JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

Anesth Analg 1987; 66:751-755
© 1987 International Anesthesia Research Society
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Macintyre, P. E.
Right arrow Articles by Dwersteg, J. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Macintyre, P. E.
Right arrow Articles by Dwersteg, J. F.

Effect of Meperidine on Oxygen Consumption, Carbon Dioxide Production, and Respiratory Gas Exchange in Postanesthesia Shivering

Pamela E. Macintyre, MB, FFARACS, Edward G. Pavlin, MD, and Jochen F. Dwersteg, MD, FRCPC

Received from the Department of Anesthesiology, University of Washington School of Medicine, Seattle, Washington.

Abstract

Meperidine has been used to suppress postanesthesia shivering. However, its efficacy to date has only been assessed by observation of visible shivering. We measured the effect of meperidine on oxygen consumption (VO2), carbon dioxide production (VCO2) and pulmonary gas exchange in 14 otherwise healthy patients shivering after general anesthesia. Meperidine successfully suppressed visible shivering in all patients and was associated with significant decreases in Vo1 and VO2 and minute ventilation (V E) but not with return to basal levels. Arterial PCo2 levels remained unchanged at normal, whereas significant improvements occurred in pH and bicarbonate levels. Meperidine is an effective method of reducing the elevated metabolic demand of shivering.

Key Words: COMPLICATIONS—shivering • ANALGESICS—meperidine




This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
P. Kranke, L. H. Eberhart, N. Roewer, and M. R. Tramer
Single-Dose Parenteral Pharmacological Interventions for the Prevention of Postoperative Shivering: A Quantitative Systematic Review of Randomized Controlled Trials
Anesth. Analg., September 1, 2004; 99(3): 718 - 727.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
J.-D. Roy, M. Girard, and P. Drolet
Intrathecal Meperidine Decreases Shivering During Cesarean Delivery Under Spinal Anesthesia
Anesth. Analg., January 1, 2004; 98(1): 230 - 234.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
T. S. Walsh
Recent advances in gas exchange measurement in intensive care patients
Br. J. Anaesth., July 1, 2003; 91(1): 120 - 131.
[Full Text] [PDF]

Home page
 Anesth. Analg.Home page
P. Kranke, L. H. Eberhart, N. Roewer, and M. R. Tramer
Pharmacological Treatment of Postoperative Shivering: A Quantitative Systematic Review of Randomized Controlled Trials
Anesth. Analg., February 1, 2002; 94(2): 453 - 460.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
S. M. Frank
Hypothermia After Vascular Surgery: Complications, Prevention, and Treatment
Seminars in Cardiothoracic and Vascular Anesthesia, November 1, 2000; 4(4): 244 - 255.
[Abstract] [PDF]

Home page
 Anesth. Analg.Home page
N. Bruder, J.-M. Stordeur, P. Ravussin, M. Valli, H. Dufour, B. Bruguerolle, and G. Francois
Metabolic and Hemodynamic Changes During Recovery and Tracheal Extubation in Neurosurgical Patients: Immediate Versus Delayed Recovery
Anesth. Analg., September 1, 1999; 89(3): 674 - 674.
[Abstract] [Full Text] [PDF]

Home page
 TraumaHome page
S. Wright
When to ventilate
Trauma, July 1, 1999; 1(3): 199 - 205.
[Abstract] [PDF]

Home page
 ChestHome page
J. A. Price and N. W. Rizk
Postoperative Ventilatory Management
Chest, May 1, 1999; 115(suppl_2): 130S - 137S.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
J.-J. Wang, S.-T. Ho, S.-C. Lee, and Y.-C. Liu
A Comparison Among Nalbuphine, Meperidine, and Placebo for Treating Postanesthetic Shivering
Anesth. Analg., March 1, 1999; 88(3): 686 - 686.
[Abstract] [Full Text] [PDF]

Home page
 J. Appl. Physiol.Home page
G. G. Giesbrecht, M. S. L. Goheen, C. E. Johnston, G. P. Kenny, G. K. Bristow, and J. S. Hayward
Inhibition of shivering increases core temperature afterdrop and attenuates rewarming in hypothermic humans
J Appl Physiol, November 1, 1997; 83(5): 1630 - 1634.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1987 by the International Anesthesia Research Society.