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Postoperatives Shivering

  • M. Schäfer
  • O. Kunitz

Zusammenfassung

Shivering ist ein häufig beobachtetes und seit langem bekanntes Problem in der postoperativen Phase. Es handelt sich um unwillkürliches Muskelzittern und eine Erhöhung des Muskeltonus als Gegenregulation des Organismus im Sinne eines Abwehrmechanismus bei einem Abfall der Ist-Temperatur gegenüber dem Temperatursollwert. Die Häufigkeit wird in der Literatur sehr unterschiedlich mit 5–65% angegeben [11]. Shivering ist nicht nur ein für den Patienten subjektiv sehr unangenehmes Phänomen — einige Patienten erinnern sich daran als das Unangenehmste an der gesamten Operation — sondern birgt insbesondere für kardial und pulmonal vorerkrankte Patienten deutliche Risiken. Ursache hierfür ist der beim Shivering erhöhte Energie- und damit auch Sauerstoffverbrauch des Patienten. Wesentliche Erkenntnisse über das Phänomen des Shivering und der Mechanismen der Thermoregulation unter Anästhesie verdanken wir der Arbeitsgruppe um Daniel Sessler.

Keywords

Shivering Thermoregulation 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • M. Schäfer
    • 1
  • O. Kunitz
    • 1
    • 2
  1. 1.Klinik für AnästhesiologieUniversitätsklinikum der RWTH AachenDeutschland
  2. 2.Klinik für AnästhesiologieUniversitätsklinikum der RWTH AachenAachenDeutschland

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