Chloe K Nobuhara, Pooja Yesantharao, Jesse Tai, Deepak Gupta, Scott Ahlbrand, Clifford Sheckter
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引用次数: 0
Abstract
Malignant hyperthermia (MH) is a rare, lifethreatening condition typically characterized by a rapid increase in body temperature and muscle rigidity in response to anesthetics. However, patients with extensive burn injuries have impaired thermoregulation and intraoperative heat loss, which can mask this classic hyperthermic response. We present the case of a 38-year-old female with a 23% total body surface area flame burn who developed a severe MH crisis during tangential excision following exposure to sevoflurane. Despite profound hypercapnia, acidosis, hyperkalemia, and extremity rigidity, the patient remained entirely afebrile throughout the event. Prompt recognition of the crisis by the surgical and anesthesia teams, followed by immediate administration of dantrolene, led to a rapid reversal of her metabolic derangements and a successful recovery.
期刊介绍：
Journal of Burn Care & Research provides the latest information on advances in burn prevention, research, education, delivery of acute care, and research to all members of the burn care team. As the official publication of the American Burn Association, this is the only U.S. journal devoted exclusively to the treatment and research of patients with burns. Original, peer-reviewed articles present the latest information on surgical procedures, acute care, reconstruction, burn prevention, and research and education. Other topics include physical therapy/occupational therapy, nutrition, current events in the evolving healthcare debate, and reports on the newest computer software for diagnostics and treatment. The Journal serves all burn care specialists, from physicians, nurses, and physical and occupational therapists to psychologists, counselors, and researchers.
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