Excessive sweating following intrathecal μ agonists: Effective atropine management

Publication date: Available online 20 May 2016 Source:Egyptian Journal of Anaesthesia Author(s): Alaa Mazy Many thermal distortions may accompany the profound extended analgesia of intrathecal μ agonists. Hypothermia is the commonest, but a syndrome including a profuse sweating was also reported. Conservative management for this sweating extends patient suffering more than 6h. Other treatment options showed variable success rates. In a case series, atropine sulfate showed effective sweat suppression following intrathecal morphine 0.3mg or fentanyl 25mcg. Treatment options and possible mechanisms of sweating are reviewed in relation to opioids, regional block and general patient factors.
Source: Egyptian Journal of Anaesthesia - Category: Anesthesiology Source Type: research