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Canadian Journal of Anesthesia, Vol 41, 1220-1226, Copyright © 1994 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthesia for caesarean delivery of a malignant hyperthermia susceptible parturient

SJ Lucy
Department of Anaesthesia, St. Boniface General Hospital, University of Manitoba, Winnipeg.

The anaesthetic management for Caesarean delivery of a parturient with a strong family history of malignant hyperthermia (MH) is presented. Before surgery an anaesthetic machine that was in regular use was prepared by replacing all rubber or disposable components and flushing with O2 at 10 L.min-1 for one hour. Dantrolene prophylaxis was not used, and the patient received a bupivacaine and fentanyl spinal anaesthetic. Hypotension was treated with ephedrine. Current management of the MH patient no longer mandates a dedicated vapour-free machine, dantrolene is not indicated as pre-treatment, and amide local anaesthetics are considered safe. The role of vasopressors and ergot preparations is less clear.


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A. S. Habib, S. Millar, P. Deballi III, and H. A. Muir
Anesthetic management of a ventilator-dependent parturient with the King-Denborough syndrome: [La prise en charge anesthesique d'une parturiente en ventilation assistee intermittente, atteinte du syndrome de King-Denborough]
Can J Anesth, June 1, 2003; 50(6): 589 - 592.
[Abstract] [Full Text] [PDF]


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Copyright © 1994 by the Canadian Anesthesiologists' Society.