A 23yo male is noted to have significant tachycardia, hypercapnea, and elevated
temperature at the end of an appendectomy. Initially it is thought
that the temperature is from his disease, the tachycardia is from neostigmine,
but all numbers seem "out of whack", and he is brought to the PACU with a
diagnosis of MH.
- Assuming the patient is still
intubated, what is your management plan?
- What do you tell this patient's
family when they ask about their own risk of developing MH?
- Should the family members
all be tested?
References: (note, all residents should have access to Anesthesiology
articles online if they receive the journal. Many other journals are
available with a USF account through MD Consult...just access it from the
departmental home page)
- Clinical Update, Managing
Last updated 5/27/03
by Roy G. Soto, M.D.
2003, Roy G. Soto, M.D., and the University of South Florida College of Medicine,
Department of Anesthesiology