[A further case of malignant hyperpyrexia and its treatment with lidocaine, methylprednisolone and verapamil (iproveratril) (author's transl)].
A dramatic case of anaesthetic-induced malignant hyperpyrexia is described. The treatment (ice packs, treatment of acidosis, glucose-insulin, methylprednisolone, lidocaine, verapamil, muscular relaxation and oxygen breathing) was effective. In the discussion, the pharmacological effects on the cardiac muscle are considered predominantly.
D000138:Acidosis / Q000139:chemically induced / Q000188:drug therapy; D000328:Adult; D002118:Calcium / Q000378:metabolism; D017679:Cryotherapy; D005947:Glucose / Q000627:therapeutic use; D006221:Halothane / Q000009:adverse effects; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008012:Lidocaine / Q000627:therapeutic use*; D008297:Male; D008305:Malignant Hyperthermia / Q000139:chemically induced / Q000188:drug therapy; D008775:Methylprednisolone / Q000627:therapeutic use*; D009125:Muscle Relaxants, Central / Q000009:adverse effects / Q000627:therapeutic use; D010100:Oxygen / Q000627:therapeutic use; D013390:Succinylcholine / Q000009:adverse effects; D014700:Verapamil / Q000627:therapeutic use*
D007328:Insulin; D009125:Muscle Relaxants, Central; D008012:Lidocaine; D014700:Verapamil; D005947:Glucose; D013390:Succinylcholine; D010100:Oxygen; D002118:Calcium; D006221:Halothane; D008775:Methylprednisolone
Ein weiterer Fall maligner Hyperpyrexie und seine Behandlung mit Lidocain, Methylprednisolon und Verapamil