The Relationship between Inhalation Anesthetics and Intravenous Propofol on the Incidence of Intraoperative Hypothermia
Submitted in partial fulfillment of the
Requirements for the degree of
Master of Science
Table of Contents
Abstract………………………………………………………………………………….....4
Introduction……………………………………………………………………………….. 5
Literature Review………………………………………………………………………......6
Discussion and Recommendations………………………………………………………..17
References………………………………………………………………………………...20
Abstract
Hypothermia during general anesthesia is common and may be associated with intraoperative complications such as myocardial morbidity and postoperative chills. Understanding how anesthetic agents aaffect intraoperative temperature regulation could lead to improvements in the quality of anesthetic care provided to patients. This literature review investigated how inhalation anesthetic agents and total intravenous anesthesia (TIVA) aeffect intraoperative temperature regulation. Researchers demonstrated Wwhen measuring blood pressure response to cold-induced vasoconstriction with and without inhalation anesthetic agents (desflurane and isoflurane) researchers found that, the rise in mean arterial pressure was similar. Researchers also demonstrated that the incidence of postoperative chills in patients undergoing lumber disk surgery was not statistically significant when comparing isoflurane inhalation anesthesia and TIVA (remifentanil and propofol). When comparing texamining the use of Sevoflurane inhalation anesthesia toand TIVA (propofol) on the thermoregulatory responses in patients undergoing transsphenoidal pituitary surgery, researchers demonstrated that the response was similar. [ In the previous sentence, do you mean to say that the result of both studies was similar, i.e., that neither technique demonstrated a statistically significant result?] Lastly, researchers’ demonstrated lipid-emulsion propofol attenuated the thermoregulatory response...