• Paediatric anaesthesia · Jan 2018

    Case Reports

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

    • Eduardo J Goenaga Díaz, Jeffrey E Carter, and T Wesley Templeton.
    • Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
    • Paediatr Anaesth. 2018 Jan 1; 28 (1): 71-72.

    AbstractWe 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.© 2017 John Wiley & Sons Ltd.

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