Our data indicate that low-dose aprotinin efficiently reduces blood loss and does not adversely affect relevant safety variables in CABG surgery.

Mil de AS, Böt ti ger BW, Mor cos M (2005)Ne ben nie ren rin de und Ste roi deSup ple men tä re The ra pie in der pe ri ope ra ti ven Pha se. An aes the sist 54: 639-654 Leserbrief M. KluthIn sti tut für An äs the si o lo gie, Herz-und Dia be tes zen trum NRW, Ruhr-Uni ver si tät Bo chum

Peri-operative hypothermia has a high incidence during major abdominal surgery and is associated with serious complications. Intravascular temperature management (IVTM) is a wellestablished technique in critical care medicine. There is currently limited experience in its use to maintain peri-operative normothermia, however recent improvements in technical specifications of IVTM catheters suggest a promising approach for intra-operative use.In this report, we describe a case where intra-operative IVTM was used in addition to conventional non-invasive temperature management (NITM) in order to prevent hypothermia. Due to this management, the patient undergoing pancreatic head resection did not develop hypothermia at any time of the procedure. This highlights that intra-operative use of IVTM could be considered as an additional component of peri-operative temperature management during abdominal surgery.