Sewing hot and cold: successful replant of a hand in a patient who developed malignant hyperthermia intraoperatively.
We report a case in which a patient developed malignant hyperthermia (MH) during surgery to replant his hand. His condition was stabilised without the need to cease the procedure which continued for a further 6 h. MH and traumatic amputation of a hand are both rare emergencies. This case demonstrates that, MH may be controlled to allow a lengthy operation to be completed.
Harley
Oliver J H
OJ
Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Frenchay Park Road, Bristol BS16 1LE, UK. oliverharley@talk21.com
Robbins
Sonia
S
Orlando
Antonio
A
D000673:Amputation, Traumatic / Q000601:surgery; D006225:Hand / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008297:Male; D008305:Malignant Hyperthermia / Q000209:etiology*; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome