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Canadian Journal of Anesthesia, Vol 36, 460-462, Copyright © 1989 by Canadian Anesthesiologists' Society

ARTICLES

Meperidine to control shivering associated with platelet transfusion reaction

M Friedlander and WH Noble
Department of Anaesthesia, St. Michael's Hospital, University of Toronto, Ontario.

Shivering may be part of a febrile non-haemolytic reaction to blood product transfusion. Shivering can increase oxygen consumption up to 500 per cent which may be detrimental to patients with decreased myocardial reserve. A case is presented of a reaction to platelet transfusion characterized by shivering, tachycardia and hypertension in a patient with a recent myocardial infarction in whom the metabolic and haemodynamic effects were considered to be potentially disastrous. Intravenous injection of meperidine was rapidly effective in treating these changes.




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Copyright © 1989 by the Canadian Anesthesiologists' Society.