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CASE REPORT
Year : 2013  |  Volume : 7  |  Issue : 3  |  Page : 94-96

A fulminant malignant hyperthermia episode during laparoscopic donor nephrectomy – Case report


Department of Anaesthesiology and Urology, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka, India

Correspondence Address:
Chinnamuthu Murugesan
Department of Anaesthesiology and Urology, Narayana Hrudayalaya Institute of Medical Sciences, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.ijt.2013.05.007

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Malignant hyperthermia (MH) is a rare life threatening complication during general anaesthesia using volatile anaesthetic agents. We report a case of fulminant MH episode during laparoscopic donor nephrectomy. The early clinical manifestations include rapid rise of ETCO2, respiratory acidosis and tachycardia, later fever, generalized muscle rigidity, hyperkalemia and severe rhabdomyolysis were noted. An acute MH was diagnosed and prompt resuscitative measures were initiated. No intravenous dantrolene was available for administration. Our patient survived of this acute fulminant MH due to early diagnosis, coordinated teamwork and availability of other resuscitative modalities only possible in a large tertiary care centre.


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