A child of suspected malignant hyperthermia during general anesthesia for dental surgery.
Malignant hyperthermia is clinically an uncommon disorder characterized by acute hypercatabolic reactions in muscles in response to the triggering effects of certain drugs mainly used during anesthesia or to physical or emotional stress. We present a pediatric patient with multiple caries who was suspected to contract malignant hyperthermia while underwent the operative procedure of comprehensive restoration. Sinus tachycardia, hyperthermia, hypercapnia, metabolic acidosis, hyperkalemia and hypercalcemia developed unexpectedly during the operation. Fortunately, the patient survived the episode with early recognition and prompt management.
Chen
L W
LW
Department of Anesthesiology, Potz Provincial General Hospital, Taiwan, R.O.C.
Chang
W K
WK
Tsou
M Y
MY
Feng
C K
CK
Or
C H
CH
Lui
P W
PW
Lee
T Y
TY
D000768:Anesthesia, General / Q000009:adverse effects*; D002675:Child, Preschool; D003731:Dental Caries / Q000601:surgery; D006801:Humans; D008297:Male; D008305:Malignant Hyperthermia / Q000209:etiology* / Q000628:therapy