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!

**February 2012 Case of the Month**

 

Topic

Date / Answers

Dystonic Reaction to Ondansetron 01/12 answers
MH in ICU 12/11 answers
Rhabdomyolysis in a healthy male 11/11 answers
Post-myelogram myoclonus+seizures, fever, acidosis, rhabdomyolysis "ascending tonic-clonic syndrome" 10/11 answers
Delayed Onset of Postoperative Fever 09/11 answers
Pediatric Dental Abscess 08/11 answers
Masseter + Generalized Muscle Rigidity 07/11 answers
D&C for Incomplete Spontaneous Abortion 06/11 answers
Obesity and MH 05/11 answers
Pediatric Dental Abscess 04/11 answers
When Complex History Muddies the Diagnosis! 03/11 answers
Hypercarbia during Knee Arthroscopy 02/11 answers
Hypercarbia during Laparoscopic Gastric Bypass Surgery 01/11 answers
MMR 12/10 answers
Hyperthermia + Hypercarbia During Ankle Surgery 11/10 answers
Cocaine Toxicity and MH 10/10 answers

Outpatient Surgery for an MHS

09/10 answers
Red Herrings and Red Urine:  Is it MH or not? If not, why not 08/10 answers
Post-op MH 07/10 answers
High Temperature in Pediatric Cardiac Patient 06/10 answers

Fever after open heart surgery in a patient with a history of Neuroleptic Malignant Syndrome (NMS)

05/10 answers
Rising Ventilatory Need During Anesthesia:  Is this MH? 04/10 answers
Should this child be treated as MH susceptible? 03/10 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