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Canadian Journal of Anesthesia, Vol 30, 273-276, Copyright © 1983 by Canadian Anesthesiologists' Society

Postoperative Malignant Hyperthermia Episodes in Patients who Received "Safe" Anaesthetics

RALPH GRINBERG MD1, GERALD EDELIST MD FRCP(C)1, and ALLAN GORDON MD FRCP(C)1

1 Departments of Anaesthesia and Medicine, University of Toronto and Mount Sinai Hospital, Toronto, Ontario

Address Correspondence to: Dr. G. Edelist, Department of Anaesthesia, Mount Sinai Hospital, Toronto, Ontario.

Three cases of postoperative malignant hyperthermia (MH) episodes, after what was considered to be a "safe" anaesthetic, are described. In each case the temperature rose in a delayed fashion after an uneventful anaesthetic. Treatment included intravenous dantrolene, surface cooling and ventilation with 100 per cent oxygen. Stress in the postoperative period may have been the triggering factor responsible for these reactions. Patients should be monitored well into the postoperative period as MH episodes may occur long after surgery is completed. If stress represents a significant triggering mechanism then no anaesthetic technique can be considered entirely safe.

Key Words: HYPERTHERMIA: malignant, postoperative.







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Copyright © 1983 by the Canadian Anesthesiologists' Society.