Malignant hyperthermia during general anesthesia for a surgery of idiopathic scoliosis: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 656-661, 2009.
Article
in Korean
| WPRIM
| ID: wpr-46295
ABSTRACT
Malignant hyperthermia is a potentially fatal hypermetabolic syndrome characterized by skeletal muscle rigidity and hyperpyrexia. We had an 11-year-old female presented for a surgery for idiopathic scoliosis of the thoracic vertebra. Generalized muscle rigidity and tachycardia were revealed 1 hour 35 minutes after isoflurane administration. Then the body temperature was risen to 43degrees C within 10 minutes and the arterial blood gas analysis showed a severe respiratory and metabolic acidosis. Under the suspicion of malignant hyperthermia, the patient was treated by discontinuing all anesthetic agents, hyperventilation with 100% oxygen, surface cooling with ice pack and the administration of dantrolene sodium. But, the patient died of renal failure and disseminated intravascular coagulation after 50 days postoperatively.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Scoliosis
/
Spine
/
Tachycardia
/
Acidosis
/
Blood Gas Analysis
/
Body Temperature
/
Muscle, Skeletal
/
Dantrolene
/
Disseminated Intravascular Coagulation
Limits:
Child
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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