Malignant Hyperthermia during Translabyrinthine Acoustic Neuroma Surgery after Previous Uneventful Surgery

Isaac Erbele, Eric Chapman, Meghan N. Wilson, Moises A. Arriaga

Research output: Contribution to journalArticle

Abstract

Objective: Review current literature and guidelines for malignant hyperthermia in the context of neurotologic surgery. Patient: A case of malignant hyperthermia during vestibular schwannoma surgery, in a patient previously exposed to anesthesia. Interventions: Excision of vestibular schwannoma, acute management of malignant hyperthermia. Main Outcome Measures: Knowledge of the basic pathophysiology, clinical manifestations, and treatment protocols for malignant hyperthermia. Results: Rapid termination of the procedure and appropriate modifications in surgical technique permitted expeditious treatment of malignant hyperthermia and prevented its lethality. Conclusions: Malignant hyperthermia is a rare and lethal condition that may arise in neurotologic surgery, even in patients who have previously received general anesthesia. The neurotologic surgeon has a role in early recognition and expeditious termination of surgery to help reduce its mortality.

Original languageEnglish (US)
Pages (from-to)E643-E645
JournalOtology and Neurotology
Volume40
Issue number6
DOIs
StatePublished - Jul 1 2019

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Malignant Hyperthermia
Acoustic Neuroma
Clinical Protocols
General Anesthesia
Anesthesia
Outcome Assessment (Health Care)
Guidelines
Mortality

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

Cite this

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abstract = "Objective: Review current literature and guidelines for malignant hyperthermia in the context of neurotologic surgery. Patient: A case of malignant hyperthermia during vestibular schwannoma surgery, in a patient previously exposed to anesthesia. Interventions: Excision of vestibular schwannoma, acute management of malignant hyperthermia. Main Outcome Measures: Knowledge of the basic pathophysiology, clinical manifestations, and treatment protocols for malignant hyperthermia. Results: Rapid termination of the procedure and appropriate modifications in surgical technique permitted expeditious treatment of malignant hyperthermia and prevented its lethality. Conclusions: Malignant hyperthermia is a rare and lethal condition that may arise in neurotologic surgery, even in patients who have previously received general anesthesia. The neurotologic surgeon has a role in early recognition and expeditious termination of surgery to help reduce its mortality.",
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Malignant Hyperthermia during Translabyrinthine Acoustic Neuroma Surgery after Previous Uneventful Surgery. / Erbele, Isaac; Chapman, Eric; Wilson, Meghan N.; Arriaga, Moises A.

In: Otology and Neurotology, Vol. 40, No. 6, 01.07.2019, p. E643-E645.

Research output: Contribution to journalArticle

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AU - Chapman, Eric

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