Case 60: A Rapid Increase in Core Body Temperature
You are scheduled to anesthetize a 53-year-old female (130 kg, 5 ft 9 in.) for a laparoscopic revision of a gastric bypass and hiatal hernia. Two years before she had a laparoscopic Roux-en-Y gastric bypass. Her past medical history is significant for hypertension and morbid obesity. She reported no problems with her previous anesthetics. There are no allergies. A routine general anesthetic consisting of midazolam, fentanyl, propofol, and succinylcholine and an endotracheal tube placement is uneventful. Maintenance of anesthesia is with N2O in oxygen with sevoflurane and vecuronium. An orogastric tube, an esophageal temperature probe, and an upper body Bair Hugger (42°C) are placed.
KeywordsBody temperature Laparoscopy Electrocautery