Nitroglycerin: An unusual solution to intraoperative hypothermia in a 4‐year‐old burn patient

Summary We describe the case of a 4‐year‐old child undergoing extensive burn surgery with refractory intraoperative hypothermia. A low‐dose nitroglycerin infusion was initiated to reverse vasoconstriction and improve heat absorption, after which the child's temperature steadily improved. In hyp...

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Bibliographic Details
Published in:Pediatric anesthesia 2018-01, Vol.28 (1), p.71-72
Main Authors: Goenaga Díaz, Eduardo J., Carter, Jeffrey E., Templeton, T. Wesley, Polaner, David
Format: Article
Language:English
Subjects:
burns
hypothermia
nitroglycerin
pediatric
surgery
vasodilation
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Summary:Summary We describe the case of a 4‐year‐old child undergoing extensive burn surgery with refractory intraoperative hypothermia. A low‐dose nitroglycerin infusion was initiated to reverse vasoconstriction and improve heat absorption, after which the child's temperature steadily improved. In hypothermic burn patients, topical vasoconstrictors may hinder surface warming efforts. A vasodilator infusion may aid in warming the pediatric patient undergoing extensive excision and grafting.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.13292