 |
|
Markedly Delayed Postoperative Malignant Hyperthermia
Charles R. Souliere, Jr, MD;
Steven J. Weintraub, MD;
J. Cameron Kirchner, MD
Arch Otolaryngol Head Neck Surg. 1986;112(5):564-566.
Abstract
• Malignant hyperthermia (MH) may be triggered by exposure to commonly employed anesthetic agents and muscle relaxants, and often manifests itself during the period of anesthesia. Delayedonset MH occurring one to four hours postoperatively has been described in isolated case reports. A case of delayedonset MH occurred 11 hours following routine tonsillectomy and adenoidectomy. The patient demonstrated tachypnea, tachycardia, hyperthermia, and metabolic acidosis. Prompt intravenous administration of dantrolene sodium was therapeutic. Serial serum creatine phosphokinase evaluation verified the diagnosis of MH. The implications of delayed-onset MH and the importance of preoperative screening for potentially susceptible individuals are discussed.
(Arch Otolaryngol Head Neck Surg 1986;112:564-566)
Author Affiliations
From the Departments of Otolaryngology (Drs Souliere and Kirchner) and Anesthesia (Dr Weintraub), Yale-New Haven (Conn) Hospital.
Footnotes
Accepted for publication May 13, 1985.
Reprint requests to Section of Otolaryngology, Yale-New Haven Hospital, Davenport Avenue, New Haven, CT 06510 (Dr Kirchner).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Malignant Hyperthermia-Like Syndrome and Carnitine Palmitoyltransferase II Deficiency with Heterozygous R503C Mutation
Hogan and Vladutiu
Anesth. Analg. 2009;109:1070-1072.
ABSTRACT
| FULL TEXT
Is Desflurane a "Weak" Trigger of Malignant Hyperthermia? * Response
Wappler et al.
Anesth. Analg. 2003;97:295-295.
FULL TEXT
|
