Editorial Type:
Article Category: Brief Report
 | 
Online Publication Date: Oct 06, 2022

Anesthesia Management of a Patient With Familial Cold Autoinflammatory Syndrome: A Case Report

DDS,
DDS, PhD,
DDS,
DDS,
DDS,
DDS, and
DDS, PhD
Page Range: 38 – 39
DOI: 10.2344/anpr-69-02-04
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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.

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Copyright: © 2022 by the American Dental Society of Anesthesiology

Contributor Notes

Address correspondence to Akiko Nishimura, Department of Perioperative Medicine, Division of Anesthesiology, Showa University School of Dentistry, 2-1-1 Kitasenzoku, Ota-ku, Tokyo, Japan, 145-8515; nishim@dent.showa-u.ac.jp.
Received: Nov 01, 2021
Accepted: Feb 04, 2022