Anesthetic drugs & techniques

Malignant Hyperthermia

Crit Care MedPublished Narrative expert review

Authors' conclusion

Increasing use of inhalational anesthetics in the ICU underscores the need for enhanced education on the diagnosis and management of MH to ensure optimal patient sedation care and safety.

Study context

Population
Critically ill patients with malignant hyperthermia (MH), ICU and perioperative settings

Main finding

As reported in the abstract

  • MH: severe reaction triggered by inhalational volatile anesthetics and succinylcholine in genetically susceptible patients
  • Early onset (min to hr) rise in temperature, hypercarbia and muscular rigidity after triggering medications; potential complications coagulopathy, rhabdomyolysis, AKI
  • Acute management: coordinated multidisciplinary team; dantrolene, active cooling, hyperventilation
  • All suspected reactions should be followed up at a specialized MH testing center (muscle contracture and genetic testing); implications for future anesthetic exposure for patient and family

Original publication

Malignant Hyperthermia. Crit Care Med. Published 22 August 2024. doi:10.1097/ccm.0000000000006401

Composed by AI from the published abstract and checked against it. How Briefs are made →

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