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In vitro Assessment of Myocardial Protection following Hypothermia-Preconditioning in a Human Cardiac Myocytes Model
Published on: October 27, 2020
[Perioperative hypothermia.]
Camila B Biazzotto1, Márcio Brudniewski, André P Schmidt
1Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
Perioperative hypothermia, a common yet often overlooked condition, can be harmful or beneficial. This review covers its diagnosis, prevention, and treatment, emphasizing warming to maintain normothermia and prevent complications.
Area of Science:
- Anesthesiology
- Physiology
- Critical Care Medicine
Context:
- Perioperative hypothermia is a frequent occurrence, often undiagnosed and untreated.
- Understanding its dual nature—beneficial or detrimental—is crucial for patient outcomes.
- This review synthesizes current knowledge on hypothermia in the perioperative setting.
Purpose:
- To review the indications and complications of perioperative hypothermia.
- To discuss methods for diagnosing, preventing, and treating hypothermia.
- To highlight the importance of normothermia and effective warming strategies.
Summary:
- Hypothermia arises from anesthetic effects, reduced metabolism, and heat loss, even with warming measures.
- Inadvertent hypothermia can lead to complications, while therapeutic hypothermia may protect organs like the CNS and heart.
- Maintaining normothermia through warming is key, and shivering must be managed.
Impact:
- Informed clinical decisions regarding therapeutic hypothermia.
- Improved perioperative patient care through effective hypothermia management.
- Reduced incidence of hypothermia-related complications and enhanced patient comfort.
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