Indian Journal of Anaesthesia  
About us | Editorial board | Search | Ahead of print | Current Issue | Past Issues | Instructions
Home | Login  | Users Online: 984  Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size    




 
 Table of Contents    
LETTER TO EDITOR
Year : 2011  |  Volume : 55  |  Issue : 1  |  Page : 82-83  

Temperature monitoring: An often neglected but essential standard monitor


Department of Anaesthesiolgy and Critical Care, Govind Ballabh Pant Hospital, New Delhi, India

Date of Web Publication9-Feb-2011

Correspondence Address:
Indira Malik
TG 2B/1, Garden Estate, Gurgaon, Haryana - 122 001
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.76580

Rights and Permissions

How to cite this article:
Malik I. Temperature monitoring: An often neglected but essential standard monitor. Indian J Anaesth 2011;55:82-3

How to cite this URL:
Malik I. Temperature monitoring: An often neglected but essential standard monitor. Indian J Anaesth [serial online] 2011 [cited 2020 May 28];55:82-3. Available from: http://www.ijaweb.org/text.asp?2011/55/1/82/76580

Sir,

I read with interest the recent case report by Kalra. [1] titled "Role of amino acid infusion in delayed recovery from neuromuscular blockers". I admit that it was difficult to establish a differential diagnosis in this case regarding the cause of excessive sedation and unresponsiveness seen in the post operative period. The authors have been resourceful indeed in using amino acid infusion to correct hypothermia, which is a very novel approach.

However, I feel that this particular situation could have been avoided had there been a continuous monitoring of body temperature intraoperatively. Because this is included among standard monitors, [2] one must always ensure that a temperature probe be used for all procedures being performed under any type of anaesthesia. Elderly and frail patients, as this patient definitely was, are extremely prone to develop hypothermia even during short duration procedures. So it was all the more important to monitor her temperature. Most of our current monitors have either a nasopharyngeal or surface temperature probe and, so now it is not at all cumbersome to monitor the thermal status of patients.

Another point that is worthy of discussion is that the dose of fentanyl could have been reduced as we all know that it is highly extracted by the liver and, therefore, its clearance depends on the hepatic blood flow, which is positively reduced in old age. It is preferable to reduce the dosage of fentanyl by 50% in these patients. [3] This would reduce the incidence of bradycardia and respiratory depression seen in the post anaesthesia care unit.

 
   References Top

1.Kalra S, Wadhwa R. Role of amino acid infusion in delayed recovery from neuromuscular blockers. Indian J Anaesth 2010;54:166-8.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Asahq.org. Standards for basic anesthetic monitoring. Committee of origin: Standards and Practice parameters. Available from: http://www.asahq.org/publication And Services/Standards/02.pdf [last updated on Oct 2005].  Back to cited text no. 2
    
3.Rivera R, Antognini JF. Perioperative drug therapy in elderly patients. Anesthesiology 2009;110:1176-81.  Back to cited text no. 3
[PUBMED]  [FULLTEXT]  



This article has been cited by
1 Thermology 2011 - A computer-assisted literature survey
Ammer, K.
Thermology International. 2012; 22(1): 5-31
[Pubmed]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References

 Article Access Statistics
    Viewed1860    
    Printed86    
    Emailed0    
    PDF Downloaded874    
    Comments [Add]    
    Cited by others 1    

Recommend this journal