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CASE REPORT
Year : 2010  |  Volume : 54  |  Issue : 1  |  Page : 56-58

Refractory hypotension due to intraoperative hypothermia during spinal instrumentation


Department of Neuroanesthesiology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Mihir P Pandia
Department of Neuroanesthesia, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.60500

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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.


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