Intraoperative tourniquet-induced hyperthermia in a pediatric patient: a forgotten association -a case report.

IF 4.2 4区 医学 Q1 ANESTHESIOLOGY
Korean Journal of Anesthesiology Pub Date : 2024-06-01 Epub Date: 2024-01-04 DOI:10.4097/kja.23655
Tarek Tageldin, Muhammad Jaffar Khan, Temur Baykuziyev, Haitham Ahmed
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引用次数: 0

Abstract

Background: The intraoperative use of tourniquets is associated with several complications, including hyperthermia. We present the first documented case of tourniquet-induced hyperthermia in a pediatric patient at our institution.

Case: A 5-year-old female with no past medical history underwent tendon release surgery for congenital talipes equinovarus under general anesthesia. Following inflation of a pneumatic tourniquet to a pressure of 250 mmHg on her left thigh, the patient experienced a gradual increase in body temperature. Despite the implementation of cooling measures, the temperature continued to increase until it plateaued. The hyperthermia gradually resolved upon deflation of the tourniquet.

Conclusions: Tourniquet-induced hyperthermia should be considered as a potential cause of intraoperative hyperthermia, particularly in the absence of typical signs of malignant hyperthermia. Early recognition and appropriate management, including deflation of the tourniquet and implementation of cooling measures, are crucial for preventing potential complications associated with hyperthermia.

一名儿科患者术中止血带引发的高热:一种被遗忘的关联。
背景:术中使用止血带会引发多种并发症,包括高热。本院记录了首例止血带诱发高热的儿科病例:病例:一名既往无病史的 5 岁女性在全身麻醉下接受了先天性马蹄内翻足的肌腱松解手术。在左大腿上的气压止血带压力达到 250 mmHg 后,患者的体温逐渐升高。尽管采取了降温措施,但体温仍持续上升,直至稳定下来。止血带放气后,高热症状逐渐缓解:结论:止血带引发的高热应被视为术中高热的潜在原因,尤其是在没有恶性高热典型症状的情况下。早期识别和适当处理,包括放掉止血带和采取降温措施,对于预防与高热相关的潜在并发症至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
6.90%
发文量
84
审稿时长
16 weeks
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