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KMID : 0356920090570030392
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Korean Journal of Anesthesiology
2009 Volume.57 No. 3 p.392 ~ p.394
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Uncontrollable hyperthermia in acute cerebral injury - A Case report -
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Lee Won-Jin
Lee Kun-Moo
Lim Se-Hun
Lee Jeong-Han
Cheong Soon-Ho
Choe Young-Kyun
Shin Chee-Mahn
Cho Kwang-Rae
Kim Young-Hwan
Kim Seung-Su
Lee Sang-Eun
Kim Young-Jae
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Abstract
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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 38.3oC and 38 mmHg, respectively. The body temperature and ETCO2 increased during surgery. After 2 hours of anesthesia, the temperature had increased to 41oC, despite bladder irrigation and body cooling. After 3 hours of anesthesia, the temperature reached 43.5oC and cardiac arrest developed. Cardiopulmonary resuscitation was attempted, but the patient expired.
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KEYWORD
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Cerebral injury, Hyperthermia, Intracerebral hemorrhage
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