[Efficacy of active core rewarming using fluid heating system HOTLINE before and during the operation in a patient with for panperitonitis in state of shock and hypothermia].
A 62-year-old man was transported to the emergency room. He was in the state of shock and hypothermia of 34.2 degrees C. Fluid therapy was started using a HOTLINE to raise the body temperature, with vasopressors, vitamin B1 and sodium bicarbonate after checking arterial blood gas. Diagnosis of panperitonitis was made and operation was started immediately. We used HOTLINE before and during the operation. Body temperature returned to normal ranges, and hemodynamic state was stabilized at the end of the operation. After the operation, he received controlled artificial ventilation and nutrition support with intravenous hyperalimentation. Though he was complicated with disseminated intravascular coagulation, he went to general ward 17 days, and was discharged at 47 days after the operation. Sepsis accompanied with hypothermia leads to poor prognosis. We used fluid therapy with rapid-heating, and obtained good outcome. HOTLINE is effective for hypothermia in an emergency patient, because its effect is sure and does not obstruct the examination and management.
Myojo
Yasuhiro
Y
Department of Anesthesia and Intensive Care, Takaoka City Hospital, Takaoka 933-8550.
Tohyama
Kazuki
K
Taki
Yasunori
Y
Kimoto
Fumihiko
F
D004630:Emergencies; D005440:Fluid Therapy / Q000379:methods*; D006361:Heating; D006801:Humans; D007035:Hypothermia / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000601:surgery*; D017694:Rewarming; D012769:Shock / Q000150:complications*