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Intrathecal Morphine-induced Hypothermia after Caesarean Delivery and Reversal with a Short Acting Benzodiazepine

Reginald Caldecott
Department of Anaesthesia, Portiuncula University Hospital, Ballinasloe, Ireland
American Journal of Medical Case Reports. 2022, 10(12), 304-306. DOI: 10.12691/ajmcr-10-12-2
Received October 17, 2022; Revised November 22, 2022; Accepted December 04, 2022

Abstract

This case report describes a patient with hypothermia induced via spinal morphine and its reversal with Lorazepam, a short acting benzodiazepine. The patient presented with refractory hypothermia following Caesarean section with paradoxical vasodilation and diaphoresis. The successful prompt reversal of the hypothermia with Lorazepam while maintaining pain relief highlights the benefit of its use in cases of morphine-induced hypothermia. However large clinical trials are still needed to verify the benefits of such treatment.

Keywords:

Morphine-induced hypothermia, Benzodiazipine, Lorazepam, spinal anaesthesia, Obstetric anaesthesia , cesarean delivery , medication adverse effect
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