Use of an Esophageal Heat Exchanger to Maintain Core Temperature during Burn Excisions and to Attenuate Pyrexia on the Burns Intensive Care Unit
Joint Authors
Williams, David
Leslie, Gordon
Kyriazis, Dimitrios
O’Donovan, Benjamin
Bowes, Joanne
Dingley, John
Source
Case Reports in Anesthesiology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-25
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Burns patients are vulnerable to hyperthermia due to sepsis and SIRS and to hypothermia due to heat loss during excision surgery.
Both states are associated with increased morbidity and mortality.
We describe the first use of a novel esophageal heat exchange device in combination with a heater/cooler unit to manage perioperative hypothermia and postoperative pyrexia.
Material and Methods.
The device was used in three patients with full thickness burns of 51%, 49%, and 45% body surface area to reduce perioperative hypothermia during surgeries of >6 h duration and subsequently to control hyperthermia in one of the patients who developed pyrexia of 40°C on the 22nd postoperative day due to E.
coli/Candida septicaemia which was unresponsive to conventional cooling strategies.
Results.
Perioperative core temperature was maintained at 37°C for all three patients, and it was possible to reduce ambient temperature to 26°C to increase comfort levels for the operating team.
The core temperature of the pyrexial patient was reduced to 38.5°C within 2.5 h of instituting the device and maintained around this value thereafter.
Conclusion.
The device was easy to use with no adverse incidents and helped maintain normothermia in all cases.
American Psychological Association (APA)
Williams, David& Leslie, Gordon& Kyriazis, Dimitrios& O’Donovan, Benjamin& Bowes, Joanne& Dingley, John. 2016. Use of an Esophageal Heat Exchanger to Maintain Core Temperature during Burn Excisions and to Attenuate Pyrexia on the Burns Intensive Care Unit. Case Reports in Anesthesiology،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1100267
Modern Language Association (MLA)
Williams, David…[et al.]. Use of an Esophageal Heat Exchanger to Maintain Core Temperature during Burn Excisions and to Attenuate Pyrexia on the Burns Intensive Care Unit. Case Reports in Anesthesiology No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1100267
American Medical Association (AMA)
Williams, David& Leslie, Gordon& Kyriazis, Dimitrios& O’Donovan, Benjamin& Bowes, Joanne& Dingley, John. Use of an Esophageal Heat Exchanger to Maintain Core Temperature during Burn Excisions and to Attenuate Pyrexia on the Burns Intensive Care Unit. Case Reports in Anesthesiology. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1100267
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100267