From the Department of Anesthesiology, Columbia University Medical Center, New York, New York.
A A Pract. 2020 May;14(7):e01220. doi: 10.1213/XAA.0000000000001220.
Neuraxial morphine-induced hypothermia has been reported as a relatively rare complication, with the successful use of naloxone and lorazepam to reverse symptoms. We report a case of intrathecal morphine-induced hypothermia with profuse sweating, intractable nausea, and vomiting in a primigravid woman undergoing cesarean delivery in the setting of preeclampsia. All symptoms rapidly resolved after a single dose of intravenous nalbuphine. Because nalbuphine has a long track record of safe use on labor and delivery units, it is an attractive and novel choice for treatment of neuraxial morphine-induced hypothermia.
椎管内吗啡引起的低温已被报道为一种相对罕见的并发症，成功使用纳洛酮和劳拉西泮逆转症状。我们报告了一例在子痫前期行剖宫产的初产妇中，椎管内吗啡引起的低温伴大量出汗、顽固性恶心和呕吐的病例。单次静脉注射纳布啡后，所有症状迅速缓解。由于纳布啡在分娩单位的使用安全记录悠久，因此它是治疗椎管内吗啡引起的低温的一种有吸引力的新型选择。
