Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-7479d7b7d-qlrfm Total loading time: 0 Render date: 2024-07-08T11:27:45.810Z Has data issue: false hasContentIssue false

Chapter 28 - Fundamentals of Perioperative Thermoregulation

Published online by Cambridge University Press:  18 August 2022

By
Craig Griffiths
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
Get access

Summary

This chapter explores temperature regulation and how it can be managed perioperatively. First, it addresses the components and mechanisms that control and regulate temperature in humans. Second, it explores the abnormalities that may occur due to pathologies, surgery, and anaesthesia. Lastly, it addresses how perioperative practitioners can regulate temperature effectively using a range of methods.

Keywords

ThermoregulationHypothermiaHyperthermiaTemperature ControlTemperature ManagementTemperature Regulation
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 311 - 321
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

The National Institute for Health and Care Excellence. Hypothermia: prevention and management in adults having surgery clinical guideline [CG65]. Available from: www.nice.org.uk/guidance/cg65/chapter/Recommendations.Google Scholar
Chen, T. T., Maevsky, E. I., and Uchitel, M. L.. Maintenance of homeostasis in the aging hypothalamus: the central and peripheral roles of succinate. Frontiers in Endocrinology (Lausanne) 2015; 6: 7.Google Scholar
Tansey, E. A. and Johnson, C. D.. Recent advances in thermoregulation. Advances in Physiology Education 2015; 39: 139–148.CrossRefGoogle ScholarPubMed
Romanovsky, A. A.. Skin temperature: its role in thermoregulation. Acta Physiologica 2014; 210: 498–507.CrossRefGoogle ScholarPubMed
Zhao, Z. D., Yang, W. Z., and Gao, C.. Hypothalamic circuit for thermoregulation. Proceedings of the National Academy of Sciences 2017; 114: 2042–2047.CrossRefGoogle Scholar
Ousley, R., Egan, C., Dowling, K., and Cyna, A. M.. Assessment of block height for satisfactory spinal anaesthesia for Caesarean section. Anaesthesia 2012; 67: 1356–1363.CrossRefGoogle ScholarPubMed
Campero, M., Baumann, T. K., Bostock, H., and Ochoa, J. L.. Human cutaneous C fibres activated by cooling, heating and menthol. Journal of Physiology 2009; 587: 5633–5652.Google Scholar
Hall, J. E.. Guyton and Hall Textbook of Medical Physiology, 13th ed. Philadelphia, PA: Elsevier, 2015.Google Scholar
Samanta, A., Hughes, T. E. T., and Moiseenkova-Bell, V. Y.. Transient receptor potential (TRP) channels. Subcellular Biochemistry 2018; 87: 141–165.Google Scholar
Sessler, D. I., Sessler, A. M., Hudson, S., et al. Heat loss during surgical skin preparation. Anesthesiology 1993; 78: 1055–1064.Google Scholar
Bindu, B., Bindra, A., and Rath, G.. Temperature management under general anesthesia: compulsion or option. Journal of Anaesthesiology Clinical Pharmacology 2017; 33: 306–316.Google Scholar
Sessler, D. I.. Temperature monitoring and perioperative thermoregulation. Anesthesiology 2008; 109: 318–338.Google Scholar
Tanner, J., Kay, J., and Chambers, K.. Avoiding inadvertent peri-operative hypothermia. Nursing Times 2016; 112: 10–12.Google Scholar
Rosenberg, H., Pollock, N., Schiemann, A., et al. Malignant hyperthermia: a review. Orphanet Journal of Rare Diseases 2015; 10: 93.Google Scholar
Association of Anaesthetists. Malignant hyperthermia crisis. Available from: https://anaesthetists.org/Home/Resources-publications/Guidelines/Malignant-hyperthermia-crisis.Google Scholar
Pasquier, M., Carron, P. N., Rodrigues, A., et al. An evaluation of the Swiss staging model for hypothermia using hospital cases and case reports from the literature. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2019; 27: 60.Google Scholar
Saad, H. and Aladawy, M.. Temperature management in cardiac surgery. Global Cardiology Science and Practice 2013; 2013: 44–62.CrossRefGoogle ScholarPubMed
Polderman, K. H.. Mechanisms of action, physiological effects, and complications of hypothermia. Critical Care Medicine 2009; 37: S186–S202.Google Scholar
Evans, S. S., Repasky, E. A., and Fisher, D. T.. Fever and the thermal regulation of immunity: the immune system feels the heat. Nature Reviews Immunology 2015; 15: 335–349.Google Scholar
Kondo, Y., Hifumi, T., Shimazaki, J., et al. Comparison between the Bouchama and Japanese Association for Acute Medicine heatstroke criteria with regard to the diagnosis and prediction of mortality of heatstroke patients: a multicenter observational study. International Journal of Environmental Research and Public Health 2019; 16: 3433.Google Scholar
Graveling, R., MacCalman, L., and Cowie, H.. The use of infra-red (tympanic) temperature as a guide to signs of heat stress in industry. Available from: www.hse.gov.uk/research/rrpdf/rr989.pdf.Google Scholar
Ackermann, W., Fan, Q., Parekh, A. J., et al. Forced-air warming and resistive heating devices. Updated perspectives on safety and surgical site infections. Frontiers in Surgery 2018; 5: 64.CrossRefGoogle ScholarPubMed
Campbell, G., Alderson, P., Smith, A. F., and Warttig, S.. Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane Database of Systematic Reviews 2015; 4: CD009891.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×