• S Afr J Surg · Jun 1993

    Case Reports

    A hypermetabolic reaction during anaesthesia and surgery. A case report.

    • D Hopkins and E A Shipton.
    • Department of Anaesthesia, Hillbrow Hospital, University of the Witwatersrand, Johannesburg.
    • S Afr J Surg. 1993 Jun 1;31(2):85-8.

    AbstractA young man underwent anaesthesia and surgery after multiple fractures. After 2 hours of anaesthesia, the patient developed hypercapnia, acidosis, hyperpyrexia and mild muscle rigidity. He was treated for malignant hyperthermia. Muscle tension studies with caffeine-halothane and muscle histology proved normal. The differential diagnosis of this abnormal metabolic response is briefly discussed.

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