A hypermetabolic reaction during anaesthesia and surgery. A case report.
A young man underwent anaesthesia and surgery after multiple fractures. After 2 hours of anaesthesia, the patient developed hypercapnia, acidosis, hyperpyrexia and mild muscle rigidity. He was treated for malignant hyperthermia. Muscle tension studies with caffeine-halothane and muscle histology proved normal. The differential diagnosis of this abnormal metabolic response is briefly discussed.
Hopkins
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D
Department of Anaesthesia, Hillbrow Hospital, University of the Witwatersrand, Johannesburg.
Shipton
E A
EA
D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D006221:Halothane / Q000009:adverse effects; D006801:Humans; D008297:Male; D008305:Malignant Hyperthermia / Q000209:etiology*
D006221:Halothane