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Uncontrollable hyperthermia in acute cerebral injury: A case report.

Research paper by Wonjin W Lee, Young Hwan YH Kim, Seung Su SS Kim, Kwang Rae KR Cho, Sang Eun SE Lee, Se Hun SH Lim, Jeong Han JH Lee, Kun Moo KM Lee, Soon Ho SH Cheong, Young Kyun YK Choe, Young Jae YJ Kim, Chee Mahn CM Shin

Indexed on: 01 Sep '09Published on: 01 Sep '09Published in: Korean journal of anesthesiology



Abstract

A 39 year old man arrived at the hospital with semi-comatose state as a result of spontaneous intracerebral hemorrhage (ICH), intraventricular hemorrhage (IVH) and subarachnoid hemorrhage (SAH). For emergency craniectomy and hematoma removal, general anesthesia with desflurane and vecuronium was planned. Before the induction of anesthesia, the body temperature and end-tidal carbon dioxide (ETCO2) levels were 38.3degrees C and 38 mmHg, respectively. The body temperature and ETCO2 increased during surgery. After 2 hours of anesthesia, the temperature had increased to 41degrees C, despite bladder irrigation and body cooling. After 3 hours of anesthesia, the temperature reached 43.5degrees C and cardiac arrest developed. Cardiopulmonary resuscitation was attempted, but the patient expired.