Hypothermia With Paradoxical Symptoms: A Case Series of Cesarean Deliveries With Intrathecal Morphine
Article
Munday, Judy, Ramis, Mary-Anne, Kynoch, Kathryn, Maffey, Simon, Steelman, Victoria and Osborne, Sonya. 2023. "Hypothermia With Paradoxical Symptoms: A Case Series of Cesarean Deliveries With Intrathecal Morphine." AORN Journal. 117 (6), pp. e1-e9. https://doi.org/10.1002/aorn.13932
Article Title | Hypothermia With Paradoxical Symptoms: A Case Series of Cesarean Deliveries With Intrathecal Morphine |
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ERA Journal ID | 124510 |
Article Category | Article |
Authors | Munday, Judy, Ramis, Mary-Anne, Kynoch, Kathryn, Maffey, Simon, Steelman, Victoria and Osborne, Sonya |
Journal Title | AORN Journal |
Journal Citation | 117 (6), pp. e1-e9 |
Number of Pages | 9 |
Year | 2023 |
Publisher | John Wiley & Sons |
Place of Publication | United States |
ISSN | 0001-2092 |
1878-0369 | |
Digital Object Identifier (DOI) | https://doi.org/10.1002/aorn.13932 |
Web Address (URL) | https://aornjournal.onlinelibrary.wiley.com/doi/full/10.1002/aorn.13932 |
Abstract | Women receiving intrathecal morphine for cesarean delivery may experience hypothermia with paradoxical symptoms of sweating, nausea, and shivering. Despite being relatively rare in comparison to commonly experienced symptoms of perioperative hypothermia, hypothermia with paradoxical symptoms affects early maternal recovery and comfort. The cause is undetermined, and treatment approaches vary. Regular active-warming strategies may not be tolerated because of the paradoxical symptoms of sweating and feeling overheated. This case series aims to explore the phenomenon through the evaluation of health care records of women receiving intrathecal morphine for cesarean delivery at a single, tertiary health care institution in Australia from 2015 to 2018. We also summarize published literature to review treatment approaches used in the care of women experiencing profound heat loss while feeling overheated. |
Keywords | case series; hypothermia; cesarean delivery; intrathecal morphine; paradoxical symptoms |
ANZSRC Field of Research 2020 | 420599. Nursing not elsewhere classified |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Queensland University of Technology |
Clinical Governance Unit and Queensland Centre for Evidence-Based Nursing and Midwifery, Australia | |
Mater Health, Australia | |
University of Iowa, United States | |
School of Nursing and Midwifery | |
Institute for Resilient Regions |
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https://research.usq.edu.au/item/z2672/hypothermia-with-paradoxical-symptoms-a-case-series-of-cesarean-deliveries-with-intrathecal-morphine
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