Open AccessRefractory hypotension due to intraoperative hypothermia during spinal instrumentation
Author(s) -
Ponniah Vanamoorthy,
Mihir Prakash Pandia,
Parmod K. Bithal,
Sebastian Valiaveedan
Publication year - 2010
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.60500
Subject(s) - medicine , hypothermia , anesthesia , refractory (planetary science) , spinal surgery , surgery , physics , astrobiology
We report a case of inadvertent hypothermia leading to severe hypotension resistant to high dose vasopressors, which responded to temperature correction in a patient undergoing spinal instrumentation surgery. A 60-year-old female developed severe hypotension during spinal instrumentation surgery. After review of all factors it was found to be secondary to hypothermia. The patient did not respond to high dose vasopressors. However, when normothermia was restored she recovered uneventfully. Patients undergoing lengthy spinal procedures in prone position are vulnerable to develop hypothermia and consequent cardiovascular depression so adequate measures should be taken to prevent hypothermia.