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.
Authors and Affiliations
Keywords
Related Articles
- EP ID EP340373
- DOI 10.23937/2377-4630/1410056
- Views 117
- Downloads 0
Difficult Airway Management in Patients Submitted to General Anesthesia. Is it a Matter of Devices or Predictive Scores?
Background: Incidence of difficult tracheal intubation in elective surgery population varies in a wide range, with estimated pooled frequency of 6.8%. Unanticipated difficult intubation has been reported in 1.5-8.5% of a...
Extubating Techniques for the Difficult Airway
Abstract: PACU or ICU patients generally require reintubation for two main reasons-inadequate airway patency (extubation failure) and residual need for mechanical support (weaning failure). Such events are relatively com...
Which Guidance Method during Tracheotomy Procedure in Patients with Short Neck in the ICU?: A Prospective Randomized Study
Purpose: Utilization of fiber optic video bronchoscope (F) alone vs. in combination with ultrasound (U + F) during tracheotomy procedures for patients with remarkable short necks. Materials and methods: Nineteen patient...
A Case Report: Adaptive Servo Ventilation for a Patient with Acute Heart Failure and Central Sleep Apnea
Abstract: A 50-year-old male presented to the emergency room at night with complaints of paroxysmal nocturnal dyspnea and worsening shortness of breath on exertion. He was an active tireless estate agent till three month...
Anesthesiologists as Operating Room Directors: Results of a Survey
Background: Many ideas have gone into the development of the concept of the Perioperative Surgical Home (PSH) and Enhanced Recovery after Surgery (ERAS). Many anesthesiologists have advocated for an increased role in ope...