Anaesthesia, Pain & Intensive Care | |
Published- Post cervical spine surgery hyperpyrexia (108°F) in a patient with COVID-19: a case reportSpine surgery, COVID-19 and hyperpyrexia | |
article | |
Nimisha Cherunghattil1  Chinmaya K. Panda1  Habib M. R. Karim1  Mishal Dhawan1  | |
[1] Department of Anesthesia, Critical Care & Pain Medicine. All India Institute of Medical Sciences | |
关键词: Hyperpyrexia; Malignant Hyperthermia; COVID-19; Spine Surgery; | |
DOI : 10.35975/apic.v27i2.2045 | |
学科分类:社会科学、人文和艺术(综合) | |
来源: THK | |
【 摘 要 】
Perioperative hyperpyrexia raises many questions and can cause permanent brain damage if left untreated. Malignant hyperthermia (MH), although uncommon, but sporadic cases continue to happen and it is potentially life-threatening. It is characterized by sudden rise of body temperatures to above 106° F or even more, and hypercapnia. It is usually associated with anesthetic exposure. However, not every hyperpyrexia is MH; a clinical examination, risk stratification, scoring, and logical approach are required to exclude MH in the postoperative patient. We present a case of rare postoperative hyperpyrexia caused by COVID-19. The patient underwent uneventful spine surgery under general anesthesia and developed hyperpyrexia on the first postoperative day. The case highlights the importance of a logical and systematic approach for excluding the causes of postoperative hyperpyrexia and aggressive management.
【 授权许可】
CC BY-NC
【 预 览 】
Files | Size | Format | View |
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RO202307120001028ZK.pdf | 377KB | download |