Anesth Pain Med.  2011 Jan;6(1):79-84.

Malignant hyperthermia during cesarean section: A case report

• Lee WJ
• Lee JS

Abstract

Malignant hyperthermia is manifestated in susceptible individuals exposed to triggering drugs, such as depolarizing muscle relaxants and inhalational anesthetics. Various musculoskeletal abnormalities, such as scoliosis, hernias and strabismus, have been associated with malignant hyperthermia susceptibility. During cesarean section of the patient who had undergone scoliosis correction surgery, we experienced malingnant hyperthermia due to succinylcholine and inhalation anesthetics. In our case, as soon as we suspected the episode, all anesthetics were stopped and anesthetic machines were changed to unexposed anesthetic machine for inhalational anesthetics. Dantrolene was given intravenously and the patient was cooled by tepid sponging, cooled fluids. The patient recovered normal temperature and consciousness without any complications.

Keyword

Anesthetic machine change; Cesarean section; Malignant hyperthermia; Scoliosis

MeSH Terms

Anesthetics
Anesthetics, Inhalation
Cesarean Section
Consciousness
Dantrolene
Female
Fever
Hernia
Humans
Malignant Hyperthermia
Musculoskeletal Abnormalities
Neuromuscular Depolarizing Agents
Pregnancy
Scoliosis
Strabismus
Succinylcholine
Anesthetics
Anesthetics, Inhalation
Dantrolene
Neuromuscular Depolarizing Agents
Succinylcholine