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Postoperatives Shivering

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Weiterbildung für Anästhesisten 2002

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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.

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Author information

Authors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum der RWTH Aachen, Deutschland

    M. Schäfer & Dr. O. Kunitz

  2. Klinik für Anästhesiologie, Universitätsklinikum der RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Deutschland

    Dr. O. Kunitz

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  1. M. Schäfer
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Editors and Affiliations

  1. Klinik für Anästhesiologie, Universität Heidelberg, Im Neuenheimer Feld 110, D-69120, Heidelberg, Deutschland

    Hubert J. Bardenheuer

  2. Klinik für Anästhesiologie und operative Intensivmedizin Zentralklinikum, Stenglinstraße 2, D-86156, Augsburg, Deutschland

    Helmuth Forst

  3. Klinik für Anästhesiologie, Medizinische Einrichtungen der RWTH Aachen, Pauwelsstraße 30, D-52074, Aachen, Deutschland

    Rolf Rossaint

  4. Service d’Anesthésiologie Centre Hospitalier, Universitaire Vaudois - CHUV, Rue du Bugnon 46, CH-1011, Lausanne, Schweiz

    Donat R. Spahn

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Schäfer, M., Kunitz, O. (2003). Postoperatives Shivering. In: Bardenheuer, H.J., Forst, H., Rossaint, R., Spahn, D.R. (eds) Weiterbildung für Anästhesisten 2002. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10888-8_9

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  • DOI: https://doi.org/10.1007/978-3-662-10888-8_9

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