Korean J Anesthesiol.  2024 Jun;77(3):397-400. 10.4097/kja.23655.

Intraoperative tourniquet-induced hyperthermia in a pediatric patient: a forgotten association -a case report-

• Tageldin T
• Khan MJ
• Baykuziyev T
• Ahmed H

• KMID: 2556071
• DOI: http://doi.org/10.4097/kja.23655

Abstract

Background
The intraoperative use of tourniquets is associated with several complications, including hyperthermia. We present the first documented case of tourniquet-induced hyperthermia in a pediatric patient at our institution. Case: A 5-year-old female with no past medical history underwent tendon release surgery for congenital talipes equinovarus under general anesthesia. Following inflation of a pneumatic tourniquet to a pressure of 250 mmHg on her left thigh, the patient experienced a gradual increase in body temperature. Despite the implementation of cooling measures, the temperature continued to increase until it plateaued. The hyperthermia gradually resolved upon deflation of the tourniquet.
Conclusions
Tourniquet-induced hyperthermia should be considered as a potential cause of intraoperative hyperthermia, particularly in the absence of typical signs of malignant hyperthermia. Early recognition and appropriate management, including deflation of the tourniquet and implementation of cooling measures, are crucial for preventing potential complications associated with hyperthermia.

Keyword

Hyperthermia; Intraoperative; Local complication; Management; Systemic complication; Tourniquet