Purpose: Postoperative shivering is commonly observed in patients after general anesthesia. A double-blind randomized controlled trial was conducted in patients undergoing day care knee arthroscopy to test the hypothesis that a single intraoperative dose of hydrocortisone would prevent or attenuate postoperative shivering.
Methods: One hundred and twenty patients were given a nitrous oxide-isoflurane-remifentanil anesthetic. Approximately ten minutes before the end of anesthesia, they were randomized to receive normal saline (Control group; n = 40); hydrocortisone 1 mg·kg(-1) iv (Hydrocortisone-1 group; n = 40), or hydrocortisone 2 mg·kg(-1) iv (Hydrocortisone-2 group; n = 40). Postoperative shivering was graded by a blinded observer using a five-point scale: Grade 0: none; Grade 1: one or more areas of piloerection but without visible muscular activity; Grade 2: visible muscular activity confined to one muscle group; Grade 3: same as Grade 2 but in more than one muscle group; and Grade 4: gross muscular activity involving the entire body.
Results: Shivering (Grades 1-4) was observed in 33 patients (82%) in the Control group, 13 patients (32%) in the Hydrocortisone-1 group (P < 0.001 compared with the Control group), and eight patients (20%) in the Hydrocortisone-2 group (P < 0.001 compared with the Control group). The overall incidence of shivering was similar in the Hydrocortisone-1 and Hydrocortisone-2 groups.
Conclusions: This study shows that hydrocortisone (1-2 mg·kg(-1) iv) provides effective prophylaxis against postoperative shivering in patients undergoing day care knee arthroscopy under general anesthesia.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s12630-011-9566-7 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effect of Superficial Large Vessel Insulation Combined with Self-heating Warm Paste on Intraoperative Hypothermia in Patients Undergoing Urologic Surgery.
Arch Esp Urol
December 2024
Surgical Complex, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, 317000 Taizhou, Zhejiang, China.
Objective: This study aimed to explore the application effect of superficial large vessel insulation combined with self-heating warm paste on intraoperative hypothermia in patients undergoing urologic surgery.
Methods: This study included 313 patients who underwent urologic surgery in Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University from May 2023 to March 2024. After 13 patients with incomplete clinical data, abnormal basal metabolism and preoperative skin injury were excluded, 300 patients were finally included.
Assessing Interpectoral Nerve Block for Postoperative Pain Management in Reduction Mammaplasty Surgery: A Case-control Study.
Plast Reconstr Surg Glob Open
December 2024
From the Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Background: Reduction mammaplasty surgery is a commonly performed procedure in plastic surgery, offering significant improvements in quality of life. However, the postoperative period may be accompanied by considerable pain. In this study, we assess the impact of interpectoral block on reducing postoperative pain.
View Article and Find Full Text PDFThe Warming Management Measures May Need to Be Further Enhanced During Scoliosis Correction and Internal Fixation Surgery: A Retrospective Cohort Study.
Ther Hypothermia Temp Manag
November 2024
Department of Anesthesiology, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
The incidence of intraoperative hypothermia (IPH) exceeds 70% during spinal surgery, which can lead to many adverse outcomes, including increased intraoperative blood loss/transfusion and delayed recovery. We aimed to evaluate the comprehensive efficiency of a kind of enhanced warming measure on patients undergoing spinal surgery. A retrospective analysis was conducted on the clinical data, surgical procedures, and outcomes of consecutive patients admitted to the department of orthopedics of a hospital from December 2019 to May 2023 and undergoing spinal surgery (scoliosis correction and internal fixation surgery).
View Article and Find Full Text PDFFactors associated with postoperative shivering in patients with maintained core temperature after surgery.
JA Clin Rep
November 2024
Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine, Fukuoka, Japan.
Background: Postoperative shivering is mainly associated with low body temperature. However, postoperative shivering can develop even at normal or high core temperatures. This study aimed to investigate the factors associated with postoperative shivering in patients with maintained core temperature after surgery.
View Article and Find Full Text PDFEfficacy of different warming methods for perioperative hypothermia prevention on body temperature and shivering among transurethral resection patients: A systematic review and meta-analysis study.
Eur J Oncol Nurs
December 2024
Mersin University, Faculty of Nursing, Türkiye. Electronic address:
Purpose: The present study attempts to assess the impacts of distinct warming strategies employed to avert perioperative hypothermia on core body temperature and shivering among transurethral resection patients.
Methods: We performed a comprehensive search of Turkish and English keywords across a range of databases, including PUBMED, Web of Science, Cochrane Library, SCOPUS, Ovid, EBSCOhost, Yöktez, DergiPark, and TR Index, to identify studies on the subject published between January 1, 2001-2024. The search procedure yielded 11 studies to be recruited for meta-analysis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!