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Table 3-9

Immediate Adverse Consequences of Perioperative Hypothermia

Adverse OutcomeMechanism
Increased operative blood lossCoagulopathy and platelet dysfunction
Increased morbid cardiac eventsIncreased myocardial work load
Dysrhythmias and myocardial ischemiaIncreased sympathetic activity
Wound infectionSympathetic mediated cutaneous vasoconstriction
Delayed wound healing
Delayed anesthetic emergenceDecreased drug metabolism and increased volatile agent solubility, decreased MAC
Delayed recovery room dischargePostanesthetic shivering, delayed recovery