Abstract:
Familial cold autoinflammatory syndrome (FCAS) is a rare phenotype of cryopyrin-associated periodic syndrome (CAPS) and is characterized by repetitive systemic inflammation triggered by cold stimulation. Recently, we treated a 13-year-old female with FCAS/CAPS scheduled to undergo removal of an impacted tooth. To minimize perioperative heat loss, a forced-air warming system was utilized to prewarm the patient for 10 minutes before induction of general anesthesia. The patient\'s core and peripheral temperatures were monitored with axillary, superficial temporal artery, and rectal thermometers. The difference in temperatures at these 3 locations decreased to 0.4° C within 60 minutes as a result of the forced-air warming system before induction. Perioperative use of the warming system successfully prevented the occurrence any significant redistribution hypothermia and any symptoms of FCAS/CAPS.
摘要:
家族性冷自身炎症综合征(FCAS)是冷冻比林相关周期性综合征(CAPS)的一种罕见表型,其特征是冷刺激引发的重复性全身性炎症。最近,我们对一名13岁女性患者进行了FCAS/CAPS治疗,该患者计划进行阻生牙摘除.为了最大程度地减少围手术期的热量损失,在全身麻醉诱导前,我们利用强制空气加温系统对患者进行了10分钟的预热.用腋窝监测患者的核心和外周温度,颞浅动脉,还有直肠温度计.这3个位置的温度差在60分钟内降至0.4°C,这是在诱导前强制空气加温系统的结果。围手术期使用加温系统成功地防止了任何明显的再分配低温和FCAS/CAPS的任何症状的发生。