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deleted875186
Had a case, middle aged healthy guy getting an excision of some soft tissue benign tumor (forgot the name) on the chest. Guy had a thoracoromy, lymph node dissection, we placed a left double linen tube, had to go on OLV to aid expose for about 30 mins halfway through case. Placed an epidural and ran it for the case. Maitinance was volatile with some fentanyl. Anyway, even from the start of the case, I put the guy on the vent on two lungs, mild hypercarbia at the start of the case. Had hypercarbia during the case, increased MV a little, etCO2 up to 45 of so woth PaCO2 of 50. It did respond to increasing the minute ventilation, but I was ventilating this guy at 10 L/min or so. The guy was kind of large, maybe almost 6 feet. Halfway through the case his temp had climbed to 38.3, no Baer hugger on. No abnormalities otherwise on his ABG than a mild respiratory acidosis, no other signs of MH, curious if you guys have any idea why the hyperthermia?
The guy woke up fine, but was still febrile in te PACU, temp ended up coming down in a couple hours.
The guy woke up fine, but was still febrile in te PACU, temp ended up coming down in a couple hours.