Harkouk H, de Préville G, Benhamou D
Service d'anesthésie-réanimation, hôpital Bicêtre, AP-HP, 94275 Le Kremlin-Bicêtre cedex, France.
Ann Fr Anesth Reanim. 2013 Jan;32(1):53-5. doi: 10.1016/j.annfar.2012.10.013. Epub 2012 Dec 28.
After an uneventful caesarean delivery under spinal anaesthesia (hyperbaric bupivacaine 10mg, sufentanil 5μg and morphine 50μg), hypothermia (nadir 34°C) was recorded in a ASA 1 patient. Partial recovery was rapidly obtained with 400μg of naloxone but full recovery was obtained after seven hours of active rewarming with a forced-air warming blanket. Suggested pathophysiology and incidence of this hypothermia are described.
在腰麻下行剖宫产术(使用10mg高压布比卡因、5μg舒芬太尼和50μg吗啡)过程顺利,一名ASA 1级患者出现体温过低(最低体温34°C)。给予400μg纳洛酮后迅速出现部分恢复,但使用强制空气加温毯积极复温7小时后才完全恢复。文中描述了这种体温过低的推测病理生理机制及发生率。