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Abstract Inadvertent hypothermia during anesthesia is by far the most common perioperative thermal disturbance. Hypothermia results from a combination of anesthetic impaired thermoregulation and exposure to a cold operating theater environment. Old patients were more liable to develop inadvertent hypothermia. perioperative hypothermia is associated with an increased incidence of postoperative myocardial ischemia and angina in older patients even in absence of shivering. Prevention of perioperative hypothermia can be achieved by decreasing heat loss by proper insulation of the patient; theater conditioning, the use of warm intravenous fluids and replacing heat loss using heating mattress. Recently aminoacids mixture infusion preoperatively is claimed to prevent hypothermia by increasing metabolic heat production. |