A 20-Year-Old-Trauma Patient With Suspected Malignant Hyperthermia Following Induction With Succinylcholine: A Case Study. (July 2018)

• Record Type: Journal Article
• Authors: Luckey-Smith, Kaitlyn; High, Kevin
• Other Names: Jordan Kathleen S. section editor.
• Is Part Of: Advanced emergency nursing journal. Volume 40:Number 3(2018)
• Publication Date: 2018-07
• Subjects: dantrolene -- hyperthermia -- malignant hyperthermia -- Ryanodex -- succinylcholine; Emergency nursing -- Periodicals; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1097/TME.0000000000000196
• Languages: English
• ISSNs: 1931-4485

Abstract

Abstract : Malignant hyperthermia (MH) is a life-threatening hypermetabolic state that can occur following induction with depolarizing neuromuscular blockade and volatile anesthesia gases. Because succinylcholine is a common choice for prehospital and emergency department inductions, it is important for staff to be able to recognize and effectively treat an MH crisis. This case study highlights a 20-year-old male trauma patient who presented to a Level I trauma center and was intubated for declining mental status. He developed suspected MH following his anesthetic induction with succinylcholine. The following outlines the case, clinical identification of MH, and treatment.