Association of postanaesthetic hyperthermia with abnormal muscle characteristics: A case report

Kripke, Benjamin J.; Blanck, Thomas J. J.; Sizemore, David A.; Comunale, Francis L.; Gruener, Raphael

doi:10.1007/bf03013810

Cited by 9 publications

(2 citation statements)

References 11 publications

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“…MH reactions can become apparent in PACU and, where trigger agents have been involved, all events with one exception 23 have developed within one hour of transfer to PACU [24][25][26][27] . Reported reactions following trigger-free anaesthesia are few and in general, mild [4][5][6][28][29][30][31][32][33] .…”

Section: Discussionmentioning

confidence: 99%

Safe Duration of Postoperative Monitoring for Malignant Hyperthermia Susceptible Patients

Pollock

Langtont

Stowell

et al. 2004

Anaesth Intensive Care

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Postoperative management of malignant hyperthermia (MH) susceptible patients has changed substantially over the last 20 years, with many patients now managed as day cases. Our previous policy was to monitor known MH susceptible patients (and relatives of known MH susceptible individuals not yet investigated by muscle biopsy) for four hours in the Post Anaesthetic Care Unit. However, anaesthetic literature reports suggest that MH reactions usually commence within one hour of anaesthesia. For this reason we conducted a retrospective review of Post Anaesthetic Care Unit data in 254 MH susceptible/related patients treated between 1991 and late 2000. On the basis of this review we instituted a policy change and reduced our monitoring time to one hour in the Post Anaesthetic Care Unit with a further 1.5 h in a step-down unit if indicated. A prospective study in a further 68 MH susceptible/related patients showed that no MH reactions were missed due to the shorter monitoring period.

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Section: Discussionmentioning

confidence: 99%

Safe Duration of Postoperative Monitoring for Malignant Hyperthermia Susceptible Patients

Pollock

Langtont

Stowell

et al. 2004

Anaesth Intensive Care

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“…Fully expressed, it includes rapid rise in body temperature; "rigidity" of masseter and limb muscles; metabolic acidosis; tachycardia and arrhythmias; and myoglobinuria (Britt et al, 1969;Gronert, 1980;Rutberg et al, 1983). Problems arise when one or more of the major characteristics is missing Kripke et al, 1982). It is stated that rigidity is not seen in 20% of acceptable cases (Britt and Kalow, 1970) and even fever may be lacking (Bernardt and Horder, 1978).…”

Section: Hereditable Myoglobinuriamentioning

confidence: 99%

Myoglobinuria, 1984

Rowland

1984

Can. j. neurol. sci.

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The year is included in the title of this review because the subject is the diversity of conditions that result in myoglobinuria, and new causes keep appearing as conditions in society change or new drugs are introduced. The syndrome is often linked to seamier aspects of society or medicine : war; sadistic drill sergeants; drug abuse; attempted suicide; self-medication or inadequate supervision of drug therapy. On the other hand, study of myoglobinuric syndromes has informed us about new hereditable biochemical causes and we have learned more about the action of viruses on muscle.

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Markedly Delayed Postoperative Malignant Hyperthermia

Cr¹,

Sj²,

Jc³

1986

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\ 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.

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Association of postanaesthetic hyperthermia with abnormal muscle characteristics: A case report

Cited by 9 publications

References 11 publications

Safe Duration of Postoperative Monitoring for Malignant Hyperthermia Susceptible Patients

Safe Duration of Postoperative Monitoring for Malignant Hyperthermia Susceptible Patients

Myoglobinuria, 1984

Markedly Delayed Postoperative Malignant Hyperthermia

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