A Case of 95% Total Body Surface Area Burn Successfully Managed with Intravascular Temperature Management to Prevent Hypothermia during Burn Surgery

Abstract

 Patients with extensive burns are at a high risk of hypothermia due to heat loss from burn wounds. Intraoperative hypothermia is a critical factor associated with increased mortality and postoperative complications. Herein, we report the use of intravascular temperature management for the treatment of a patient with a 95% total body surface area burn to maintain body temperature during surgery. During the initial two rounds of surgery using traditional methods, significant body temperature drops were observed. However, during the third and fourth rounds of surgery using intravascular temperature management, temperature fluctuations were maintained to within 1.0℃of the target, which enabled prolonged surgical duration. To mitigate the risk of blood clot formation, the duration of catheter placement was limited to two days. This case demonstrates that preoperative warming and intravascular temperature management can prevent intraoperative hypothermia. These findings suggest that intravascular temperature management is an effective strategy for maintaining body temperature in patients with extensive burns, potentially improving surgical outcomes and reducing complications.