• AORN journal · Feb 2014

    Malignant hyperthermia crisis: optimizing patient outcomes through simulation and interdisciplinary collaboration.

    • Cindy L Cain, Matthias L Riess, Lynn Gettrust, and Jutta Novalija.
    • AORN J. 2014 Feb 1; 99 (2): 301-8; quiz 309-11.

    AbstractMalignant hyperthermia (MH) is a rare, life-threatening event. Many clinicians are unprepared to manage an MH crisis in the perioperative setting because it requires the use of low-frequency, high-risk skills and procedures. Simulation is a recognized educational method for cumulative and integrative learning in a safe environment that resembles real-life clinical scenarios. The aim of this quality improvement project was to provide simulation-based learning to perioperative personnel to educate them in the early recognition, treatment, and management of MH. An interdisciplinary team developed an MH education plan. Implementation of the plan involved a two-part training: an educational session, and a role-playing scenario using high-fidelity OR simulation. Simulation teaching provided OR personnel with an opportunity for skill development, teamwork, interdisciplinary communication, and problem solving. Personnel responded favorably and identified positive outcomes, such as role clarity, improved anticipatory response, and overall team cohesion. In addition, the project included updating the MH cart and writing the hospital's MH policy.Copyright © 2014 AORN, Inc. Published by Elsevier Inc. All rights reserved.

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