Malignant hyperthermia and the conscious patient.
A 53 year old obese male presented with the signs and symptoms of acute appendicitis and a family history suggesting the possibility of a malignant hyperthermia trait. In spite of spinal anaesthesia the patient developed malignant hyperthermia during the appendicectomy and the attack was successfully aborted with the early use of dantrolene sodium (Dantrium, Norwich Eaton).
Kemp
D R
DR
Dandenong and District Hospital, Victoria, Australia.
Choong
L S
LS
D000775:Anesthesia, Spinal; D000777:Anesthetics / Q000009:adverse effects; D002045:Bupivacaine / Q000009:adverse effects; D003243:Consciousness; D003620:Dantrolene / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008305:Malignant Hyperthermia / Q000139:chemically induced / Q000188:drug therapy*; D008875:Middle Aged
D000777:Anesthetics; D003620:Dantrolene; D002045:Bupivacaine