Management of hypothermia in a patient needing urgent surgery

Autores/as

  • Jonatan Vargas Caño Residente de Anestesia. Hospital Universitario de Galdakao-Usansolo. Galdakao, Vizcaya, España
  • Beatriz Esnaola Iriarte Especialista de Anestesia. Hospital Universitario de Galdakao-Usansolo. Galdakao, Vizcaya, España
  • , Olatz Aramburu Uriarte Especialista de Anestesia. Hospital Universitario de Galdakao-Usansolo. Galdakao, Vizcaya, España
  • Sorkunde Telletxea Benguria Jefa de Servicio de de Anestesia. Hospital Universitario de Galdakao-Usansolo. Galdakao, Vizcaya, España

DOI:

https://doi.org/10.30445/rear.v15i5.1112

Palabras clave:

temperatura central, hipotermia por redistribución, calentamiento activo

Resumen

Perioperative hypothermia (<36 ºC core temperature) can be favored by various factors. It is essential to know the methods of prevention and treatment of hypothermia to avoid its potential consequences. We present the case of a 75-year-old woman who needed urgent surgery for acute arterial ischemia of the right lower extremity and in whom a generalized body coldness stood out from the initial examination. After intubation, etCO2 values ​​of 18mmHg are detected and a temperature of 29.9 ºC is monitored. Due to the use of active warming devices during the intraoperative period, her temperature increased to 33 ºC upon admission to the ICU.

Citas

- Zaballos JM, Campos JM. Hipotermia intraoperatoria no terapéutica: prevención y tratamiento (parte II). Rev Esp Anestesiol Reanim. 2003; 50:197-208.

- Baptista W, Rando K, Zunini G. Hipotermia perioperatoria. Anest Analg Reanim 2010; 23(2):24-38. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12732010000200004&lng=es.

- Sessler DI. Complications and Treatment of Mild Hypothermia. Anesthesiology 2001; 95(2):531-543.

- Sessler DI. Perioperative temperature management. In: Nussmeier AN, Joshi GP, ed. UpToDate, Waltham, MA. 2020. https://www.uptodate.com/contents/perioperative-temperature-management. Accessed November 20, 2021

- Roth J, Braitman L, Hunt L. Induction techniques that reduce redistribution hypothermia: a prospective, randomized, controlled, single blind effectiveness study. BMC Anesthesiology 2019; 19: 203. https://doi.org/10.1186/s12871-019-0866-8

- 3M SpotONTM Temperature Monitoring System Model 370. Installation an Serve Manual. 2019. https://multimedia.3m.com/mws/media/879812O/service-manual-english.pdf

- Ruetzler K, Kurz A. Consequences of perioperative hypothermia. Handb Clin Neurol. 2018;157:687-697. doi:10.1016/B978-0-444-64074-1.00041-0

- Bu N, Zhao E, Gao Y, et al. Association between perioperative hypothermia and surgical site infection: A meta-analysis. Medicine (Baltimore). 2019;98(6):e14392. doi:10.1097/MD.0000000000014392

- Rajagopalan S, Mascha E, Na J, Sessler D. The Effects of Mild Perioperative Hypothermia on Blood Loss and Transfusion Requirement. Anesthesiology. 2008;108(1):71-77. https://doi.org/10.1097/01.anes.0000296719.73450.52

Descargas

Publicado

2023-06-05

Cómo citar

Vargas Caño, J., Esnaola Iriarte, B. ., Aramburu Uriarte , , O. ., & Telletxea Benguria, S. (2023). Management of hypothermia in a patient needing urgent surgery. Revista Electrónica AnestesiaR, 15(5). https://doi.org/10.30445/rear.v15i5.1112