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 Carejournal_title
Anaesthesia and intensive careauthors
Pollock N,Langtont E,Stowell K,Simpson C,McDonnell Ndoi
10.1177/0310057X0403200407keywords:
subject
Has Abstractpub_date
2004-08-01 00:00:00pages
502-9issue
4eissn
0310-057Xissn
1448-0271pii
2003302journal_volume
32pub_type
杂志文章abstract::Using multiple correlation and linear regression approaches, we investigated the association between the amount of mediastinal drainage for the first 24 postoperative hours and clinical variables as well as multiple haematological tests performed at three time points: before anaesthesia induction, 10 minutes after pro...
journal_title:Anaesthesia and intensive care
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