Intracranial Surgery Under Hypothermia During Pregnancy

Abstract

(Fig 1). The

Perioperative temperature measurement and management: moving beyond the Surgical Care Improvement Project

“…Increase mortality with hypothermia upon admission [53][54][55] Increase mortality at 24 hours with slow rewarming 56 Pregnancy Shifts the oxygen delivery curve to the left Decreases blood flow to the uterus 57,58 May cause fetal bradycardia 58 patients (average intraoperative temperature 34.8°C) took approximately 40 minutes longer to meet discharge criteria from the post anesthesia care unit compared to normothermic patients (average intraoperative temperature 36.7°C) [6]. When a temperature of 36°C was added to discharge criteria, discharge time was prolonged by 90 minutes [6].…”

“…Pregnant patients are uniquely affected by hypothermia. There are multiple case reports of induction of hypothermia in the first, second, and third trimester with later successful delivery of a healthy infant [57,58,65]. However, no controlled trials have been conducted in this patient population.…”

“…However, no controlled trials have been conducted in this patient population. Hypothermia shifts the oxygen delivery curve to the left, decreases blood flow to the uterus [57,58], and may cause fetal bradycardia [58]. Therefore, it is prudent to strictly follow the SCIP measurement in patients with pregnancy, trauma, CAD, and sepsis.…”