Heat Stroke: a Summertime Threat - Insights for Anesthesia Practice

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Napatchanan Laotaweesuk
Pattharaporn Sombood
Anongnat Wuttiprom
Ruechuta Molek
Phongthara Vichitvejpaisal

บทคัดย่อ

Heat stroke is a life-threatening condition characterized by hyperthermia and systemic dysfunction, posing significant morbidity and mortality risks, particularly during the summer time. This article examines the epidemiology, pathophysiology, clinical presentation, diagnosis, prevention strategies, management considerations in heat stroke, with a focus on implications for anesthesia practice. Anesthetic techniques, perioperative challenges and patient outcomes are explored. Emerging technologies, advancements in understanding heat stress physiology, and policy implications for public health initiatives are also addressed. This review underscores the importance of awareness, education, and interdisciplinary collaboration in mitigating the impact of heat-related illnesses and promoting patient safety. Healthcare providers, policymakers, and the public are urged to take proactive measures to prevent heat stroke, enhance clinical management, and foster resilience in the face of rising temperatures.

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Centers for Disease Control and Prevention. (n.d.). Heat&health tracker. [cited 2024 Apr 12]. Available from: https://ephtracking.cdc.gov/Applications/heatTracker

Asmara IGY. Diagnosis and management of heat stroke. Acta Med Indones. 2020;52:90-7.

Morris A, Patel G. Heat stroke. [monograph on the Internet]. Treasure Island (FL): StatPearl; 2023 [cited 2024 Apr 12]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537135/

Becker JA, Stewart LK. Heat-related illness. Am Fam Physician. 2011;83:1325-30.

Cramer MN, Gagnon D, Laitano O, et al. Human temperature regulation under heat stress in health, disease and injury. Physiol Rev. 2022;102:1907-89.

Glazer JL. Management of heat stroke and heat exhaustion. Am Fam Physician. 2005;71:2133-40.

Bendahan D, Kozak-Ribbens G, Confort-Gouny S, et al. A noninvasive investigation of muscle energetics supports similarities between exertional heat stroke and malignant hyperthermia. Anesth Analg. 2001;93:683-9.

Laitano O, Leon LR, Roberts WO, et al. Controversies in exertional heat stroke diagnosis, prevention, and treatment. J Appl Physiol. 2019;127:1338-48.

Kenny GP, Wilson TE, Flouris AD, et al. Heat exhaustion. Handb Clin Neurol. 2018;157:505-29.

Garcia CK, Renteria LI, Leite-Santos G, et al. Exertional heat stroke: pathophysiology and risk factors. BMJ Med. 2022;1:e000239.

Navarro CS, Casa DJ, Belval LN, et al. Exertional heat stroke. Curr Sports Med Rep. 2017;16:304-5.

Hifumi T, Kondo Y, Shimizu K, et al. Heat stroke. J Intensive Care. 2018;6:30.

Kamidani R, Okada H, Kitagawa Y, et al. Severe heat stroke complicated by multiple cerebral infarctions: a case report. J Med Case Rep. 2021;15:24.

Epstein Y, Yanovich R. Heat stroke. N Engl J Med. 2019;380:2449-59.

Marchand M, Gin K. The cardiovascular system in heat stroke. CJC Open. 2021;4:158-63.

Grogan H, Hopkins PM. Heat stroke: implications for critical care and anaesthesia. Br J Anaesth. 2002;88:700-7.

Sorensen C, Hess J. Treatment and prevention of heat-related illness. N Engl J Med. 2022;387:1404-13.

Lugo-Amador NM, Rothenhaus T, Moyer P. Heat-related illness. Emerg Med Clin North Am. 2004;22:315-27.

McDermott BP, Casa DJ, Ganio MS, et al. Acute whole-body cooling for exercise-induced hyperthermia: a systematic review. J Athl Train. 2009;44:84-93.

Casa DJ, McDermott BP, Lee EC, Yeargin SW, Armstrong LE, Maresh CM. Cold water immersion: the gold standard for exertional heat stroke treatment. Exerc Sport Sci Rev. 2007;35:141-9.

Bouchama A, Dehbi M, Chaves-Carballo E. Cooling and hemodynamic management in heatstroke: practical recommendations. Crit Care. 2007;11:R54.

Rublee C, Dresser C, Giudice C, et al. Evidence-based heat stroke management in the emergency department. West J Emerg Med. 2021;22:186-95.

Roberts WO, Armstrong LE, Sawka MN, Yeargin SW, Heled Y, O’Connor FG. ACSM expert consensus statement on exertional heat illness: recognition, management, and return to activity. Curr Sports Med Rep. 2021;20:470-84.

Kruijt N, van den Bersselaar LR, Hopman MTE, et al. Exertional heat stroke and rhabdomyolysis: a medical record review and patient perspective on management and long-term symptoms. Sports Med Open. 2023;9:33.

Heytens K, De Bleecker J, Verbrugghe W, et al. Exertional rhabdomyolysis and heat stroke: beware of volatile anesthetic sedation. World J Crit Care Med. 2017;6:21-7.

Schmidt SV, Hinzmann J, Stammler A, et al. Surviving a classic heat stroke/hyperthermia >42 °C–a case report. Int J Emerg Med. 2024;17:120.

Broessner G, Beer R, Franz G, et al. Case report: severe heat stroke with multiple organ dysfunction–a novel intravascular treatment approach. Crit Care. 2005;9:R498-501.

Lim CL, Byrne C, Lee JK. Management of heatstroke using the novel, reusable CarbonCool® suit: a case report. J Emerg Crit Care Med. 2021;5:32.

Grogan H, Hopkins PM. Heat stroke: implications for critical care and anaesthesia. Br J Anaesth. 2002;88:700-7.