Skin injury with the use of a water warming device.

HYPOTHERMIA is common during extensive and prolonged surgery such as a liver transplantation (OLT). Hypothermia can cause or exacerbate preexisting coagulation abnormalities and myocardial dysfunction. Efforts to prevent hypothermia during OLT and other major operations have largely employed active warming devices utilizing forced-air warming. A new device, the Allon System with the ThermoWrap garment (MTRE Advanced Technologies Ltd., Centerville, OH), circulates warmed water through a special garment to prevent hypothermia. We report the case of pressure/burn injury secondary to the use of this device.