[A case of malignant hyperthermia: anesthesia and recovery].

Abstract

We report the case of a 29-years-old woman with Menière's syndrome undergoing surgery to drain the endolymphatic sack. After anesthetic induction trismus developed but tubes were inserted without difficulty. Tachycardia began 15 min after start of balanced anesthesia with isoflurane, as arterial oxygen saturation and CO2 pressure decreased and temperature increased. These symptoms responded favorably to immediate treatment with dantrolene sodium, which was continued for 30 h in the ward for postoperative intensive care. Blood chemistry reports showed high enzyme levels that peaked at 24 h. We stress the importance of monitoring end tidal CO2 pressure and of rapidly starting specific treatment with dantrolene for correction of the clinical picture described.

• Authors: J Galán, P Justo, I Renart, R Alepuz, R Montero
• Journal: Revista espanola de anestesiologia y reanimacion (Rev Esp Anestesiol Reanim) 1995 Aug-Sep Vol. 42 Issue 7 Pg. 274-6 ISSN: 0034-9356 [Print] Spain
• Vernacular Title: Un caso de hipertermia maligna: anestesia y reanimación.
• PMID: 7481024 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Anesthesia (adverse effects)
• Female
• Humans
• Malignant Hyperthermia (etiology, therapy)