Malignant hyperthermia when dantrolene is not readily available
نویسندگان
چکیده
منابع مشابه
Dantrolene sodium and management of malignant hyperthermia.
Malignant hyperthermia (MH) is an inherited muscle disorder suffered by patients who undergo a stressful situation or acute trauma or who have been given certain anesthetic agents. 1,2 MH has been called the most common cause of anesthesiarelated death in North America, contributing a large percentage of the 15,000 to 20,000 of such deaths recorded annually.3 The 53% mortality rate of today com...
متن کاملDantrolene requires Mg2+ to arrest malignant hyperthermia.
Malignant hyperthermia (MH) is a clinical syndrome of skeletal muscle that presents as a hypermetabolic response to volatile anesthetic gases, where susceptible persons may develop lethally high body temperatures. Genetic predisposition mainly arises from mutations on the skeletal muscle ryanodine receptor (RyR). Dantrolene is administered to alleviate MH symptoms, but its mechanism of action a...
متن کاملPerioperative temperature elevation: not all hyperthermia is malignant hyperthermia.
OBJECTIVES The objective of this review is to assist the readers, anesthesiologists, intensivists, and emergency physicians in making a more accurate diagnosis of perioperative fever or hyperthermia and subsequently choose the proper course of treatment. AIM To identify the many sources of perioperative fever and after a more accurate differential diagnosis, select appropriate treatment optio...
متن کاملDantrolene in the treatment of malignant hyperthermia: a case report
Case report The patient, a 19 year old healthy male, who suffered childhood asthma, was anaesthetised for a planned mandible sagittal split and bimaxillar osteotomia due to prognathia. Anaesthesia was induced with propofol 140 mg and suxamethonium 100 mg was administered for muscle relaxation. Relaxation was not optimal but intubation was performed without problems. Anaesthesia was maintained w...
متن کاملMind the magnesium, in dantrolene suppression of malignant hyperthermia.
Malignant hyperthermia (MH) is a pharmacogenetic syndrome wherein exposure to halogenated volatile anesthetics or to depolarizing muscle relaxants during general anesthesia may trigger a life-threatening hypermetabolic state driven by excessive Ca release from the sarcoplasmic reticulum (SR) of skeletal muscle (1). Over 25 y ago, the acute administration of dantrolene was shown to be highly eff...
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ژورنال
عنوان ژورنال: BMC Anesthesiology
سال: 2021
ISSN: 1471-2253
DOI: 10.1186/s12871-021-01328-3