Hypothermia as a cause of coagulopathy during hepatectomy

Albert Wai Cheung Lau, Chia Chen Chen, Rick Sai Chuen Wu, Kin Shing Poon*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations

Abstract

We report a 27-year-old hemostatically competent female scheduled for partial hepatectomy. During the operation, she experienced an accidental inferior vena cava tear and suffered acute blood loss. After fluid resuscitation and blood transfusion, she developed hypothermia, with a temperature of 33.8°C, and severe coagulopathy with activated clotting time exceeding 1500 seconds measured using the Hemochron Response system (ITC, Edison, NJ, USA). Despite sufficient blood transfusion and correction of her electrolyte imbalance, the poor hemostasis persisted. After per-forming peritoneal lavage with warm saline, her condition dramatically improved and her hypothermia and severe coagulopathy were reversed.

Original languageEnglish
Pages (from-to)103-106
Number of pages4
JournalActa Anaesthesiologica Taiwanica
Volume48
Issue number2
DOIs
StatePublished - 06 2010
Externally publishedYes

Keywords

  • blood coagulation: coagulopathy
  • hypothermia

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