• J Minim Invasive Gynecol · Nov 2011

    Case Reports

    Malignant hyperthermia during a laparoscopic operation.

    • Ayako Watari, Hiroyuki Kobori, and Tsutomu Yamamoto.
    • Department of Obstetrics and Gynecology, Koshigaya Municipal Hospital, Koshigaya, Saitama, Japan. awatari1116@gmail.com
    • J Minim Invasive Gynecol. 2011 Nov 1; 18 (6): 809-11.

    AbstractMalignant hyperthermia (MH) is a life-threatening complication of general anesthesia, and early diagnosis and prompt treatment are important for successful management of this condition. Diagnosis of MH during a laparoscopic operation may be difficult because the early signs of the condition are similar to the expected physical changes that occur during laparoscopy. Herein is presented the case of a successfully treated 37-year-old woman without any pertinent surgical or medical history in whom MH developed during laparoscopic myomectomy. The operation was initiated with the patient under general anesthesia with propofol, sevoflurane, nitrous oxide, and intermittent doses of vecuronium. Twenty minutes after the start of CO(2) insufflation, increased end-tidal CO(2) and tachycardia were observed, which did not improve even with increased ventilation and release of insufflation. The anesthesiologist strongly suspected MH, and dantrolene was immediately administered. The patient quickly recovered, and experienced no postoperative complications.Copyright © 2011 AAGL. Published by Elsevier Inc. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…