Summary
From the data shown here, magnesium sulfate and methylphenidate may be the most effective of the substances tested, in the treatment of post-anaesthetic shivering, though not consistently so. Calcium chloride appears to be the least effective and its use is accompanied by some untoward cutaneous flushing which may be uncomfortable for conscious patients. The mechanisms thus far proposed for shivering appear to be inadequate to explain it in every case and no therapy is completely successful; therefore further investigation of the subject is certainly indicated.
RéSUMé
D’après les données présentées dans ce travail, le Sulfate de Magnésie et le Méthylphénidate sembleraient les agents les plus efficaces pour traiter le frisson qui suit une anesthésie; cependant leur action est inconstante.
Le Chlorure de Calcium, pour sa part, semble moins efficace et son action s’accompagne d’une vasodilatation cutanée possiblement désagréable pour le malade éveillé.
Les hypothèses jusqu’ici avancées, n’arrivent pas à expliquer ces frissons dans tous les cas, conséquemment, aucune thérapeutique complètement efficace n’est encore disponible. Il y a sûrement lieu de pousser les recherches sur ce sujet.
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An erratum to this article is available at http://dx.doi.org/10.1007/BF03004831.
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Liem, S.T., Aldrete, J.A. Control of post-anaesthetic shivering. Canad. Anaesth. Soc. J. 21, 506–510 (1974). https://doi.org/10.1007/BF03005847
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DOI: https://doi.org/10.1007/BF03005847