International journal of obstetric anesthesia
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Int J Obstet Anesth · Feb 2018
Comment LetterIn reply to: Salman MM, Goetze N, Badrinath M, Shah M. The videolaryngoscope as a first-line intubation device in women with hypertensive disease of pregnancy. International Journal of Obstetric Anesthesia 2017;33. doi: http://dx.doi.org/10.1016/j.ijoa.2017.07.005.
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Int J Obstet Anesth · Feb 2018
Randomized Controlled TrialPreoperative anterior thigh temperature does not correlate with perioperative temporal hypothermia during cesarean delivery with spinal anesthesia: Secondary analysis of a randomized control trial.
Core-to-peripheral redistribution of heat, secondary to sympathetic-mediated vasodilation, is the major mechanism leading to early perioperative hypothermia after neuraxial anesthesia. The study aim was to determine if preoperative anterior thigh (peripheral lower extremity) temperature predicted perioperative temporal (core) temperature decrease during cesarean delivery with spinal anesthesia. ⋯ Preoperative anterior thigh temperature does not correlate with the degree of perioperative temporal temperature decrease, likelihood of developing hypothermia, shivering, or thermal comfort during cesarean delivery with spinal anesthesia. Although core-to-peripheral redistribution of heat after neuraxial anesthesia is a major mechanism of perioperative heat loss, a lower extremity temperature prediction hypothesis was not confirmed in this population.