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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > February, 2010 Vol. XI, No. 2

Managing Malignant Hyperthermia

We were prepared when a crisis rocked our center. Can you say the same?

Cheryl Fielder, RN, CASC

Several years ago, a young, healthy, male patient arrived at my center for elective arthroscopy with no personal or family history of problems with malignant hyperthermia. The procedure was uneventful. In PACU, the patient was responsive to commands, denied discomfort and voiced no complaints. About 15 minutes into his recovery, however, he became unresponsive, tachycardic and, although warm to the touch, had a normal axillary temperature. As blankets were being removed, the patient began to display full-body muscle rigidity. We realized he was in the midst of an MH episode. It happened quickly and seemingly without warning.

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