Malignant hyperthermia during orthognathic surgery:a case report
10.7518/hxkq.2024.2024200
- VernacularTitle:正颌术中恶性高热1例
- Author:
Yue LI
1
;
Jie LIN
;
Wei LUO
;
Kai LUO
;
Lin LUO
Author Information
1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院麻醉科,成都 610041
- Keywords:
malignant hyperthermia;
dantrolene;
anesthesia;
sevoflurane;
myoglobin;
creatine kinase;
orthog-nathic surgery
- From:
West China Journal of Stomatology
2024;42(6):828-831
- CountryChina
- Language:Chinese
-
Abstract:
Malignant hyperthermia is a rare life-threatening hyperthermic reaction that occurs during general anesthe-sia and is difficult to diagnose preoperatively.In most reported cases,final diagnoses of malignant hyperthermia were eventually confirmed by genetic testing after the episodes of hyperthermia.Dantrolene is the only specific medicine with improved treatment outcomes for malignant hyperthermia.In this work,we reported a case of malignant hyperthermia that occurred during orthognathic surgery.Malignant hyperthermia was successfully reversed because of the prompt rec-ognition and specific treatment of dantrolene,and only slight increases in myoglobin and creatine kinase were observed postoperatively.