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

页码：71 / 72

页数：2