Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management

Malignant Hyperthermia is a pharmacogenetic disorder. Classical manifestations comprise of tachycardia, increase in expired carbon dioxide levels, muscle rigidity, hyperthermia (>38.8°C) and unexpected acidosis. Here we report a case of 16-year-old female patient, ASA-I with chronic rhino-sinusit...

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Autores principales: Gulabani, Michell, Gurha, Pavan, Ahmad, Sabih, Dass, Prashant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234795/
https://www.ncbi.nlm.nih.gov/pubmed/25425784
http://dx.doi.org/10.4103/0970-9185.142860
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author Gulabani, Michell
Gurha, Pavan
Ahmad, Sabih
Dass, Prashant
author_facet Gulabani, Michell
Gurha, Pavan
Ahmad, Sabih
Dass, Prashant
author_sort Gulabani, Michell
collection PubMed
description Malignant Hyperthermia is a pharmacogenetic disorder. Classical manifestations comprise of tachycardia, increase in expired carbon dioxide levels, muscle rigidity, hyperthermia (>38.8°C) and unexpected acidosis. Here we report a case of 16-year-old female patient, ASA-I with chronic rhino-sinusitis and slight strabismus of the left eye posted for functional endoscopic sinus surgery, developing a rise in ETCO(2) and temperature immediately following anesthesia induction. She was aggressively managed to an uneventful recovery. We present a case of intra-operative post-induction hyperthermia possibly MH, its anesthetic implications, challenges encountered and its management.
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spelling pubmed-42347952014-11-25 Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management Gulabani, Michell Gurha, Pavan Ahmad, Sabih Dass, Prashant J Anaesthesiol Clin Pharmacol Case Report Malignant Hyperthermia is a pharmacogenetic disorder. Classical manifestations comprise of tachycardia, increase in expired carbon dioxide levels, muscle rigidity, hyperthermia (>38.8°C) and unexpected acidosis. Here we report a case of 16-year-old female patient, ASA-I with chronic rhino-sinusitis and slight strabismus of the left eye posted for functional endoscopic sinus surgery, developing a rise in ETCO(2) and temperature immediately following anesthesia induction. She was aggressively managed to an uneventful recovery. We present a case of intra-operative post-induction hyperthermia possibly MH, its anesthetic implications, challenges encountered and its management. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4234795/ /pubmed/25425784 http://dx.doi.org/10.4103/0970-9185.142860 Text en Copyright: © Journal of Anaesthesiology Clinical Pharmacology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gulabani, Michell
Gurha, Pavan
Ahmad, Sabih
Dass, Prashant
Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
title Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
title_full Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
title_fullStr Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
title_full_unstemmed Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
title_short Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
title_sort intra-operative post-induction hyperthermia, possibly malignant hyperthermia: anesthetic implications, challenges and management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234795/
https://www.ncbi.nlm.nih.gov/pubmed/25425784
http://dx.doi.org/10.4103/0970-9185.142860
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