Open AccessIntra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management
Author(s) -
Michell Gulabani,
Pavan Gurha,
Sumair Ahmad,
Prashant Dass
Publication year - 2014
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.142860
Subject(s) - malignant hyperthermia , medicine , hyperthermia , anesthesia , anesthetic , acidosis , chronic sinusitis , surgery , sinusitis
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.