Korean J Anesthesiol.  2009 Sep;57(3):392-394. 10.4097/kjae.2009.57.3.392.

Uncontrollable hyperthermia in acute cerebral injury: A case report

• Lee W
• Kim YH
• Kim SS
• Cho KR
• Lee SE
• Lim SH
• Lee JH
• Lee KM
• Cheong SH
• Choe YK
• Kim YJ
• Shin CM

• KMID: 2236515
• DOI: http://doi.org/10.4097/kjae.2009.57.3.392

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.

Keyword

Cerebral injury; Hyperthermia; Intracerebral hemorrhage

MeSH Terms

Anesthesia
Anesthesia, General
Body Temperature
Carbon Dioxide
Cardiopulmonary Resuscitation
Cerebral Hemorrhage
Emergencies
Fever
Heart Arrest
Hematoma
Hemorrhage
Humans
Isoflurane
Subarachnoid Hemorrhage
Urinary Bladder
Vecuronium Bromide
Carbon Dioxide
Isoflurane
Vecuronium Bromide