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Use of Cardiopulmonary Bypass for Treatment of Malignant Hyperthermia.

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Abstract MALIGNANT HYPERTHERMIA (MH) is a well-described and known complication of modern anesthesia, with volatile anesthestics and succinylcholine recognized as triggering agents. Incidence rates vary, but it is estimated to… Click to show full abstract

Abstract MALIGNANT HYPERTHERMIA (MH) is a well-described and known complication of modern anesthesia, with volatile anesthestics and succinylcholine recognized as triggering agents. Incidence rates vary, but it is estimated to occur in 1:50,000-100,000 individuals undergoing general anesthesia 1. The authors present a case of a patient undergoing a surgical mitral valve replacement who develops Malignant Hyperthermia during separation from cardiopulmonary bypass (CPB}, with urgent return to CPB as a method for the successful treatment of hyperkalemia, hyperthermia, acidemia and hypercarbia. This suggests the potential for CPB or Extracorporeal Membrane Oxygenation (ECMO) as a possible treatment for the symptoms of MH. Consent was obtained from the patient prior to submission of this case report.

Keywords: hyperthermia; treatment; cardiopulmonary bypass; use cardiopulmonary; malignant hyperthermia

Journal Title: Journal of cardiothoracic and vascular anesthesia
Year Published: 2019

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