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15 - Effects of Anaesthesia on Thermoregulation

from Section 2 - Targeting Effects

Published online by Cambridge University Press:  03 December 2019

By
Oliver Kimberger
Edited by
Pedro L. Gambús  and
Jan F. A. Hendrickx
Pedro L. Gambús
Affiliation:
Hospital Clinic de Barcelona, Spain
Jan F. A. Hendrickx
Affiliation:
Aalst General Hospital, Belgium
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Summary

The ability of the human body to maintain normothermia via physiological reactions or behavioural changes to vastly different climatic circumstances is an evolutionarily well preserved mechanism. It is a key feature that has allowed humans to adapt to changing environmental conditions, enabling Homo sapiens worldwide evolutionary success and distribution. Humans possess a homeothermic thermoregulatory system, and all enzymatic processes in the human body are optimized to work within a tightly regulated so-called ‘normothermic’ temperature range [1].

Type
Chapter
Information
Personalized Anaesthesia
Targeting Physiological Systems for Optimal Effect
 , pp. 222 - 237
Publisher: Cambridge University Press
Print publication year: 2020

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References

Lopez, M, Sessler, DI, Walter, K, Emerick, T, Ozaki, M: Rate and gender dependence of the sweating, vasoconstriction, and shivering thresholds in humans. Anesthesiology. 1994; 80: 780–8.CrossRefGoogle ScholarPubMed
Torossian, A: TEMMP Study Group. Survey on intraoperative temperature management in Europe. Eur.J.Anaesthesiol. 2007; 24: 668–75.Google Scholar
Smith, JJ, Bland, SA, Mullett, S: Temperature – the forgotten vital sign. Accid.Emerg.Nurs. 2005; 13: 247–50.Google Scholar
Sawka, MN, Latzka, WA, Matott, RP, Montain, SJ: Hydration effects on temperature regulation. Int.J.Sports.Med. 1998; 19 Suppl 2: S108–10.Google Scholar
Lenhardt, R, Sessler, DI: Estimation of mean body temperature from mean skin and core temperature. Anesthesiology. 2006; 105: 1117–21.Google Scholar
Tayefeh, F, Plattner, O, Sessler, DI, Ikeda, T, Marder, D: Circadian changes in the sweating-to-vasoconstriction interthreshold range. Pflugers.Arch. 1998; 435: 402–6.CrossRefGoogle ScholarPubMed
Frank, SM, Raja, SN, Bulcao, CF, Goldstein, DS: Relative contribution of core and cutaneous temperatures to thermal comfort and autonomic responses in humans. J.Appl.Physiol. 1999; 86: 1588–93.CrossRefGoogle ScholarPubMed
van Marken Lichtenbelt, W: Brown adipose tissue and the regulation of nonshivering thermogenesis. Curr.Opin.Clin.Nutr.Metab.Care. 2012; 15: 547–52.Google Scholar
De Witte, J, Sessler, DI: Perioperative shivering: physiology and pharmacology. Anesthesiology. 2002; 96: 467–84.Google Scholar
Matsukawa, T, Kurz, A, Sessler, DI, Bjorksten, AR, Merrifield, B, Cheng, C: Propofol linearly reduces the vasoconstriction and shivering thresholds. Anesthesiology. 1995; 82: 1169–80.Google Scholar
Ikeda, T, Kurz, A, Sessler, DI, et al: The effect of opioids on thermoregulatory responses in humans and the special antishivering action of meperidine. Ann.N.Y.Acad.Sci. 1997; 813: 792–8.Google Scholar
Annadata, R, Sessler, DI, Tayefeh, F, Kurz, A, Dechert, M: Desflurane slightly increases the sweating threshold but produces marked, nonlinear decreases in the vasoconstriction and shivering thresholds. Anesthesiology. 1995; 83: 1205–11.Google Scholar
Xiong, J, Kurz, A, Sessler, DI, et al: Isoflurane produces marked and nonlinear decreases in the vasoconstriction and shivering thresholds. Anesthesiology. 1996; 85: 240–5.CrossRefGoogle ScholarPubMed
Mekjavic, IB, Sundberg, CJ: Human temperature regulation during narcosis induced by inhalation of 30% nitrous oxide. J.Appl.Physiol. 1992; 73: 2246–54.Google Scholar
Kurz, A, Sessler, DI, Annadata, R, Dechert, M, Christensen, R, Bjorksten, AR: Midazolam minimally impairs thermoregulatory control. Anesth.Analg. 1995; 81: 393–8.Google Scholar
Cornett, PM, Matta, JA, Ahern, GP: General anesthetics sensitize the capsaicin receptor transient receptor potential V1. Mol.Pharmacol. 2008; 74: 1261–8.CrossRefGoogle ScholarPubMed
Kurz, A, Ikeda, T, Sessler, DI, et al: Meperidine decreases the shivering threshold twice as much as the vasoconstriction threshold. Anesthesiology. 1997; 86: 1046–54.CrossRefGoogle ScholarPubMed
Kurz, A, Go, JC, Sessler, DI, Kaer, K, Larson, MD, Bjorksten, AR: Alfentanil slightly increases the sweating threshold and markedly reduces the vasoconstriction and shivering thresholds. Anesthesiology. 1995; 83: 293–9.Google Scholar
Leslie, K, Sessler, DI: Reduction in the shivering threshold is proportional to spinal block height. Anesthesiology. 1996; 84: 1327–31.Google Scholar
Kim, JS, Ikeda, T, Sessler, DI, Turakhia, M, Jeffrey, R: Epidural anesthesia reduces the gain and maximum intensity of shivering. Anesthesiology. 1998; 88: 851–7.Google Scholar
Joris, J, Ozaki, M, Sessler, DI, et al: Epidural anesthesia impairs both central and peripheral thermoregulatory control during general anesthesia. Anesthesiology. 1994; 80: 268–77.CrossRefGoogle ScholarPubMed
Emerick, TH, Ozaki, M, Sessler, DI, Walters, K, Schroeder, M: Epidural anesthesia increases apparent leg temperature and decreases the shivering threshold. Anesthesiology. 1994; 81: 289–98.Google Scholar
Doufas, AG, Morioka, N, Maghoub, AN, Mascha, E, Sessler, DI: Lower-body warming mimics the normal epidural-induced reduction in the shivering threshold. Anesth.Analg. 2008; 106: 252–6.Google Scholar
Arkiliç, CF, Akça, O, Taguchi, A, Sessler, DI, Kurz, A: Temperature monitoring and management during neuraxial anesthesia: an observational study. Anesth.Analg. 2000; 91: 662–6.CrossRefGoogle ScholarPubMed
Caldwell, JE, Heier, T, Wright, PM, et al: Temperature-dependent pharmacokinetics and pharmacodynamics of vecuronium. Anesthesiology. 2000; 92: 84–93.CrossRefGoogle ScholarPubMed
Leslie, K, Sessler, DI, Bjorksten, AR, Moayeri, A: Mild hypothermia alters propofol pharmacokinetics and increases the duration of action of atracurium. Anesth.Analg. 1995; 80: 1007–14.Google Scholar
Lenhardt, R, Marker, E, Goll, V, et al: Mild intraoperative hypothermia prolongs postanesthetic recovery. Anesthesiology. 1997; 87: 1318–23.Google Scholar
Kurz, A, Sessler, DI, Narzt, E, et al: Postoperative hemodynamic and thermoregulatory consequences of intraoperative core hypothermia. J.Clin.Anesth. 1995; 7: 359–66.CrossRefGoogle ScholarPubMed
Badjatia, N, Strongilis, E, Prescutti, M, et al: Metabolic benefits of surface counter warming during therapeutic temperature modulation. Crit.Care.Med. 2009; 37: 1893–7.CrossRefGoogle ScholarPubMed
Rajagopalan, S, Mascha, E, Na, J, Sessler, DI: The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology. 2008; 108: 71–7.Google Scholar
Hohn, DC, MacKay, RD, Halliday, B, Hunt, TK: Effect of O2 tension on microbicidal function of leucocytes in wounds and in vitro. Surg.Forum. 1976; 27: 18–20.Google Scholar
van Oss, CJ, Absolom, DR, Moore, LL, Park, BH, Humbert, JR: Effect of temperature on the chemotaxis, phagocytic engulfment, digestion and O2 consumption of human polymorphonuclear leucocytes. J.Reticuloendothel.Soc. 1980; 27: 561–5.Google Scholar
Hunt, TK, Pai, MP: The effect of varying ambient oxygen tensions on wound metabolism and collagen synthesis. Surg.Gynecol.Obstet. 1972; 135: 561–7.Google Scholar
Kurz, A, Sessler, DI, Lenhardt, R: Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group. N.Engl.J.Med. 1996; 334: 1209–15.CrossRefGoogle ScholarPubMed
Melling, AC, Ali, B, Scott, EM, Leaper, DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. Lancet. 2001; 358: 876–80.Google Scholar
Frank, SM, Higgins, MS, Breslow, MJ, et al: The catecholamine, cortisol, and hemodynamic responses to mild perioperative hypothermia. A randomized clinical trial. Anesthesiology. 1995; 82: 83–93.Google Scholar
Frank, SM, Fleisher, LA, Breslow, MJ, et al: Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial. JAMA. 1997; 277: 1127–34.Google Scholar
Alfonsi, P: Postanaesthetic shivering. Epidemiology, pathophysiology and approaches to prevention and management. Minerva.Anestesiol. 2003; 69: 438–42.Google Scholar
Crossley, AW, Mahajan, RP: The intensity of postoperative shivering is unrelated to axillary temperature. Anaesthesia. 1994; 49: 205–7.Google Scholar
Zwischenberger, JB, Kirsh, MM, Dechert, RE, Arnold, DK, Bartlett, RH: Suppression of shivering decreases oxygen consumption and improves hemodynamic stability during postoperative rewarming. Ann.Thorac.Surg. 1987; 43: 428–31.Google Scholar
Ralley, FE, Wynands, JE, Ramsay, JG, Carli, F, MacSullivan, R: The effects of shivering on oxygen consumption and carbon dioxide production in patients rewarming from hypothermic cardiopulmonary bypass. Can.J.Anaesth. 1988; 35: 332–7.Google Scholar
Pauca, AL, Savage, RT, Simpson, S, Roy, RC: Effect of pethidine, fentanyl and morphine on post-operative shivering in man. Acta.Anaesthesiol. Scand. 1984; 28: 138–43.Google Scholar
Delaunay, L, Bonnet, F, Liu, N, Beydon, L, Catoire, P, Sessler, DI: Clonidine comparably decreases the thermoregulatory thresholds for vasoconstriction and shivering in humans. Anesthesiology. 1993; 79: 470–4.Google Scholar
Panneer, M, Murugaiyan, P, Rao, SV: A comparative study of intravenous dexmedetomidine and intravenous clonidine for postspinal shivering in patients undergoing lower limb orthopedic surgeries. Anesth.Essays.Res. 2017; 11: 151–4.Google Scholar
Dal, D, Kose, A, Honca, M, Akinci, SB, Basgul, E, Aypar, U: Efficacy of prophylactic ketamine in preventing postoperative shivering. Br.J.Anaesth. 2005; 95: 189–92.CrossRefGoogle ScholarPubMed
Alfonsi, P, Adam, F, Passard, A, Guignard, B, Sessler, DI, Chauvin, M: Nefopam, a nonsedative benzoxazocine analgesic, selectively reduces the shivering threshold in unanesthetized subjects. Anesthesiology. 2004; 100: 37–43.CrossRefGoogle ScholarPubMed
Wadhwa, A, Sengupta, P, Durrani, J, et al: Magnesium sulphate only slightly reduces the shivering threshold in humans. Br.J.Anaesth. 2005; 94: 756–62.Google Scholar
Komatsu, R, Sengupta, P, Cherynak, G, et al: Doxapram only slightly reduces the shivering threshold in healthy volunteers. Anesth.Analg. 2005; 101: 1368–73.CrossRefGoogle ScholarPubMed
Komatsu, R, Orhan-Sungur, M, In, J, et al: Ondansetron does not reduce the shivering threshold in healthy volunteers. Br.J.Anaesth. 2006; 96: 732–7.Google Scholar
Asl, ME, Isazadefar, K, Mohammadian, A, Khoshbaten, M: Ondansetron and meperidine prevent postoperative shivering after general anesthesia. Middle.East.Anaesthesiol. 2011; 21: 67–70.Google ScholarPubMed
Mokhtarani, M, Mahgoub, AN, Morioka, N, et al: Buspirone and meperidine synergistically reduce the shivering threshold. Anesth.Analg. 2001; 93: 1233–9.Google Scholar
Lin, CM, Neeru, S, Doufas, AG, et al: Dantrolene reduces the threshold and gain for shivering. Anesth.Analg. 2004; 98: 1318–24.Google ScholarPubMed
Kimberger, O, Ali, SZ, Markstaller, M, et al: Meperidine and skin surface warming additively reduce the shivering threshold: a volunteer study. Crit.Care. 2007; 11: R29.Google Scholar
Campbell, G, Alderson, P, Smith, AF, Warttig, S: Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia. Cochrane. Database.Syst.Rev. 2015CD009891.Google Scholar
Madrid, E, Urrútia, G, Roqué i Figuls, M, et al: Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia in adults. Cochrane.Database.Syst.Rev. 2016; 4: CD009016.Google ScholarPubMed
Wartzek, T, Mühlsteff, J, Imhoff, M: Temperature measurement. Biomed.Tech.(Berl). 2011; 56: 241–57.CrossRefGoogle ScholarPubMed
Henker, RA, Brown, SD, Marion, DW: Comparison of brain temperature with bladder and rectal temperatures in adults with severe head injury. Neurosurgery. 1998; 42: 1071–5.Google Scholar
Rossi, S, Zanier, ER, Mauri, I, Columbo, A, Stocchetti, N: Brain temperature, body core temperature, and intracranial pressure in acute cerebral damage. J.Neurol.Neurosurg.Psychiatry. 2001; 71: 448–54.Google Scholar
Liu, SK, Chiang, YY, Poon, KS, et al: Thoracotomy for lung lesion does not affect the accuracy of esophageal temperature. Acta.Anaesthesiol.Taiwan. 2013; 51: 116–19.Google Scholar
Lefrant, JY, Muller, L, de La Coussaye, JE, et al: Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method. Intens.Care.Med. 2003; 29: 414–18.Google Scholar
Mekjavić, IB, Rempel, ME: Determination of esophageal probe insertion length based on standing and sitting height. J.Appl.Physiol. 1990; 69: 376–9.Google Scholar
Makic, MB, Lovett, K, Azam, MF: Placement of an esophageal temperature probe by nurses. AACN Adv. Crit.Care. 2012; 23: 24–31.Google Scholar
Wallace, CT, Marks, WE, Adkins, WY, Mahaffey, JE: Perforation of the tympanic membrane, a complication of tympanic thermometry during anesthesia. Anesthesiology. 1974; 41: 290–1.Google Scholar
Wang, M, Singh, A, Qureshi, H, Leone, A, Mascha, EJ, Sessler, DI: Optimal depth for nasopharyngeal temperature probe positioning. Anesth.Analg. 2016; 122: 1434–8.Google Scholar
Sinha, PK, Kaushik, S, Neema, PK: Massive epistaxis after nasopharyngeal temperature probe insertion after cardiac surgery. J.Cardiothorac.Vasc.Anesth. 2004; 18: 123–4.Google Scholar
Ciuraru, NB, Braunstein, R, Sulkes, A, Stemmer, SM: The influence of mucositis on oral thermometry: when fever may not reflect infection. Clin.Infect.Dis. 2008; 46: 1859–63.Google Scholar
Torossian, A, Bräuer, A, Höcker, J, Bein, B, Wulf, H, Horn, EP: Preventing inadvertent perioperative hypothermia. Dtsch.Arztebl.Int. 2015; 112: 166–72.Google Scholar
Nierman, DM: Core temperature measurement in the intensive care unit. Crit.Care.Med. 1991; 19: 818–23.Google Scholar
Bräuer, A, Martin, JD, Schuhmann, MU, Braun, U, Weyland, W: Accuracy of intraoperative urinary bladder temperature monitoring during intra-abdominal operations. Anasthesiol.Intensivmed.Notfallmed.Schmerzther. 2000; 35: 435–9.Google ScholarPubMed
Greenes, DS, Fleisher, GR: When body temperature changes, does rectal temperature lag? J.Pediatr. 2004; 144: 824–6.Google Scholar
Weingart, S, Mayer, S, Polderman, K: Rectal probe temperature lag during rapid saline induction of hypothermia after resuscitation from cardiac arrest. Resuscitation. 2009; 80: 837–8.Google Scholar
Kuremu, RT, Hadley, GP, Wiersma, R: Gastro-intestinal tract perforation in neonates. East.Afr.Med.J. 2003; 80: 452–5.Google ScholarPubMed
Kimberger, O, Cohen, D, Illievich, U, Lenhardt, R: Temporal artery versus bladder thermometry during perioperative and intensive care unit monitoring. Anesth.Analg. 2007; 105: 1042–7.CrossRefGoogle ScholarPubMed
Lefrant, JY, Muller, L, de La Coussaye, JE, et al: Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method. Intens.Care.Med. 2003; 29: 414–18.Google Scholar
Niven, DJ, Gaudet, JE, Laupland, KB, Mrklas, KJ, Roberts, DJ, Stelfox, HT: Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis. Ann.Intern.Med. 2015; 163: 768–77.Google Scholar
Dollberg, S, Mincis, L, Mimouni, FB, Ashbel, G, Barak, M: Evaluation of a new thermometer for rapid axillary temperature measurement in preterm infants. Am.J.Perinatol. 2003; 20: 201–4.Google Scholar
Kimberger, O, Thell, R, Schuh, M, Koch, J, Sessler, DI, Kurz, A: Accuracy and precision of a novel non-invasive core thermometer. Br.J.Anaesth. 2009; 103: 226–31.CrossRefGoogle ScholarPubMed
Vaughan, MS, Cork, RC, Vaughan, RW: Inaccuracy of liquid crystal thermometry to identify core temperature trends in postoperative adults. Anesth.Analg. 1982; 61: 284–7.CrossRefGoogle ScholarPubMed
Chaturvedi, D, Vilhekar, KY, Chaturvedi, P, Bharambe, MS: Reliability of perception of fever by touch. Indian.J. Pediatr. 2003; 70: 871–3.Google Scholar
Dodd, SR, Lancaster, GA, Craig, JV, Smyth, RL, Williamson, PR: In a systematic review, infrared ear thermometry for fever diagnosis in children finds poor sensitivity. J Clin.Epidemiol. 2006; 59: 354–7.Google Scholar
Moran, JL, Peter, JV, Solomon, PJ, et al: Tympanic temperature measurements: are they reliable in the critically ill? A clinical study of measures of agreement. Crit.Care.Med. 2007; 35: 155–64.Google Scholar
Iden, T, Horn, EP, Bein, B, Böhm, R, Beese, J, Höcker, J: Intraoperative temperature monitoring with zero heat flux technology (3 M SpotOn sensor) in comparison with sublingual and nasopharyngeal temperature: An observational study. Eur.J.Anaesthesiol. 2015; 32: 387–91.Google Scholar
Mäkinen, MT, Pesonen, A, Jousela, I, et al: Novel zero-heat-flux deep body temperature measurement in lower extremity vascular and cardiac surgery. J.Cardiothorac.Vasc.Anesth. 2016; 30: 973–8.Google Scholar
Dahyot-Fizelier, C, Lamarche, S, Kerforne, T, et al: Accuracy of zero-heat-flux cutaneous temperature in intensive care adults. Crit.Care.Med. 2017Google Scholar
Gunga, HC, Werner, A, Stahn, A, et al: The Double Sensor – A non-invasive device to continuously monitor core temperature in humans on earth and in space. Respir.Physiol.Neurobiol. 2009; 169 Suppl 1: S63–8.Google Scholar
Kimberger, O, Thell, R, Schuh, M, Koch, J, Sessler, DI, Kurz, A: Accuracy and precision of a novel non-invasive core thermometer. Br.J.Anaesth. 2009; 103: 226–31.Google Scholar
Kimberger, O, Saager, L, Egan, C, et al: The accuracy of a disposable noninvasive core thermometer. Can.J.Anaesth. 2013; 60: 1190–6.Google Scholar
Mendt, S, Maggioni, MA, Nordine, M, et al: Circadian rhythms in bed rest: monitoring core body temperature via heat-flux approach is superior to skin surface temperature. Chronobiol.Int. 2016; 1–11.Google Scholar
Seip, R, Ebbini, ES: Noninvasive estimation of tissue temperature response to heating fields using diagnostic ultrasound. IEEE.Trans.Biomed.Eng. 1995; 42: 828–39.Google Scholar
Winter, L, Oberacker, E, Paul, K, et al: Magnetic resonance thermometry: methodology, pitfalls and practical solutions. Int.J.Hyperthermia. 2016; 32: 63–75.Google Scholar
Fernandes, AA, Moreira, DG, Brito, CJ, et al: Validity of inner canthus temperature recorded by infrared thermography as a non-invasive surrogate measure for core temperature at rest, during exercise and recovery. J.Therm.Biol. 2016; 62: 50–5.Google Scholar
Pereira, CB, Heimann, K, Czaplik, M, Blazek, V, Venema, B, Leonhardt, S: Thermoregulation in premature infants: a mathematical model. J.Therm.Biol. 2016; 62: 159–69.Google Scholar
Grundstein, AJ, Duzinski, SV, Dolinak, D, Null, J, Iyer, SS: Evaluating infant core temperature response in a hot car using a heat balance model. Forensic.Sci. Med. Pathol. 2015; 11: 13–19.Google Scholar
Laxminarayan, S, Buller, MJ, Tharion, WJ, Reifman, J: Human core temperature prediction for heat-injury prevention. IEEE.J.Biomed.Health.Inform. 2015; 19: 883–91.Google Scholar
Hirshberg, A, Sheffer, N, Barnea, O: Computer simulation of hypothermia during “damage control” laparotomy. World.Surg. 1999; 23: 960–5.Google Scholar
Chan, LS, Cheung, GT, Lauder, IJ, Kumana, CR, Lauder, IJ: Screening for fever by remote-sensing infrared thermographic camera. J.Travel.Med. 2004; 11: 273–9.Google Scholar
Bräuer, A, English, MJ, Sander, H, Timmermann, A, Braun, U, Weyland, W: Construction and evaluation of a manikin for perioperative heat exchange. Acta.Anaesthesiol.Scand. 2002; 46: 43–50.Google Scholar
Bräuer, A, English, MJ, Steinmetz, N, et al: Comparison of forced-air warming systems with upper body blankets using a copper manikin of the human body. Acta.Anaesthesiol.Scand. 2002; 46: 965–72.Google Scholar
Nightingale, S, Wynne, L, Cassey, J: Convection heating in pediatric general surgery – a comparison of warming alternatives in a mannequin study. Paediatr.Anaesth. 2006; 16: 663–8.Google Scholar
Buisson, P, Bach, V, Elabbassi, EB, et al: Assessment of the efficiency of warming devices during neonatal surgery. Eur.J.Appl.Physiol. 2004; 92: 694–7.Google Scholar
Bussmann, O, Nahm, W, Konecny, E: A model for simulating heat transfer and thermoregulation of premature infants. Biomed.Tech.(Berl). 1998; 43 Suppl: 300–1.Google Scholar
Lam, TK, Leung, DT: More on simplified calculation of body-surface area [letter]. N.Engl.J.Med. 1988; 318 (17): 1130.Google Scholar
Ultman, JS: Computational model for insensible water loss from the newborn. Pediatrics. 1987; 79: 760–5.Google Scholar
Fiala, D, Havenith, G, Bröde, P, Kampmann, B, Jendritzky, G: UTCI-Fiala multi-node model of human heat transfer and temperature regulation. Int.J.Biometeorol. 2012; 56: 429–41.Google Scholar
Yang, J, Weng, W, Wang, F, Song, G: Integrating a human thermoregulatory model with a clothing model to predict core and skin temperatures. Appl.Ergon. 2017; 61: 168–77.CrossRefGoogle ScholarPubMed
Havenith, G, Fiala, D: Thermal indices and thermophysiological modeling for heat stress. Compr.Physiol. 2015; 6: 255–302.Google Scholar
Fu, M, Weng, W, Chen, W, Luo, N: Review on modeling heat transfer and thermoregulatory responses in the human body. J.Therm.Biol. 2016; 62: 189–200.CrossRefGoogle Scholar
Sun, Z, Honar, H, Sessler, DI, et al: Intraoperative core temperature patterns, transfusion requirement, and hospital duration in patients warmed with forced air. Anesthesiology. 2015; 122: 276–85.Google Scholar
Perl, T, Peichl, LH, Reyntjens, K, Deblaere, I, Zaballos, JM, Bräuer, A: Efficacy of a novel prewarming system in the prevention of perioperative hypothermia. A prospective, randomized, multicenter study. Minerva.Anestesiol. 2014; 80: 436–43.Google Scholar
Engorn, BM, Kahntroff, SL, Frank, KM, et al: Perioperative hypothermia in neonatal intensive care unit patients: effectiveness of a thermoregulation intervention and associated risk factors. Paediatr.Anaesth. 2017; 27: 196–204.Google Scholar
Wetz, AJ, Perl, T, Brandes, IF, Harden, M, Bauer, M, Bräuer, A: Unexpectedly high incidence of hypothermia before induction of anesthesia in elective surgical patients. J.Clin.Anesth. 2016; 34: 282–9.Google Scholar
Sessler, DI, McGuire, J, Sessler, AM: Perioperative thermal insulation. Anesthesiology. 1991; 74: 875–9.Google Scholar
Hynson, JM, Sessler, DI: Intraoperative warming therapies: a comparison of three devices. J.Clin.Anesth. 1992; 4: 194–9.Google Scholar
Kimberger, O, Held, C, Stadelmann, K, et al: Resistive polymer versus forced-air warming: comparable heat transfer and core rewarming rates in volunteers. Anesth.Analg. 2008; 107: 1621–6.Google Scholar
Brandes, IF, Müller, C, Perl, T, Russo, SG, Bauer, M, Bräuer, A: Efficacy of a novel warming blanket: prospective randomized trial. Anaesthesist. 2013; 62: 137–42.Google Scholar
Bernard, SA, Smith, K, Cameron, P, et al: Induction of prehospital therapeutic hypothermia after resuscitation from nonventricular fibrillation cardiac arrest. Crit.Care.Med. 2012; 40: 747–53.Google Scholar
Hegazy, AF, Lapierre, DM, Butler, R, Althenayan, E: Temperature control in critically ill patients with a novel esophageal cooling device: a case series. BMC.Anesthesiol. 2015; 15: 152.Google Scholar
Davis, JS, Rodriguez, LI, Quintana, OD, et al: Use of a warming catheter to achieve normothermia in large burns. J.Burn.Care.Res. 2013; 34: 191–5.CrossRefGoogle ScholarPubMed

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