MH Case of the Month Challenge
MH Hotline
800MH-HYPER or 800-644-9737
available 24/7
___________________________________________
To challenge you regarding MH management for patient safety, a "brain teaser" - an actual MH Hotline case - will be posted each month with multiple-choice questions.
We hope to provide valuable education for facilitating patient safety in the OR.
The correct answers and a narrative
will be posted on the first of the following month
along with the new Case of the Month.
Contact Gloria at MHAUS dot org for concerns, questions or to provide feedback in any way. Thanks!
**March 2010 Case of the Month**
Topic
Date / Answers
Chronic elevated CPK 02/10 answers Two year old white female with a form of dwarfism 01/10 answers Biopsy to determine susceptibility to Malignant Hyperthermia 12/09 answers Hyperthermia and hemodynamic instability 5 hours after anesthesia 11/09 answers Acute MH in a child in a dental office 10/09 answers An MH history Challenge 07/09 answers A Toddler with Undiagnosed Muscle Disease Presenting for Head MRI 06/09 answers Facelift and Rhinoplasy Procedure under General Anesthesia 05/09 answers Cardiac arrest during emergence followed by refractory hypoxemia, hypercarbia, hypotension, and rhabodomyolysis 04/09 answers Fever and Rigidity not Responding to Dantrolene 03/09 answers A 63 Year-Old with Small Bowel Obstruction 02/09 answers Hyperkalemia and Rhabdomyolysis in a 10 month old infant during cleft palate repair 01/09 answers Scoliosis Surgery without Triggering Agent 12/08 answers Eleveted Temperature Following Masseter Spasm 11/08 answers Fever Hours after Administering Succinycholine 10/08 answers Scleroderma or MH 09/08 answers Did The Outpatient have MH 08/08 answers Hypermetabolism and Robot-Assisted Laparoscopic Surgery 07/08 answers High Temperature and rigidity, is it MH 06/08 answers Spinal Muscular Atrophy 05/08 answers Thryroid Surgery for Tumor 04/08 answers Ruling out MH May not be an Easy Process 03/08 answers Molecular Genetic Testing to Diagnose Malignant Hyperthermia Susceptibility 02/08 answers Prostoperative Recurrent Fever, Hallucinations, and Agitation in a Child with Spastic Quadriplegia 01/08 answers Total Muscle rigidity, an important Sign of MH 12/07 answers Urgent Coronary Artery bypass Grafting: To proceed or Not? 11/07 answers Surgery for a Parotidectomy 10/07 answers The parturient with a suspected MH Susceptible husband 09/07 answers Hypercarbia Under Anesthesia in a MHS Patient 08/07 answers Hypercarbia Following Induction of General Anesthesia 07/07 answers Total body rigidity complicating general anesthesia 06/07 answers Generalized rigidity 05/07 answers Family history of exercise-induced rhabdomyolysis 04/07 answers Increased TECO2 03/07 answers Is this MH or do common things occur commonly? 01/07 answers A pulmonary problem that mimics MH 12/06 answers Acute postoperative rhabdomyolysis in a child 11/06 answers Postoperative rhabdomyolysis 10/06 answers Laparoscopy: hypercarbia, subcutaneous emphysema 09/06 answers Pediatric arthrogryposis: intraoperative difficulty ventilating, hyperthermia 08/06 answers Pediatric tonsillectomy: postoperative tachycardia, hypercarbia, fever 07/06 answers Knee arthroscopy: hypertension, tachycardia, pulmonary edema; pheochromocytoma 06/06 answers Lithotripsy: postoperative fever, shivering, DIC 05/06 answers Outpatient knee arthroscopy: tachycardia, hypercarbia; treatment MH crisis 04/06 answers Pediatric circumcision: postop fever, tachycardia, lethargy 03/06 answers Appendectomy: fever, tachycardia, hypertension 02/06 answers Thyroidectomy: postop agitation & rigidity; serotonin syndrome 01/06 answers
