A review of the effects of sedation on thermoregulation : insights for the cardiac catheterisation laboratory

Conway, Aaron (2016) A review of the effects of sedation on thermoregulation : insights for the cardiac catheterisation laboratory. Journal of PeriAnesthesia Nursing, 31(3), pp. 226-236.

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Abstract

Purpose

  • To examine the effects that the sedative and analgesic medications which are commonly used in the cardiac catheterisation laboratory have on thermoregulation.

Design

  • A structured review strategy was used.

Methods

  • Medline and CINAHL were searched for published studies and reference lists of retrieved studies were scrutinized for further research. Data were extracted using a standardised extraction tool.

Results

  • A total of nine studies examined the effect that sedative and analgesic medications have on thermoregulation. Midazolam has minimal impact on thermoregulation while opioids, dexmedetomidine and propofol markedly decrease vasoconstriction and shivering thresholds.

Conclusions

  • Patients who receive sedation in the cardiac catheterisation laboratory may be at risk of hypothermia, due to the use of medications that impair thermoregulation. Further research is required to identify the prevalence of unplanned hypothermia during sedation in the cardiac catheterisation laboratory.

Impact and interest:

1 citations in Scopus
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1 citations in Web of Science®

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ID Code: 74600
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Hypothermia, sedation, cardiac, thermoregulation, nursing
DOI: 10.1016/j.jopan.2014.07.016
ISSN: 1089-9472
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2014 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Journal of PeriAnesthesia Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of PeriAnesthesia Nursing, [2016] DOI:-10.1016/j.jopan.2014.07.016
Deposited On: 31 Jul 2014 23:51
Last Modified: 10 Jun 2016 14:39

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