Inadvertent hypothermia causes pulseless electrical activity in a patient during cervical spine surgery - A case report

H. L. Lee, C. M. Lin, J. C. Hsu, S. J. Hwang, C. Y. Yang, C. Y. Wu, P. W. Lui*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

2 Scopus citations

Abstract

Recent studies have shown that hypothermia triples the incidence of major cardiac events. We present a happening in which a 71-year-old patient developed pulseless electrical activity (PEA) while he was undergoing cervical laminectomy for spinal stenosis in the sitting position. Thromboembolism or venous air embolism and acute myocardial infarction were respectively excluded by transesophageal echocardiography and cardiac enzymes analysis to be the causes of the cardiac event. The abnormal finding that stood out was low nasopharyngeal temperature (31°C) during the procedure, which was thought to contribute to the development of the PEA episode.

Original languageEnglish
Pages (from-to)145-148
Number of pages4
JournalMa zui xue za zhi = Anaesthesiologica Sinica
Volume39
Issue number3
StatePublished - 2001
Externally publishedYes

Keywords

  • Heart arrest
  • Hypothermia
  • Intraoperative complication

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