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Year : 2014  |  Volume : 30  |  Issue : 4  |  Page : 555-557

Intra-operative post-induction hyperthermia, possibly malignant hyperthermia: Anesthetic implications, challenges and management

1 Department of Anaesthesiology and Critical Care, Batra Hospital and Medical Research Centre, New Delhi, India
2 Department of Pharmacology, M. R. Medical College, Gulbarga, Karnataka, India

Correspondence Address:
Michell Gulabani
C-35 Malviya Nagar, New Delhi - 110 017
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9185.142860

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Malignant Hyperthermia is a pharmacogenetic disorder. Classical manifestations comprise of tachycardia, increase in expired carbon dioxide levels, muscle rigidity, hyperthermia (>38.8°C) and unexpected acidosis. Here we report a case of 16-year-old female patient, ASA-I with chronic rhino-sinusitis and slight strabismus of the left eye posted for functional endoscopic sinus surgery, developing a rise in ETCO 2 and temperature immediately following anesthesia induction. She was aggressively managed to an uneventful recovery. We present a case of intra-operative post-induction hyperthermia possibly MH, its anesthetic implications, challenges encountered and its management.

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