A rare case of late onset malignant hyperthermia | [Anaesthesia, Pain and Intensive Care • 2022]

Author(s):

1. Robert Victor: The University of California, Irvine Medical Center, 101 The City Dr S, Orange, CA 92868, United States

2. Richard Kelly: The University of California, Irvine Medical Center, 101 The City Dr S, Orange, CA 92868, United States

3. Ryan Cockrill: The University of California, Irvine Medical Center, 101 The City Dr S, Orange, CA 92868, United States

4. Karen Katrivesis: The University of California, Irvine Medical Center, 101 The City Dr S, Orange, CA 92868, United States

5. Corey Nelson: The University of California, Irvine Medical Center, 101 The City Dr S, Orange, CA 92868, United States

6. Govind Rajan: The University of California, Irvine Medical Center, 101 The City Dr S, Orange, CA 92868, United States

Abstract:

A 42-year-old man with neck squamous cell carcinoma underwent awake fiberoptic intubation and tumor resection under general anesthesia. He developed malignant hyperthermia several hours into the surgical procedure. This case highlights malignant hyperthermia’s (MH) variable time course, pathognomonic signs, and the need for rapid diagnosis and treatment. Early recognition and treatment led to rapid resolution of MH. Ongoing discussion of MH is imperative because this disease is often difficult to diagnose early in its time course and may be fatal if not treated expeditiously.

Page(s): 546-550

DOI: 10.35975/apic.v26i4.1963

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 26, Issue: 4, Year: 2022

Keywords:

diagnosis , Anesthesia , Humans , differential , Dantrolene therapeutic use , Malignant Hyperthermia etiology , Malignant Hyperthermia diagnosis , Malignant Hyperthermia physiopathology , Malignant Hyperthermia therapy , General methods

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