MH Silent And Deads And Negative Treatment For Malignant Hyperthermia
MH Silent, but Deadly
Christina E. Santiago
San Joaquin Valley College
ST:11 Introduction to Surgical Technology
Running Head: MH Silent, but Deadly 2
Malignant hyperthermia is a very rapid onset crisis that happens during a surgical procedure. It is unnoticeable and is an adverse reaction to anesthesia that was given in either form of volatile agents or succinylcholine. It is undetected in most cases unless having been tested for this particular type of reaction either through muscle biopsy or genetic testing. The reason for the absence of detection in most cases, is that the only way to trigger malignant hyperthermia is inducing in the patient via the triggering anesthetics. Treatment for malignant …show more content…
Running Head: MH Silent, but Deadly 3
MH Silent, but Deadly
You wake up and start your normal day. Everything is fine. You send your children off for school, kiss your spouse bye for the day and now you are alone. You start to get, what feels like a cramp in the lower right pelvic region. Thinking it is just a cramp, you attempt to proceed with your day, you cannot bare the pain anymore. You are being taken to the emergency room, turns out you have appendicitis and need emergency surgery. Routine everyday procedure, so you are told by hospital staff and your spouse is on their way. Thinking that’s the least of your worries you are now on the operating table. Intubated and now under anesthesia, unaware of what your body is doing, your body temperature begins to rise above 105*F. Your jaw becomes stiff, anesthesiologist is rushing to stop the anesthesia and give you anesthesia via intravenous, the doctor has requested an MH cart. You are experiencing malignant hyperthermia.
What is Malignant Hyperthermia?
Malignant hyperthermia in laymen 's terms, is the body having an adverse …show more content…
Patient’s urine may become brownish in color.
Treatment for Malignant Hyperthermia
Several steps need to be taken by the staff when treating a patient that is having a malignant hyperthermia crisis, in which these steps need to happen rapidly, the moment onset begins. Patient has several minutes before their reaction cannot be stabilized and their reaction becomes fatal. According to MHAUS, “notify surgeon to halt the procedure ASAP: Discontinue volatile agents and succinylcholine. Get dantrolene/MH cart, (call 911 if surgicenter).
Hyperventilate with 100% oxygen at flows of 10L/min to flush volatile anesthetics and lower
ETCO2. Give IV dantrolene 2.5 mg/kg rapidly through large-bore IV, if possible. Repeat as frequently as needed until the patient responds with a decrease in ETCO2.”
Running Head: MH Silent, but Deadly 5
What is Dantrolene and Why is it