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Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and
Michell Gulabani1, Pavan Gurha1, Sabih Ahmad1
1Department of Anaesthesiology and Critical Care, Batra Hospital and Medical Research Centre, New Delhi, India.
Abstract:
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.
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