Intravascular temperature management of a patient undergoing pancreatic head resection.

Intravascular temperature management of a patient undergoing pancreatic head resection.

Published: 22 May 2018

© Anaesthesia Cases / 2018-0058 / ISSN 2396-8397

Authors

Dr Christian Greke [1]
Dr Jan Persson [1]
Dr Mario Kluth [1]
Mr Sebastian Albers [1]
Prof. Bernd Bachmann-Mennenga [2]
  • [1] Medical Doctor, University Department of Anaesthesiology, Critical Care and Emergency Medicine, Johannes Wesling Hospital, Minden, Germany
  • [2] Clinical Director, University Department of Anaesthesiology, Critical Care and Emergency Medicine, Johannes Wesling Hospital, Minden, Germany

Summary

Peri-operative hypothermia has a high incidence during major abdominal surgery and is associated with serious complications. Intravascular temperature management (IVTM) is a well-established technique in critical care medicine. There is currently limited experience in its use to maintain peri-operative normothermia, however recent improvements in technical specifications of IVTM catheters suggest a promising approach for intra-operative use.

In this report, we describe a case where intra-operative IVTM was used in addition to conventional non-invasive temperature management (NITM) in order to prevent hypothermia. Due to this management, the patient undergoing pancreatic head resection did not develop hypothermia at any time of the procedure. This highlights that intra-operative use of IVTM could be considered as an additional component of peri-operative temperature management during abdominal surgery.

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