Masui. The Japanese journal of anesthesiology
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[Analysis of postoperative shivering following the deliberate mild hypothermia during neurosurgery].
We induced deliberate mild hypothermia in 96 patients who underwent intracranial operations using a water blanket and a convective device blanket. The lowest temperature measured at the tympanic membrane during mild hypothermia was adjusted to 34.5 degrees C. The patients were divided into two groups in respect to the occurrence of postoperative shivering, and the relationship between the perioperative parameters and the occurrence of postoperative shivering was evaluated. ⋯ Urinary output was significantly larger in SV than in NSV. Tympanic membrane, nasopharyngeal, and rectal temperatures at the end of surgery and nasopharyngeal, rectal, and peripheral temperatures just after the extubation were significantly lower in SV than in NSV. These results suggest that sufficient rewarming of both the core and peripheral temperatures is important to prevent the postoperative shivering following the mild hypothermic therapy in neurosurgical patients, especially in young patients.