Hyperthermia during General Anesthesia: A case report.
10.4097/kjae.1998.34.2.464
- Author:
Tae Kwan KIM
1
;
Yong Gul LIM
;
Jun Ro YOON
Author Information
1. Department of Anesthesiolgy, The Catholic University of Korea, College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hyperthermia: abortive;
malignant;
Mornitoring: end-tidal CO2
- MeSH:
Acidosis, Respiratory;
Adolescent;
Anesthesia;
Anesthesia, General*;
Anesthetics;
Body Temperature;
Capnography;
Diskectomy;
Emergency Treatment;
Enflurane;
Fever*;
Gastric Lavage;
Humans;
Ice;
Male;
Malignant Hyperthermia;
Nitrous Oxide;
Oxygen;
Succinylcholine;
Tachycardia;
Tachypnea;
Thiopental;
Ventilation;
Water
- From:Korean Journal of Anesthesiology
1998;34(2):464-469
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The fulminant malignant hyperthermia (MH) is now encountered less frequently because of increased awareness of the condition by anesthesiologist and better use of mornitoring facilities. Thus there is also an increase in the number of aborted cases, in which anesthesia is stopped and treatment instituted as soon as MH is thought to be likely. We presented a case of an abortive MH in 18 years old male patient during the discectomy on the third and fourth lumbar intervertebral spaces. Anesthesia was induced with thiopental sodium and succinylcholine and then maintained with nitrous oxide, oxygen and enflurane. After induction, there were persistent tachycardia, elavation of end-tidal CO2 tension on capnography, spontaneous tachypnea, body temperature elevation up to 38.2oC, respiratory acidosis and highly level of CPK, myoglobulin in serum and urine. Under the suspicion of MH, all anesthetics were discontinued and vigorous emergency treatment was attempted including ventilation with high flow of 100% oxygen (8 l/min), changing all anesthetic circuits, and cooling measurements such as chilled intravenous solution infusion, gastric lavage with cold saline, alcohol and ice water pack over the body. Fourtunately, he recovered well and discharged without complications.
