Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 8, Number 10, October 2017, pages 297-300


Spinal Instead of General Anesthesia for Two Pediatric Patients at Risk for Malignant Hyperthermia

Table

Table 1. Use of Spinal Anesthesia in MH Susceptible Patients [17-23]
 
AuthorDemographic dataOutcomes
MH: malignant hyperthermia.
Mauritz et al [17]Three adult, MH-susceptible patients. Epidural or spinal anesthesia.Effective epidural or spinal anesthesia with no MH-related physiological changes.
Oikkonen et al [18]Young adult male with prior history of MH during adolescence, presenting for thigh mass resection.Respiratory distress after pre-medication with dantrolene, exaggerated by spinal block with 2 mL of hyperbaric lidocaine 5% at L3-4 with spread to the T3 dermatome. No other spinal anesthesia complications and no MH-related physiological changes.
Goto et al [19]Adult female patient with prior history of MH, presenting for cesarean section.Pretreatment with dantrolene prior to and after the procedure. Effective spinal anesthesia with no clinical signs or symptoms of MH.
Abballe [20]MH susceptible woman, presenting for surgery for the removal of varicose veins.Pretreatment with dantrolene prior to the procedure. Effective spinal anesthesia with no MH-related physiological changes.
Lucy [21]Parturient with a family history of MH, presenting for a cesarean section.Effective spinal anesthesia with hyperbaric bupivacaine 0.75% with 12.5 µg of fentanyl. Hypotension requiring ephedrine, but no other side effects of spinal anesthesia. No MH-related physiological changes.
Hsiao et al [22]Patient with MELAS syndrome at risk for MH, presenting for an appendectomy.Effective spinal anesthesia with no MH-related physiological changes.
Gupta and Purohit [23]Adolescent female with osteogenesis imperfecta, considered at risk for MH, presenting for femoral nail removal.Effective spinal anesthesia with 2.5 mL of hyperbaric bupivacaine (0.5%). No MH-related physiological changes.