[MALIGNANT HYPERTHERMIA].

Abstract

INTRODUCTION:

In this article we describe the treatment of a patient who developed suspicious symptoms of malignant hyperthermia syndrome during anesthesia for elective cerebral catheterization. We also described an up-to-date review of malignant hyperthermia, diagnosis and treatment. Details regarding the case: this is a case of a 57 year old male patient who was admitted for an elective catheterization under general anesthesia. Four hours following anesthesia induction, the patient presented with the following symptoms: a gradual increase in end tidal carbon dioxide measurements, an elevated core temperature, tachycardia, decreased oxygen saturation and excessive sweating. Arterial blood gases indicated respiratory acidosis. With a clinical diagnosis of malignant hyperthermia, the catheterization procedure was stopped. The patient was disconnected from the anesthesia machine and was ventilated with a clean ventilator with 100% oxygen. Additionally, active patient cooling was initiated along with supportive pharmacologic treatment. The patient was then moved, anesthetized and ventilated into the post anaesthesia care unit. Following a clinical and laboratory improvement the patient was extubated.

• Authors: Eitan Mangoubi, Michal Y Livne, Yaakov Pollak, Leonid A Eidelman
• Journal: Harefuah (Harefuah) Vol. 159 Issue 6 Pg. 429-431 (06 2020) ISSN: 0017-7768 [Print] Israel
• PMID: 32583646 (Publication Type: Case Reports, Journal Article)

Chemical References

• Oxygen

Topics

• Anesthesia, General
• Anesthesiology
• Fever
• Humans
• Male
• Malignant Hyperthermia
• Middle Aged
• Oxygen