Book contents
- Core Topics in Cardiac Anaesthesia
- Core Topics in Cardiac Anaesthesia
- Copyright page
- Dedication
- Contents
- Contributors
- Reviews of the First Edition
- Preface to the Third Edition
- Preface to the First Edition
- Foreword to the First Edition
- Abbreviations
- Section 1 Routine Cardiac Surgery
- Section 2 Anaesthesia for Specific Procedures
- Section 3 Cardiac Catheter Laboratory Procedures
- Section 4 Paediatric Cardiac Surgery
- Section 5 Cardiopulmonary Bypass
- Chapter 24 Temperature Management and Deep Hypothermic Arrest
- Chapter 25 The Effects of Cardiopulmonary Bypass on Drug Pharmacology
- Chapter 26 Controversies in Cardiopulmonary Bypass
- Chapter 27 Cardiopulmonary Bypass Emergencies
- Chapter 28 Non-Cardiac Applications of Cardiopulmonary Bypass
- Chapter 29 Extracorporeal Membrane Oxygenation
- Section 6 Advanced Monitoring
- Section 7 Transoesophageal Echocardiography
- Section 8 Miscellaneous Topics
- Index
- References
Chapter 24 - Temperature Management and Deep Hypothermic Arrest
from Section 5 - Cardiopulmonary Bypass
Published online by Cambridge University Press: 12 May 2020
Book contents
- Core Topics in Cardiac Anaesthesia
- Core Topics in Cardiac Anaesthesia
- Copyright page
- Dedication
- Contents
- Contributors
- Reviews of the First Edition
- Preface to the Third Edition
- Preface to the First Edition
- Foreword to the First Edition
- Abbreviations
- Section 1 Routine Cardiac Surgery
- Section 2 Anaesthesia for Specific Procedures
- Section 3 Cardiac Catheter Laboratory Procedures
- Section 4 Paediatric Cardiac Surgery
- Section 5 Cardiopulmonary Bypass
- Chapter 24 Temperature Management and Deep Hypothermic Arrest
- Chapter 25 The Effects of Cardiopulmonary Bypass on Drug Pharmacology
- Chapter 26 Controversies in Cardiopulmonary Bypass
- Chapter 27 Cardiopulmonary Bypass Emergencies
- Chapter 28 Non-Cardiac Applications of Cardiopulmonary Bypass
- Chapter 29 Extracorporeal Membrane Oxygenation
- Section 6 Advanced Monitoring
- Section 7 Transoesophageal Echocardiography
- Section 8 Miscellaneous Topics
- Index
- References
Summary
In animals that maintain body temperature within a tight range (homeotherms), thermoregulation represents the balance between heat production (thermogenesis) and heat loss. Thermogenesis occurs as a result of metabolic activity, particularly in skeletal muscle, the kidneys, the brain, the liver and (in infants) adipose tissue. Body heat is lost by conduction, convection, radiation and evaporation (Table 24.1). Cold-induced hypothalamic stimulation activates autonomic, extra-pyramidal, endocrine and behavioural mechanisms to maintain the core temperature.
- Type
- Chapter
- Information
- Core Topics in Cardiac Anaesthesia , pp. 191 - 198Publisher: Cambridge University PressPrint publication year: 2020
References
Further Reading
Arrowsmith, JE, Hogue, CW. Deep hypothermic circulatory arrest. In Ghosh, S, Falter, F, Perrino, AC (eds), Cardiopulmonary Bypass, 2nd edn. Cambridge: Cambridge University Press; 2015, pp. 152–67.Google Scholar
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National Institute for Health and Care Excellence. Clinical Guidance 65. Perioperative hypothermia (inadvertent). April 2008. www.nice.org.uk/guidance/CG65 (accessed December 2018).Google Scholar
National Institute for Health and Care Excellence. Intervention Practice Guideline 386. Therapeutic hypothermia following cardiac arrest. March 2011. www.nice.org.uk/guidance/ipg386 (accessed December 2018).Google Scholar
Nielsen, N, Wetterslev, J, Cronberg, T, et al. Targeted temperature management at 33°C versus 36°C after cardiac arrest. N Engl J Med 2013; 369: 2197–206.CrossRefGoogle Scholar
Polderman, KH, Varon, J. How low should we go? Hypothermia or strict normothermia after cardiac arrest? Circulation 2015; 131: 669–75.CrossRefGoogle Scholar