Jain Ragi, Saxena Deepesh
Department of Anaesthesia, Santosh Medical and Dental College and Hospital, Ghaziabad, Uttar Pradesh, India.
Indian J Anaesth. 2015 Apr;59(4):207-11. doi: 10.4103/0019-5049.154996.
Pyrexic patients are usually attended with some scepticism by anaesthesiologists. Main reasons are the absence of comprehensible guidelines pertaining to anaesthesia in such patients and the presence of innumerable aetiologies of pyrexia. This article has tried to fill the existing void in the medical literature regarding anaesthesia in a patient with pyrexia. The article aims to discuss common and relevant causes of pyrexia, their pathophysiology in anaesthetic perspective, and the subsequent anaesthetic management, though a detailed discourse on all the entities causing pyrexia is beyond the scope of this article. This article will also touch upon the thermoregulatory alterations during anaesthesia. The literature search was performed manually using text and reference books, peer-reviewed journals, online and offline and through internet search engines Google, PubMed and Medline databases, using search terms 'perioperative pyrexia or fever, anaesthesia and thermoregulation'. Articles from 1980 to 2013 in English language were selected.
麻醉医生通常对发热患者持一定的怀疑态度。主要原因是缺乏针对此类患者麻醉的可理解的指南，以及发热存在无数病因。本文试图填补医学文献中关于发热患者麻醉方面的现有空白。本文旨在讨论发热的常见相关原因、从麻醉角度看其病理生理学以及随后的麻醉管理，不过对所有导致发热的实体进行详细论述超出了本文的范围。本文还将涉及麻醉期间的体温调节改变。通过使用文本和参考书、同行评审期刊（线上和线下）以及通过互联网搜索引擎谷歌、PubMed和Medline数据库进行人工文献检索，使用搜索词“围手术期发热或发烧、麻醉和体温调节”。选取了1980年至2013年的英文文章。
