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.
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...
A Comparison of Three Different Supraglottic Airway Devices in Neonatal Airway Training during Resuscitation Simulation
Objective: The aim of this study was to compare the success rates for insertion using the laryngeal mask, laryngeal tube, and I-gel supraglottic airway devices in a neonatal airway manikin during a resuscitation simulati...
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...
Trachway Intubating Stylet Facilitates the Double-Lumen Endobronchial Tube Placement in Patients with Limited Mouth Opening
Intubation for one lung ventilation in patients with difficult airways can be a challenge. Severely limited mouth opening restricts the use of direct laryngoscopy or video-assisted laryngoscopy. We present two patients w...
Integrated Pulmonary Index: A New Strategy for Respiratory Patients Evaluation
Purpose: We presented a study of the importance of integrated pulmonary index (IPI) correlated with arterial blood gas analysis in the respiratory management of the patient (surgical or internal medicine) recovering in i...