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Perioperative Thermoregulation

  • Chapter
Geriatric Anesthesiology

Abstract

Perioperative thermal disturbances are common and there is considerable evidence that disturbances are especially frequent in the elderly. The most common perioperative thermal disturbance—hypothermia—is both more likely and more severe in the elderly than in younger patients. Anesthetic drugs impair thermoregulation in all patients, and delayed or insufficient thermoregulatory defenses are the primary causes of hypothermia in most patients. Excessive hypothermia in the elderly results largely because central and efferent thermoregulatory controls are particularly disturbed in these patients.

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Authors and Affiliations

  1. Department of Outcomes Research, The Cleveland Clinic, Cleveland, OH, USA

    Daniel I. Sessler MD (Chair)

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  1. Daniel I. Sessler MD
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Editors and Affiliations

  1. Department of Anesthesiology, Surgery, and Geriatrics and Adult Development , Mount Sinai School of Medicine, New York, NY, USA

    Jeffrey H. Silverstein MD (Professor, Vice Chairman for Research, Associate Dean for Research) (Professor, Vice Chairman for Research, Associate Dean for Research)

  2. Department of Anesthesiology, University of Washington and the Veterans Affairs Puget Sound Health Care System, Seattle, WA

    G. Alec Rooke MD, PhD (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine) (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine)

  3. Harvard Medical School Beth Israel Deaconess Medical Center, Boston, MA, USA

    G. Alec Rooke MD, PhD (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine) (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine)

  4. College of Medicine Department of Anesthesiology/College of Medicine, Medical University of South Carolina, Charleston, SC, USA

    J. G. Reves MD (Vice President for Medical Affairs, Dean) (Vice President for Medical Affairs, Dean)

  5. Salt Lake City, UT, USA

    Charles H. McLeskey MD

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Sessler, D.I. (2008). Perioperative Thermoregulation. In: Silverstein, J.H., Rooke, G.A., Reves, J.G., McLeskey, C.H. (eds) Geriatric Anesthesiology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72527-7_8

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