Development of malignant hyperthermia obscured by cardiopulmonary bypass.
نویسندگان
چکیده
An episode of malignant hyperthermia occurring in a two-year-old child undergoing cardiac surgery is reported. The coincidental usage of hypothermic cardiopulmonary bypass obscured the classical presenting signs and symptoms of the syndrome. Once the clinical diagnosis was confirmed, rapid reversal was achieved with the administration of dantrolene sodium.
منابع مشابه
Cardiopulmonary bypass in malignant hyperthermia susceptible patients: a systematic review of published cases.
OBJECTIVES Malignant hyperthermia susceptibility is an important risk factor during general anesthesia. Affected patients have an asymptomatic but potentially lethal hypermetabolic reaction after contact with volatile anesthetics or succinylcholine. Classic symptoms include hemodynamic instability, combined with acidosis, rigor, and hyperthermia. During cardiopulmonary bypass, these signs may b...
متن کاملMassive Rhabdomyolysis Following Cardiopulmonary Bypass
Here, we report a case of massive rhabdomyolysis following an uncomplicated repair of a ventricular septal defect in a five-month-old baby. Postoperatively, the patient was hemodynamically stable but metabolic acidosis continued, accompanied by fever and delayed mental recovery. The next day, he became comatose and never regained consciousness thereafter. The computed tomography of the brain re...
متن کاملRewarming following hypothermic cardiopulmonary bypass in the malignant hyperthermia-susceptible patient: implications for diagnosis and perioperative management.
A 55-year-old, malignant hyperthermia-susceptible patient underwent myocardial revascularization without incident. Six hours postoperatively, he developed what was initially diagnosed as an MH crisis, for which he received intravenous dantrolene. The resultant muscle weakness prolonged the duration of postoperative mechanical ventilation and likely contributed to the development of a postoperat...
متن کاملAseptic meningitis after spinal anesthesia in an infant.
4. Donati F, Maille JG, Blain R, Boulanger M, Sahab P: End-tidal carbon dioxide tension and temperature changes after coronary artery bypass surgery. Can Anaesth Soc J 1985; 32:272-7 5. MacGillivray RG, Jann H, Vanker E, Gemmell L, Mahomedy AE: Development of malignant hyperthermia obscured by cardiopulmonary bypass. Can Anaesth Soc J 1986; 33:509-14 6. Del Canale S, Vezzani A, Belli L, Coffrin...
متن کاملMalignant hyperthermia as a rare cause of SIRS after cardiac surgery
Background Use of extracorporal circulation (cardiopulmonary bypass) during cardiac surgery can cause a systemic inflammatory response. This so called “post-perfusionsyndrome” (PPS) occurs in about a quarter of patients and results in clinical signs and symptoms of “systemic inflammatory response syndrome” (SIRS) in 2-10% of patients. This condition is clinically associated with mild hypertherm...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Canadian Anaesthetists' Society journal
دوره 33 4 شماره
صفحات -
تاریخ انتشار 1986