Treatment-Resistant Severe Hypothermia in an Infant Caused by the AirSeal® Insufflator
Journal Title: International Journal of Anesthetics and Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
The valveless trocar system is a novel insufflator that circulates carbon dioxide in the abdominal cavity. Herein, we report an infant with severe hypothermia due to use of this insufflator. An 83-day-old infant (body weight 3862 g) with gastroesophageal reflux underwent laparoscopic Nissen fundoplication. After insufflation was initiated, his body temperature acutely dropped to 34.4 °C. Standard treatments had no effect on the patient's hypothermia. The valveless trocar system can decrease body temperature due to circulated insufflation gas, and this may be especially severe in infants. The valveless trocar system should not be applied to infants without heating and humidifying the insufflation gas.
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