A Review of the Effects of Sedation on Thermoregulation: Insights for the Cardiac Catheterization Laboratory

To examine the effects that the sedative and analgesic medications commonly used in the cardiac catheterization laboratory have on thermoregulation. A structured review strategy was used. MEDLINE and CINAHL were searched for published studies, and reference lists of retrieved studies were scrutinize...

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Bibliographic Details
Published inJournal of perianesthesia nursing Vol. 31; no. 3; pp. 226 - 236
Main Author Conway, Aaron
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2016
Subjects
Body Temperature Regulation
cardiac
Cardiac Catheterization
Humans
Hypnotics and Sedatives - administration & dosage
hypothermia
Nursing
review
sedation
thermoregulation
nursing
hypothermia
sedation
thermoregulation
review
cardiac
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Summary:To examine the effects that the sedative and analgesic medications commonly used in the cardiac catheterization laboratory have on thermoregulation. A structured review strategy was used. MEDLINE and CINAHL were searched for published studies, and reference lists of retrieved studies were scrutinized for further studies. Data were extracted using a standardized extraction tool. A total of nine studies examined the effect that sedative and analgesic medications have on thermoregulation. Midazolam has minimal impact on thermoregulation, whereas opioids, dexmedetomidine, and propofol markedly decrease vasoconstriction and shivering thresholds. Patients who receive sedation in the cardiac catheterization laboratory may be at risk of hypothermia because of the use of medications that impair thermoregulation. Further research is required to identify the prevalence of unplanned hypothermia during sedation in the cardiac catheterization laboratory.
Bibliography:ObjectType-Article-2
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ObjectType-Review-1
ObjectType-Evidence Based Healthcare-4
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ObjectType-Literature Review-3
ISSN:1089-9472
1532-8473
DOI:10.1016/j.jopan.2014.07.016