Korean Journal of Anesthesiology

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Case Report
Korean J Anesthesiol. 2009;57(3):392-394.
DOI: https://doi.org/10.4097/kjae.2009.57.3.392
Uncontrollable hyperthermia in acute cerebral injury: A case report.
Wonjin Lee, Young Hwan Kim, Seung Su Kim, Kwang Rae Cho, Sang Eun Lee, Se Hun Lim, Jeong Han Lee, Kun Moo Lee, Soon Ho Cheong, Young Kyun Choe, Young Jae Kim, Chee Mahn Shin
Department of Anesthesiology and Pain Medicine, Inje University College of Medicine, Busan, Korea. anehero@naver.com
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.

Keywords :Cerebral injury;Hyperthermia;Intracerebral hemorrhage

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