title: Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management.
abstract: Malignant Hyperthermia is a pharmacogenetic disorder. Classical manifestations comprise of tachycardia, increase in expired carbon dioxide levels, muscle rigidity, hyperthermia (>38.8°C) and unexpected acidosis. Here we report a case of 16-year-old female patient, ASA-I with chronic rhino-sinusitis and slight strabismus of the left eye posted for functional endoscopic sinus surgery, developing a rise in ETCO2 and temperature immediately following anesthesia induction. She was aggressively managed to an uneventful recovery. We present a case of intra-operative post-induction hyperthermia possibly MH, its anesthetic implications, challenges encountered and its management.
authors.affiliation: Department of Anaesthesiology and Critical Care, Batra Hospital and Medical Research Centre, New Delhi, India.
authors.forename: Michell
authors.initials: M
authors.lastname: Gulabani
authors.affiliation: Department of Anaesthesiology and Critical Care, Batra Hospital and Medical Research Centre, New Delhi, India.
authors.forename: Pavan
authors.initials: P
authors.lastname: Gurha
authors.affiliation: Department of Anaesthesiology and Critical Care, Batra Hospital and Medical Research Centre, New Delhi, India.
authors.forename: Sabih
authors.initials: S
authors.lastname: Ahmad
authors.affiliation: Department of Pharmacology, M. R. Medical College, Gulbarga, Karnataka, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Dass
keywords: Core temperature monitoring; end tidal carbon dioxide; isoflurane; malignant hyperthermia; propofol