Safe duration of postoperative monitoring for malignant hyperthermia susceptible patients.

Abstract:

:Postoperative management of malignant hyperthermia (MH) susceptible patients has changed substantially over the last 20 years, with many patients now managed as day cases. Our previous policy was to monitor known MH susceptible patients (and relatives of known MH susceptible individuals not yet investigated by muscle biopsy) for four hours in the Post Anaesthetic Care Unit. However, anaesthetic literature reports suggest that MH reactions usually commence within one hour of anaesthesia. For this reason we conducted a retrospective review of Post Anaesthetic Care Unit data in 254 MH susceptible/related patients treated between 1991 and late 2000. On the basis of this review we instituted a policy change and reduced our monitoring time to one hour in the Post Anaesthetic Care Unit with a further 1.5h in a step-down unit if indicated. A prospective study in a further 68 MH susceptible/related patients showed that no MH reactions were missed due to the shorter monitoring period.

journal_name

Anaesth Intensive Care

authors

Pollock N,Langtont E,Stowell K,Simpson C,McDonnell N

doi

10.1177/0310057X0403200407

keywords:

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

502-9

issue

4

eissn

0310-057X

issn

1448-0271

pii

2003302

journal_volume

32

pub_type

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