Page last updated: 2024-10-27

fentanyl and Hypothermia

fentanyl has been researched along with Hypothermia in 26 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Hypothermia: Lower than normal body temperature, especially in warm-blooded animals.

Research Excerpts

ExcerptRelevanceReference
"The results of the present study confirm our hypothesis that premedication with droperidol affects perioperative hypothermia."9.09IM droperidol as premedication attenuates intraoperative hypothermia. ( Matsukawa, T; Saito, Y; Sakura, S; Shido, A; Toyota, K, 2001)
"These findings suggest that xylazine exacerbates the life-threatening effects of opioids, proposing worsened brain hypoxia as the mechanism contributing to xylazine-positive opioid-overdose deaths."8.31Xylazine effects on opioid-induced brain hypoxia. ( Choi, S; Irwin, MR; Kiyatkin, EA, 2023)
"The aim of this study was to assess the safety of fentanyl analgosedation during therapeutic hypothermia, by evaluating severe adverse effects and possible correlation with the neurodevelopmental outcome."8.12Fentanyl analgesia in asphyxiated newborns treated with therapeutic hypothermia. ( Bedetti, L; Berardi, A; Della Casa, E; Ferrari, F; Garetti, E; Guidotti, I; Iughetti, L; Lago, P; Lucaccioni, L; Lugli, L; Pugliese, M; Roversi, MF; Spada, C, 2022)
"Therapeutic hypothermia may alter the required dosage of analgesics and sedatives, but no data are available on the effects of mild hypothermia on plasma fentanyl concentration during continuous, long-term administration."7.73The effect of mild hypothermia on plasma fentanyl concentration and biotransformation in juvenile pigs. ( Bauer, R; Fritz, HG; Holzmayr, M; Lupp, A; Moeritz, KU; Walter, B, 2005)
"Intrathecal morphine can produce hypothermia in animals."7.73Hypothermia after cesarean delivery and its reversal with lorazepam. ( Hess, PE; Snowman, CE; Wang, J, 2005)
" Cardiopulmonary instability was more common, and hypothermia was less common in the sedation groups of pentazocine/midazolam and fentanyl/midazolam, compared to the general anesthesia group of air/oxygen/sevoflurane (AOS)."5.41Safety profile of anesthetic modalities during laser treatment for retinopathy of prematurity: a systematic review. ( Arvanitaki, Z; Gavriilidou, A; Haidich, AB; Mataftsi, A; Seliniotaki, AK; Ziakas, N, 2023)
" Following induction of anesthesia, normothermia was maintained in dogs that were treated with a fentanyl patch (F-NORM) or sham patch (C-NORM), or hypothermia was maintained in dogs that were treated with a fentanyl patch (F-HYPO) or sham patch (C-HYPO)."5.12Effect of transdermally administered fentanyl on minimum alveolar concentration of isoflurane in normothermic and hypothermic dogs. ( Hosgood, G; Pettifer, GR; Wilson, D, 2006)
"The results of the present study confirm our hypothesis that premedication with droperidol affects perioperative hypothermia."5.09IM droperidol as premedication attenuates intraoperative hypothermia. ( Matsukawa, T; Saito, Y; Sakura, S; Shido, A; Toyota, K, 2001)
"These findings suggest that xylazine exacerbates the life-threatening effects of opioids, proposing worsened brain hypoxia as the mechanism contributing to xylazine-positive opioid-overdose deaths."4.31Xylazine effects on opioid-induced brain hypoxia. ( Choi, S; Irwin, MR; Kiyatkin, EA, 2023)
"The aim of this study was to assess the safety of fentanyl analgosedation during therapeutic hypothermia, by evaluating severe adverse effects and possible correlation with the neurodevelopmental outcome."4.12Fentanyl analgesia in asphyxiated newborns treated with therapeutic hypothermia. ( Bedetti, L; Berardi, A; Della Casa, E; Ferrari, F; Garetti, E; Guidotti, I; Iughetti, L; Lago, P; Lucaccioni, L; Lugli, L; Pugliese, M; Roversi, MF; Spada, C, 2022)
"Therapeutic hypothermia may alter the required dosage of analgesics and sedatives, but no data are available on the effects of mild hypothermia on plasma fentanyl concentration during continuous, long-term administration."3.73The effect of mild hypothermia on plasma fentanyl concentration and biotransformation in juvenile pigs. ( Bauer, R; Fritz, HG; Holzmayr, M; Lupp, A; Moeritz, KU; Walter, B, 2005)
"Intrathecal morphine can produce hypothermia in animals."3.73Hypothermia after cesarean delivery and its reversal with lorazepam. ( Hess, PE; Snowman, CE; Wang, J, 2005)
"We have examined the effects of the psychostimulant d-amphetamine and the neuroleptic haloperidol on hypothermia induced by intraperitoneal injection of the centrally penetrating opioids morphine, fentanyl and sufentanil and the peripherally acting opioid loperamide."3.72Morphine and d-amphetamine nullify each others' hypothermic effects in mice. ( Baker, A; Meert, T, 2003)
"To determine whether moderate hypothermia during 4 hours of anesthesia with isoflurane substantially affects serum concentrations of transdermally administered fentanyl in the perianesthetic period in cats."3.72The effect of rectal temperature on perianesthetic serum concentrations of transdermally administered fentanyl in cats anesthetized with isoflurane. ( Hosgood, G; Pettifer, GR, 2003)
"Because hypothermia is associated with adverse clinical outcomes, it is important to recognize predictors of hypothermia and to monitor and control body temperature in patients at risk."2.69Predictors of hypothermia during spinal anesthesia. ( Barnes, RA; Cattaneo, CG; El-Rahmany, HK; Frank, SM, 2000)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19906 (23.08)18.7374
1990's4 (15.38)18.2507
2000's10 (38.46)29.6817
2010's3 (11.54)24.3611
2020's3 (11.54)2.80

Authors

AuthorsStudies
Lugli, L1
Spada, C1
Garetti, E1
Guidotti, I1
Roversi, MF1
Della Casa, E1
Bedetti, L1
Lucaccioni, L1
Pugliese, M1
Ferrari, F1
Iughetti, L1
Lago, P1
Berardi, A1
Gavriilidou, A1
Seliniotaki, AK1
Arvanitaki, Z1
Ziakas, N1
Haidich, AB1
Mataftsi, A1
Choi, S1
Irwin, MR1
Kiyatkin, EA1
Alparslan, V1
Kus, A1
Hosten, T1
Ertargin, M1
Ozdamar, D1
Toker, K1
Solak, M1
Bergh, MS1
Bogen, IL1
Garibay, N1
Baumann, MH1
Lista, F1
Doherty, CD1
Backstein, RM1
Ahmad, J1
Baker, A1
Meert, T1
Sakamoto, T1
Kawaguchi, M1
Kakimoto, M1
Inoue, S1
Takahashi, M1
Furuya, H1
FAVA, E1
QUERCI, M2
MARCHIARO, G1
RUGGERINI, R1
ZECCA, C1
MOLINAROLI, P1
TARQUINI, A1
CORTIS, B1
SANNA, O1
Pettifer, GR2
Hosgood, G2
Fritz, HG1
Holzmayr, M1
Walter, B1
Moeritz, KU1
Lupp, A1
Bauer, R1
Preisman, S1
Marks, R1
Nahtomi-Shick, O1
Sidi, A1
Hess, PE1
Snowman, CE1
Wang, J1
Wilson, D1
Wishaw, K1
Okada, Y1
Powis, M1
McEwan, A1
Pierro, A1
Frank, SM1
El-Rahmany, HK1
Cattaneo, CG1
Barnes, RA1
Suyama, H1
Tsuno, S1
Takeyoshi, S1
Takiyama, R1
Toyota, K1
Sakura, S1
Saito, Y1
Shido, A1
Matsukawa, T1
Rose, DK1
Cohen, MM1
Soutter, DI1
Jenkins, I1
Karliczek, G1
de Geus, F1
Brenken, U1
Johnson, MD1
Sevarino, FB1
Lema, MJ1
Linko, K1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Standard Normothermia Protocol On Surgical Site Infections: Randomized Controlled Trial[NCT02961244]118 participants (Actual)Interventional2013-06-30Completed
The Effect Of Forced Air Warming Used For Different Body Parts During Caseraen Section On Maternal Hypothermia, Shivering, Thermal Comfort, Apgar Score And Breastfeeding: Randomized Controlled Trial[NCT04667000]35 participants (Anticipated)Interventional2021-05-01Active, not recruiting
Efficacy of a Thermal Insulation System in Inadvertent Hypothermia and Perioperative Comfort[NCT05131568]124 participants (Actual)Interventional2018-10-15Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Maintaining Normothermia Rate

"Within the surgery day, from patient bed through the operating room to PACU or ICU or back to patient bed.~With these results our intervention group's maintaining normothermia rates were higher respectively. ( p=0.001) For each patients around 11 temperature measurement had been made according to the operation time . If any measurement of any patients was <36 ÂșC , that patient accepted as hypothermic. (Failure to maintain normothermia)" (NCT02961244)
Timeframe: Surgery day

InterventionParticipants (Count of Participants)
Control Group7
Intervention Group26

Surgical Site Infection Rate

"Within the postoperative 30 days, if there is purulent exudate or nonpurulent but culture was pozitive, we accepted them as Surgical Site Infection (SSI) diagnosed.~All patients were made enough incision wide to explore their entire abdomen defined as Major Abdominal Surgery .~With this results between two groups intervention group had lesser rates of SSI respectively( (p=0.045 Mann Whitney U, n<30), (p=0.044 chi-square )" (NCT02961244)
Timeframe: Postoperative 30 days

InterventionParticipants (Count of Participants)
Control Group19
Intervention Group8

Reviews

1 review available for fentanyl and Hypothermia

ArticleYear
Safety profile of anesthetic modalities during laser treatment for retinopathy of prematurity: a systematic review.
    Journal of perinatology : official journal of the California Perinatal Association, 2023, Volume: 43, Issue:6

    Topics: Anesthetics; Child; Fentanyl; Humans; Hypothermia; Infant; Infant, Newborn; Ketamine; Lasers; Midazo

2023

Trials

4 trials available for fentanyl and Hypothermia

ArticleYear
Comparison of forced-air warming systems in prevention of intraoperative hypothermia.
    Journal of clinical monitoring and computing, 2018, Volume: 32, Issue:2

    Topics: Abdomen; Adult; Air; Anesthesia, General; Bedding and Linens; Body Temperature; Crystalloid Solution

2018
Effect of transdermally administered fentanyl on minimum alveolar concentration of isoflurane in normothermic and hypothermic dogs.
    Journal of the American Veterinary Medical Association, 2006, Apr-01, Volume: 228, Issue:7

    Topics: Administration, Cutaneous; Analgesics, Opioid; Anesthetics, Inhalation; Animals; Body Temperature; C

2006
Predictors of hypothermia during spinal anesthesia.
    Anesthesiology, 2000, Volume: 92, Issue:5

    Topics: Aged; Aging; Analysis of Variance; Anesthesia, Spinal; Anesthetics, Intravenous; Anesthetics, Local;

2000
IM droperidol as premedication attenuates intraoperative hypothermia.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2001, Volume: 48, Issue:9

    Topics: Adjuvants, Anesthesia; Adult; Anesthetics, Intravenous; Body Temperature; Droperidol; Female; Fentan

2001

Other Studies

21 other studies available for fentanyl and Hypothermia

ArticleYear
Fentanyl analgesia in asphyxiated newborns treated with therapeutic hypothermia.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2022, Volume: 35, Issue:25

    Topics: Analgesia; Asphyxia Neonatorum; Fentanyl; Humans; Hypothermia; Hypothermia, Induced; Hypoxia-Ischemi

2022
Xylazine effects on opioid-induced brain hypoxia.
    Psychopharmacology, 2023, Volume: 240, Issue:7

    Topics: Analgesics, Opioid; Animals; Drug Overdose; Fentanyl; Heroin; Humans; Hypothermia; Hypoxia; Hypoxia,

2023
Evidence for nonlinear accumulation of the ultrapotent fentanyl analog, carfentanil, after systemic administration to male rats.
    Neuropharmacology, 2019, 11-01, Volume: 158

    Topics: Analgesics, Opioid; Animals; Catalepsy; Chromatography, High Pressure Liquid; Fentanyl; Half-Life; H

2019
The impact of perioperative warming in an outpatient aesthetic surgery setting.
    Aesthetic surgery journal, 2012, Volume: 32, Issue:5

    Topics: Adult; Ambulatory Surgical Procedures; Analgesics, Opioid; Anesthesia Recovery Period; Bedding and L

2012
Morphine and d-amphetamine nullify each others' hypothermic effects in mice.
    Pharmacology & toxicology, 2003, Volume: 92, Issue:2

    Topics: Analgesics, Opioid; Animals; Dextroamphetamine; Dopamine Antagonists; Dopamine Uptake Inhibitors; Do

2003
The effect of hypothermia on myogenic motor-evoked potentials to electrical stimulation with a single pulse and a train of pulses under propofol/ketamine/fentanyl anesthesia in rabbits.
    Anesthesia and analgesia, 2003, Volume: 96, Issue:6

    Topics: Anesthesia, General; Anesthetics, Dissociative; Anesthetics, Intravenous; Animals; Blood Gas Analysi

2003
[NEUROLEPTOANALGESIA AS A MEANS OF INDUCTION FOR MODERATE SURFACE HYPOTHERMIA].
    Rassegna internazionale di clinica e terapia, 1964, Jul-31, Volume: 44

    Topics: Adolescent; Analgesics; Analgesics, Non-Narcotic; Anesthesia; Anesthesiology; Antipyretics; Benperid

1964
[EXPERIMENTAL EVALUATION OF EFFECTS OF BARBITURATE ANESTHESIA AND NEUROLEPTOANALGESIA IN INDUCTION OF DEEP HYPOTHERMIA].
    Minerva anestesiologica, 1965, Volume: 31

    Topics: Analgesics; Analgesics, Non-Narcotic; Anesthesia; Antipyretics; Barbiturates; Benperidol; Fentanyl;

1965
[ON SOME ELECTROCARDIOGRAPHIC MODIFICATIONS FOUND DURING MODERATE SURFACE HYPOTHERMIA IN NEUROLEPTOANALGESIA].
    Minerva cardioangiologica, 1965, Volume: 13

    Topics: Analgesics; Analgesics, Non-Narcotic; Antipyretics; Benperidol; Electrocardiography; Fentanyl; Heart

1965
The effect of rectal temperature on perianesthetic serum concentrations of transdermally administered fentanyl in cats anesthetized with isoflurane.
    American journal of veterinary research, 2003, Volume: 64, Issue:12

    Topics: Administration, Cutaneous; Anesthetics, Inhalation; Animals; Body Temperature; Cats; Fentanyl; Hypot

2003
The effect of mild hypothermia on plasma fentanyl concentration and biotransformation in juvenile pigs.
    Anesthesia and analgesia, 2005, Volume: 100, Issue:4

    Topics: Analgesics, Opioid; Animals; Biotransformation; Blood Gas Analysis; Blood Glucose; Blood Pressure; C

2005
Preservation of static and dynamic cerebral autoregulation after mild hypothermic cardiopulmonary bypass.
    British journal of anaesthesia, 2005, Volume: 95, Issue:2

    Topics: Aged; Anesthetics, Combined; Blood Flow Velocity; Cardiopulmonary Bypass; Cerebral Arteries; Female;

2005
Hypothermia after cesarean delivery and its reversal with lorazepam.
    International journal of obstetric anesthesia, 2005, Volume: 14, Issue:4

    Topics: Adult; Analgesics, Opioid; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Local; Bupivaca

2005
Hypothermia associated with subarachnoid morphine.
    Anaesthesia and intensive care, 1997, Volume: 25, Issue:5

    Topics: Adult; Analgesics, Opioid; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Local; Body Tem

1997
Fentanyl analgesia increases the incidence of postoperative hypothermia in neonates.
    Pediatric surgery international, 1998, Volume: 13, Issue:7

    Topics: Analgesia; Analgesia, Epidural; Analgesics, Opioid; Body Temperature Regulation; Bupivacaine; Fentan

1998
[Anesthetic management of an extremely low birth weight neonate for two thoracic surgeries of patent ductus arterious and coarctation of the aorta].
    Masui. The Japanese journal of anesthesiology, 2000, Volume: 49, Issue:7

    Topics: Anesthesia, Intravenous; Aortic Coarctation; Ductus Arteriosus, Patent; Fentanyl; Humans; Hypothermi

2000
Laparoscopic cholecystectomy: the anaesthetist's point of view.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1992, Volume: 39, Issue:8

    Topics: Age Factors; Anesthesia; Anesthesia Recovery Period; Anesthesia, Intravenous; Antiemetics; Cholecyst

1992
Postbypass hypothermia and its relationship to the energy balance of cardiopulmonary bypass.
    Journal of cardiothoracic and vascular anesthesia, 1991, Volume: 5, Issue:2

    Topics: Anesthesia, Intravenous; Anesthetics; Body Temperature; Cardiopulmonary Bypass; Energy Transfer; Eto

1991
Cessation of shivering and hypothermia associated with epidural sufentanil.
    Anesthesia and analgesia, 1989, Volume: 68, Issue:1

    Topics: Adult; Analgesia, Epidural; Cesarean Section; Double-Blind Method; Female; Fentanyl; Humans; Hypothe

1989
Fentanyl and hypothermia.
    Anaesthesia, 1989, Volume: 44, Issue:9

    Topics: Diabetes Insipidus; Fentanyl; Humans; Hypothermia

1989
The clinical efficiency of the Portex in-line blood warmer.
    European journal of anaesthesiology, 1986, Volume: 3, Issue:2

    Topics: Anesthesia, General; Blood Preservation; Blood Transfusion; Cold Temperature; Enflurane; Fentanyl; H

1986