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espanolExponemos un caso clinico con el objetivo de mostrar como puede presentarse un cuadro de hipertermia con consecuencias hemodinamicas graves, asi como destacar que un diagnostico (clinico y mediante sistemas de monitorizacion minimamente invasivos) y tratamiento precoces son imprescindibles para conseguir una adecuada evolucion del paciente. Es un caso de hipertermia iatrogenica en un hombre de 59 anos sometido a exenteracion pelvica total. Mostramos como la hipertermia puede presentarse con repercusion clinica importante y grave, en forma de Sindrome de Respuesta Inflamatoria Sistemica, que puede poner en peligro la vida del paciente, y como su diagnostico y tratamiento precoz (mediante la monitorizacion con el sistema VIGILEO) puede ser clave para que la evolucion del cuadro sea adecuada. La conclusion a la cual queremos llegar es que la hipertermia puede presentarse como un SRIS y que la monitorizacion hemodinamica y de la temperatura corporal puede ayudarnos en su diagnostico y tratamiento. EnglishWe report a case in order to show how you can present with symptoms of hyperthermia with severe hemodynamic consequences and noted that a diagnosis (clinically and by systems of minimally invasive monitoring) and early treatment are essential for adequate patient outcome. It’s a case of iatrogenic hyperthermia in a man of 59 years underwent total pelvic exenteration. We show how hyperthermia can present with significant and serious clinical consequences, as syndrome systemic inflammatory response, which may endanger the patient’s life, as early diagnosis and treatment (by monitoring the Vigileo system) can be key to the evolution of the condition is appropriate. The conclusion at which we arrive is that hyperthermia may occur as a SIRS and hemodynamic and body temperature monitoring may help in diagnosis and treatment.

Hyperthermia iatrogenic with thermal blanket for patient under total pelvic exenteration