Abstract
The relationship between changes in the core and the surface temperature and postanesthetic shivering was studied in 100 patients who underwent general anesthesia. Patients were classified into four groups by the patterns of change in the core and peripheral surface temperature. Type II and type IV groups of patients showed a decrease in surface temperature during the major operation such as gastrectomy and radical mastectomy. Type I and type III groups of patients showed no lowered peripheral surface temperature and with low temperature difference between core and surface temperature during the operation. The patients in type II and IV groups showed increased difference between core and surface temperature. The postanesthetic shivering occured at significantly higher rate compared to the other two groups. As possible reasons of the shivering, operation of long duration and insufficient circulating blood volume were considered. Shivering reduces the temperature difference in the thermoregulatory homeostasis. However, in patients in type I and III, the rate of shivering was low. Evaluation of the difference between core and peripheral surface temperature may be important to manage body temperature at a steady level during the operation. The monitoring of body temperature difference between core and peripheral surface during the operation may be useful for predicting to occurrence of postanesthetic shivering.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bay J, Nunn JF, Prys-Roberts C: Factors influencing arterial Po2 during recovery from anesthesia. Br J Anaesth 40:398–407, 1968
Nunn JF: Oxygen, Applied respiratory physiology. 2nd Edition. London, Butterworth and Co, 1977, pp. 434–437
Hosoda H, Matsuura S, Mizuno T, Natsume N, Kimura H, Yamada M, Kato M, Hasagawa Y, Arai T: Variations in Oxygen Consumption and Circulating Parameters On Awakening from Anesthesia. Masui Jpn J Anesthesiol 36:914–920, 1987
Holtzclaw BJ. Postoperative shivering after cardiac surgery: A review. Heart Lung 15. 292–302, 1986
Hori T, Nakayama A: Mechanisms Regulating Body Temperature Edited by Nakayama A, Heart Physiology, Tokyo, Riko Gakusha, 1987, pp. 253–279
Nagasaka T: The responses of skin blood vessel. Edited by Nakayama A, Heat Physiology, Tokyo, Riko Gakusha, 1987, pp. 122–135
Janïg W: Central organization of somatosympathetic reflexes in vasoconstrictor neurons. Brain Res 87:305–312, 1975
Fox RH, Solman AJ: A new technique for monitoring the deep body temperature in man from the intact skin surface. J Physiol 212:8–10, 1971
Togawa T, Nemoto T, Yamazaki T, Kobayashi T: A modified internal temperature measurement device. Med Biol Engng 14:361–367, 1976
Soliman MG, Gillies DMM: Muscular hyperactivity after general anesthesia. Can Anaesth Soc J 19:529–535, 1972
Bryce-Smith R: A review of fluothane. S Afr Med J 31:1115–1118, 1957
Nikki P, Rosenberg P: Halothane shivering in mice after injection of catecholamines and 5HT into the cerebral ventricles. Ann Med Exp BioI Fenn 47:197–202, 1969
Spinadel L: Aetiology of increased reflex stimulation during intravenous anesthesia with barbiturates. Sb Lek 51:337–351, 1949
Benzinger TH, Pratt AW, Kitzinger C: The thermostatic control of human metabolic heat production. Proc Natl Acad Sci USA 47:730–739, 1961
Sessler DI, Israel D, Pozos RS, Pozos M, Rubinstein EH: Spontaneous postanesthetic tremor does not resemble thermoregulatory shivering. Anesthesiology 68:843–850, 1988
Takiguchi M, Fukuda M, Segawa F, Kawaharada T, Takaya S: The Significance of Core Temperature in Monitoring Body Temperature over a Long Period in a ward —Differences in temperature Changes According to Sex and Age—. Rinsho Taion 7:83–91, 1987
Vaughan MS, Vaughan RW, Cork RC: Postoperative Hypothermia in Adults: Relationship of Age, Anesthesia, and Shivering to Rewarming. Anesth Analg 60:746–751, 1981
Riedel W, Kozawa E, Iriki M: Renel and cutaneous vasomotor and respiratory rate adjustment to peripheral cold and warm stimuli and to bacterial endotoxin in consious rabbits. J Auton Nerv Syst 5:177–194, 1982
Sharkey A, Lipton JM, Murphy MT, Giesecke AH: Inhibition of postanesthetic shivering with radiant heat. Anesthesiology 66:249–252, 1987
Murphy MT, Lipton JM Loughran P, Giesecke AH: Postanesthetic shivering in primates: Inhibition by peripheral heating and by taurine. Anesthesiology 63:161–165, 1985
Author information
Authors and Affiliations
About this article
Cite this article
Nishimura, C., Kanemaru, K. & Otagiri, T. Characteristic changes between core and peripheral surface temperature related with postanesthetic shivering following surgical operations. J Anesth 4, 350–357 (1990). https://doi.org/10.1007/s0054000040350
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s0054000040350