Hypothermia Induced by Incorrect Monitoring of Core Temperature: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 217-220, 2006.
Artigo
em Coreano
| WPRIM
| ID: wpr-205487
ABSTRACT
A 55-year-old man was scheduled to undergo revisional total hip arthroplasty under general anesthesia. During the operation, a warm blanket and fluid warmer were applied, with his body temperature maintained at 35oC, as assessed with the use of a temporal-artery thermometer. In the course of the operation, severe bleeding developed, which required a massive transfusion of packed red blood cells and other blood components to correct the electrolyte and pH balances; the infusion of cardiovascular drugs was also preformed. However, the hemodynamic status of the patient deteriorated to severe hypotension, with atrial fibrillation, non-sustaining paroxysmal ventricular tachycardia and ventricular fibrillation. The patient was re-evaluated, and it was realized the temporal-artery thermometer had been incorrectly monitored, causing hemodynamic deterioration, which was assessed as hypothermia from a nasopharyngeal temperature of 29 degrees C. Active warming methods, including a condensed humidifier, and warming of the fluids and blood compounds with a rapid infusion system, were instigated, resulting in stabilization of the patient's hemodynamic status and the disappearance of his dysrhythmia.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fibrilação Atrial
/
Termômetros
/
Fibrilação Ventricular
/
Temperatura Corporal
/
Fármacos Cardiovasculares
/
Taquicardia Ventricular
/
Artroplastia de Quadril
/
Eritrócitos
/
Hemodinâmica
/
Hemorragia
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2006
Tipo de documento:
Artigo
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