Avoiding unintentional hypothermia: anesthesia implications

Maintaining normal thermal balance in the anesthetized patient remains a primary physiological consideration for the anesthetist. Because hypothermia occurs frequently during surgery and anesthesia, it is imperative that the anesthetist fully appreciate the variety of factors associated with unintentional hypothermia. This knowledged, coupled with an understanding of physiological ramifications and meaningful therapeutic interventions will enable the anesthetist to provide optimal care for patients, particularly those at risk for developing hypothermia intraoperatively. This survey article will trace current research as it applies to the principles underlying proper management of the hypothermic patient.