Nitroglycerin: An unusual solution to intraoperative hypothermia in a 4-year-old burn patient

被引：0
|
作者：
Diaz, Eduardo J. Goenaga [1 ]
Carter, Jeffrey E. [2 ]
Templeton, T. Wesley [1 ]
机构：
[1] Wake Forest Sch Med, Dept Anesthesiol, Winston Salem, NC USA
[2] Wake Forest Sch Med, Dept Trauma Surg, Winston Salem, NC USA
来源：
PEDIATRIC ANESTHESIA | 2018年 / 28卷 / 01期
关键词：
burns; hypothermia; nitroglycerin; pediatric; surgery; vasodilation; INJURY;
D O I：
10.1111/pan.13292
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We describe the case of a 4-year-old child undergoing extensive burn surgery with refractory intraoperative hypothermia. A low-dose nitroglycerin infusion was initiated to reverse vasoconstriction and improve heat absorption, after which the child's temperature steadily improved. In hypothermic burn patients, topical vasoconstrictors may hinder surface warming efforts. A vasodilator infusion may aid in warming the pediatric patient undergoing extensive excision and grafting.
引用
收藏
页码：71 / 72
页数：2
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