Characteristic changes between core and peripheral surface temperature related with postanesthetic shivering following surgical operations

Abstract

The relationship between changes in the core and the surface temperature and postanesthetic shivering was studied in 100 patients who underwent general anesthesia. Patients were classified into four groups by the patterns of change in the core and peripheral surface temperature. Type II and type IV groups of patients showed a decrease in surface temperature during the major operation such as gastrectomy and radical mastectomy. Type I and type III groups of patients showed no lowered peripheral surface temperature and with low temperature difference between core and surface temperature during the operation. The patients in type II and IV groups showed increased difference between core and surface temperature. The postanesthetic shivering occurred at significantly higher rate compared to the other two groups. As possible reasons of the shivering, operation of long duration and insufficient circulating blood volume were considered. Shivering reduces the temperature difference in the thermoregulatory homeostasis. However, in patients in type I and III, the rate of shivering was low. Evaluation of the difference between core and peripheral surface temperature may be important to manage body temperature at a steady level during the operation. The monitoring of body temperature difference between core and peripheral surface during the operation may be useful for predicting to occurrence of postanesthetic shivering.

Amino acid infusions started after development of intraoperative core hypothermia do not affect rewarming but reduce the incidence of postoperative shivering during major abdominal surgery: a randomized trial

“…Decrease in thermoregulatory vasoconstriction is indicated by an increase in peripheral temperatures. Peripheral temperature is an important predictor of postoperative shivering [18,19]. Cheng and co-workers demonstrated that peripheral and core temperature contribute linearly to the control of shivering and that peripheral temperature contributed approximately 20% to shivering [18].…”

Perbandingan Pemberian Ondansetron 8 mg dengan Tramadol 1 mg/ kgBB Intravena untuk Mencegah Menggigil Pascaanestesi Umum pada Operasi Mastektomi Radikal atau Modifikasi

“…Pada suatu penelitian mendapatkan bahwa pada pasien yang menjalani operasi mastektomi radikal ternyata lebih mudah untuk terjadi penurunan pada suhu tubuh inti dibandingkan dengan suhu perifer dengan perbedaan yang nyata, sehingga angka kejadian menggigil lebih sering terjadi dibandingkan dengan operasi nonlaparotomi lain, yang mungkin disebabkan oleh luas daerah operasi yang terlibat. 12 Kejadian menggigil pada saat pascaanestesi menyebabkan ketidaknyamanan dan efek lain yang merugikan pasien. Pencegahan terhadap menggigil pascaanestesi ini dilakukan dengan cara nonfarmakologis maupun farmakologis.…”

The sticker-type skin-surface temperature indicator in anesthesia

“…Core temperature includes blood, rectal, esophageal, pharyngeal [2], bladder [3], and tympanic membrane temperature [4]. To measure the peripheral temperature, axillary, skin surface, and deep peripheral temperature [5] are employed. The usefulness of the procedure may change with the measurement environment such as the sites of operation [6,7].…”