Dantrolene and Post-operative Hyperthermia: A Case Report / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 92-98, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-645032
ABSTRACT
Malignant hyperthermia is a rare, fatal pharmacogenetic disorder that occurs during general anesthesia following exposure to a depolarizing muscle relaxant, such as succinylcholine, or volatile anesthetics. Clinical findings in malignant hyperthermia include muscle rigidity, sinus tachycardia, increased CO2 production, skin cyanosis with mottling, and marked hyperthermia. For treatment, cooling techniques must be accompanied by discontinuation of the provocative medication. Furthermore, dantrolene administration is the mainstay of treatment for malignant hyperthermia, and should be initiated as soon as the diagnosis is suspected. We recently experienced a case with post-operative fever of 41.0degrees C refractory to conventional anti-pyretic measures and finally resolved with dantrolene administration, in a patient with methicillin-sensitive Staphylococcus aureus monoarthritis of the knee and rapid progression of diffuse septic pneumonia requiring mechanical ventilation.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Artrite
/
Respiração Artificial
/
Pele
/
Staphylococcus aureus
/
Succinilcolina
/
Taquicardia Sinusal
/
Cianose
/
Dantroleno
/
Febre
Limite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2009
Tipo de documento:
Artigo
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