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Malignant hyperthermia following elbow fixation surgery: A case report

Amin Hassanzad, Seyed Ali Mousavi Mohajer, Mohammad Ahmadi, Elham Kashani, Kazem Kazem Nejad and Azar Azadmard

Malignant Hyperthermia is a rare life threatening condition, which characterized by a very high temperature, an increased heart rate and breathing rate, increased carbon dioxide production, increased oxygen consumption, acidosis, rigid muscles, and rhabdomyolysis, that develops under general anesthesia. Also, it is an inherited muscle disorder triggered by certain types of anesthesia that may cause a fast-acting life-threatening crisis. We present a case of seizure who was delivered for an elbow fixation surgery in a 21year-old male, Persian ethnicity, who suffered malignant hyperthermia during general anesthesia. Patient was treated with carbamazpin and had never been underlying disease or any drug sensitivity. Induction was performed thiopental sodium, succinylchpline and fentanyl. The patient was diaphoresis, increase plod pressure and heart rate after 30 minute that malignant hyperthermia occurs. Regarding life-threatening feature, the occurrence of malignant hyperthermia is probable during surgery even in patient with previous non-complication surgeries. Therefore, continues monitoring of patient, appropriate history and side effect reducing are necessary.

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