Retrial of Anesthetic Management for a Patient with Malignant Hyperthermia during Previous General Anesthesia / 대한마취과학회지
Korean Journal of Anesthesiology
; : 141-144, 2000.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-15259
Responsible library:
WPRO
ABSTRACT
Malignant hyperthermia is a subclinical myopathy, usually triggered by anesthetics and associated with a mortality rate of up to 70%, when left untreated. But with early diagnosis using capnography and with the advent of dantrolene, the mortality rate could be reduced to less than 5%, which implies the significance of early diagnosis and proper treatment. Owing to the reduced mortality rate, anesthesiologists get more chances to encounter patients with a previous history of malignant hyperthermia and knowledge to provide proper anesthetic management become essential. We present a case in which malignant hyperthermia was detected in a 67 year old female patient with gastric cancer and a thyroid mass during the first operation and successfully treated with promptly initiated supportive measures based on capnography finding without dantrolene which was not available at the time and the same patient rescheduled for subsequent gastrectomy in which we chose non-triggering agents in adjunct to epidural anesthesia without provoking malignant hyperthermia.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
/
Digestive System Diseases
/
Musculoskeletal Diseases and Rheumatic Disorders
/
Stomach Cancer
/
Thyroid Cancer
Database:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
/
Thyroid Gland
/
Mortality
/
Capnography
/
Dantrolene
/
Early Diagnosis
/
Gastrectomy
/
Anesthesia, Epidural
/
Anesthesia, General
/
Anesthetics
Type of study:
Diagnostic study
/
Prognostic study
/
Screening study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2000
Document type:
Article