Which of the following is true about hypothermia during anesthesia?
Correct Answer: Prevented by giving warm fluids
Description: Ans. b. Prevented by giving warm fluids Hypothermia during anesthesia can be prevented by giving warm fluids. Hypothermia During Anesthesia Mild hypothermia is extremely common during anesthesia and surgery. The physiological effects of hypothermia may have significant potential for detrimental effects on patient well-being. Major consequences of inadveent hypothermia include morbid myocardial events, reduced resistance to surgical wound infection, impaired coagulation, delayed recovery, and postoperative shivering. Heat loss occurs primarily from the skin of a patient to the environment through several processes, including radiation, conduction and convection, and evaporation. Of these, radiation is most significant and accounts for --60% of total heat loss. Drug metabolism can be markedly decreased by hypothermia. Although hypothermia is generally regarded as deleterious, it can be beneficial in some situations. Hypothermia decreases the overall metabolic rate by 8% per degC to about half the normal rate at 28degC. Oxygen demand drops and those tissues that have high oxygen consumption normally, such as brain and hea, have a propoionally greater reduction of oxygen use. This allows aerobic metabolism to continue through greater periods of compromised oxygen supply, thereby reducing the production of anaerobic byproducts such as superoxide radicals and lactate. Hypothermia During Anesthesia Hypothermia lowers intracranial pressures and cerebral perfusion pressure. Warming of fluids can only help to minimize heat loss. Warm fluids are probably of benefit only when large amounts are administered for fluid replacement.
Category:
Anaesthesia
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