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Malignant hyperthermia during prolonged surgery for tumour resection

Published online by Cambridge University Press:  16 August 2006

A. G. Morrison  and
M. G. Serpell
A. G. Morrison
Affiliation:
Department of Anaesthesia, Western Infirmary, Dumbarton Road, Glasgow, UK
M. G. Serpell
Affiliation:
Department of Anaesthesia, Western Infirmary, Dumbarton Road, Glasgow, UK
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Abstract

The onset of malignant hyperthermia in a patient during a prolonged anaesthetic for tumour resection is described. The onset was delayed with a gradual rise in heart rate and PetCO2 before becoming fulminant; muscle rigidity was not a feature. Other aspects of the patient’s condition confused the presentation, delayed the diagnosis and may have been involved in precipitating the event. However, it responded rapidly to treatment and surgery was continued. A possible recrudescence occurred 18 h later. Malignant hyperthermia should be considered early in cases of unexplained tachycardia or rising PetCO2.

Keywords

malignant hyperthermiaanaesthetic complication
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 15 , Issue 1 , January 1998 , pp. 114 - 117
Copyright
1998 European Society of Anaesthesiology

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