neurones. Br J Pharmacol 1998;124:1633-42
18. Wagman IH, De Jong RH, Prince DA. Effects of lidocaine on spontaneous cortical and subcortical electrical activity. Production of seizure discharges. Arch Neurol 1968;18:277-90
19. Kuhnert BR, Kuhnert PM, Philipson EH, Syracuse CD, Kaine CJ, Yun CH. The half-life of 2-chloroprocaine. Anesth Analg 1986;65:273-8
20. O'Brien JE, Abbey V, Hinsvark O, Perel J, Finster M. Metabolism and measurement of chloroprocaine, an ester-type local anesthetic. J Pharm Sci 1979;68:75-8
21. Kurz A, Sessler DI, Schroeder M, Kurz M. Thermoregulatory response thresholds during spinal anesthesia. Anesth Analg 1993;77:721-6
22. Kim JS, Ikeda T, Sessler D, Turakhia M, Jeffrey R. Epidural anesthesia reduces the gain and maximum intensity of shivering. Anesthesiology 1998;88:851-7