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수 주전 전신 마취시 악성고열증을 보인 환자의 마취 재시도: 증례 보고

Other Titles
 Retrial of anesthetic management for a patient with malignant hyperthermia during previous general anesthesia : A case report 
 심재광  ;  남순호  ;  김연진  ;  이은석  ;  서창극 
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.39(1) : 141-144, 2000 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
Issue Date
Anesthetic techniques ; epidural ; Complications: malignant hyperthermia
Malignant hyperthermia is a subclinical myopathy, usually triggered by anesthetics and associated with a mortality rate of up to 70%, when left untreated. But with early diagnosis using capnography and with the advent of dantrolene, the mortality rate could be reduced to less than 5%, which implies the significance of early diagnosis and proper treatment. Owing to the reduced mortality rate, anesthesiologists get more chances to encounter patients with a previous history of malignant hyperthermia and knowledge to provide proper anesthetic management become essential. We present a case in which malignant hyperthermia was detected in a 67 year old female patient with gastric cancer and a thyroid mass during the first operation and successfully treated with promptly initiated supportive measures based on capnography finding without dantrolene which was not available at the time and the same patient rescheduled for subsequent gastrectomy in which we chose non-triggering agents in adjunct to epidural anesthesia without provoking malignant hyperthermia.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Nam, Soon Ho(남순호)
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