International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 12 | Case Report | Open Access DOI
Ahmed Jamal Yassen Abdelrahim*
Faculty of Medicine-University of Khartoum, Sudan
*Correspondence to: Ahmed Jamal Yassen Abdelrahim
Fulltext PDFMalignant hyperthermia is a rare but life threatening hypermetabolic crisis triggered by volatile anesthetic agents and succinylcholine in genetically susceptible patients. Early recognition and prompt treatment with dantrolene are critical to reducing morbidity and mortality. We report the case of a 28 years old male with no known personal or family history of anesthetic complications who developed suspected malignant hyperthermia during an emergency laparoscopic appendectomy under general anesthesia. After induction with propofol, fentanyl, rocuronium, and maintenance with sevoflurane, the patient developed rapidly rising end tidal carbon dioxide, tachycardia, generalized muscle rigidity, metabolic acidosis, and hyperthermia. Sevoflurane was discontinued, the anesthesia machine was flushed, dantrolene was administered, and active cooling measures were initiated. The patient stabilized intraoperatively and was transferred to the intensive care unit for monitoring. This case highlights the importance of maintaining a high index of suspicion for malignant hyperthermia when unexplained hypercarbia, tachycardia, rigidity, acidosis, and hyperthermia occur during anesthesia. Immediate discontinuation of triggering agents, administration of dantrolene, supportive care, and postoperative monitoring are essential.
Ahmed Jamal Yassen Abdelrahim. Early Recognition and Management of Suspected Malignant Hyperthermia During General Anesthesia: A Case Report. Int Clinc Med Case Rep Jour. 2024;3(12):1-10.