title: Low-dose dantrolene is effective in treating hyperthermia and hypercapnia, and seems not to affect recovery of the allograft after liver transplantation: case report.
abstract: Dantrolene is the drug of choice in treatment of malignant hyperthermia. However, dantrolene is hepatotoxic; thus prolonged use is not recommended in patients with active hepatic disease such as acute hepatitis or active cirrhosis because it may result in fatal hepatic failure. Use of dantrolene in a patient with end-stage liver disease undergoing liver transplantation (LTx) in whom suspected malignant hyperthermia developed has been reported rarely. Its effect on the liver allograft, which has sustained cold, warm, and reperfusion injuries, is currently unknown. We report a case in which low-dose dantrolene administered intravenously during LTx was effective in treating hyperthermia, hypercapnia, and hyperkalemia. Furthermore, its reported hepatotoxic effect seemed to not affect recovery of the allograft after LTx.
authors.affiliation: Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Taipei, Taiwan.
authors.forename: T-H
authors.initials: TH
authors.lastname: Shih
authors.forename: K-H
authors.initials: KH
authors.lastname: Chen
authors.forename: Y-Y
authors.initials: YY
authors.lastname: Pao
authors.forename: S-C
authors.initials: SC
authors.lastname: Yang
authors.forename: C-L
authors.initials: CL
authors.lastname: Chen
authors.forename: C J
authors.initials: CJ
authors.lastname: Huang
authors.forename: C-H
authors.initials: CH
authors.lastname: Wang
authors.forename: B
authors.initials: B
authors.lastname: Jawan
authors.forename: K W
authors.initials: KW
authors.lastname: Cheng
authors.forename: C-H
authors.initials: CH
authors.lastname: Yang
mesh_terms: D000328:Adult; D003620:Dantrolene / Q000627:therapeutic use*; D019694:Hepatitis B, Chronic / Q000601:surgery*; D006801:Humans; D006935:Hypercapnia / Q000188:drug therapy*; D016031:Liver Transplantation / Q000009:adverse effects* / Q000502:physiology*; D019520:Living Donors; D008297:Male; D008305:Malignant Hyperthermia / Q000188:drug therapy; D009125:Muscle Relaxants, Central / Q000627:therapeutic use; D014184:Transplantation, Homologous; D016896:Treatment Outcome
chemical_list: D009125:Muscle Relaxants, Central; D003620:Dantrolene