Is prevention of hypothermia warranted in a patient who received a
central neuraxial block?
Yes. In a patient with a neuraxial block, the
area blocked is vasodilated and autoregulation is lost. Shivering is precluded
if a motor block is present. Central control is impaired as well, owing to the
incorrect perception by the central nervous system that the skin temperature is
elevated in the blocked area. Significant hypothermia can occur, leading to
discomfort and shivering, although the shivering threshold is lowered.
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