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Thermoregulation: Physiological and Clinical Considerations during Sedation and General Anesthesia
Authors:Marcos Díaz  Daniel E. Becker
Affiliation:*Private Practice, Advanced Aesthetic Center for Oral and Maxillofacial Surgery, Weston, Florida ;Professor of Life and Health Sciences, Sinclair Community College, and, Miami Valley Hospital, Dayton, Ohio ;Associate Director of Education, General Dental Practice Residency, Miami Valley Hospital, Dayton, Ohio
Abstract:
Mild hypothermia is common during deep sedation or general anesthesia and is frequently associated with patient discomfort and shivering. Greater declines in temperature can produce an even greater number of significant detrimental effects. This article reviews principles of thermoregulation and influences of anesthetic agents. An understanding of these will provide a foundation for strategies to reduce heat loss and better manage patient discomfort when it occurs.
Keywords:Sedation   General anesthesia   Thermoregulation   Hypothermia   Shivering
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