Malignant Hyperthermia: Are You Prepared?

Beck, Carolyn F.

doi:10.1016/s0001-2092(07)70403-9

Cited by 6 publications

(6 citation statements)

References 11 publications

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“…If treatment is initiated early organ damage is more likely to be prevented. However, if treatment is delayed the injury from metabolic acidosis and hyperthermia becomes irreversible leading to death (Beck, 1994). Rapid intervention for this metabolic emergency requires the needed equipment, drugs, and treatment plan be readily available.…”

Section: Problem Statement and Purposementioning

confidence: 99%

“…Dantrolene is packaged in 20 mg vials that require 60 ml of sterile water and vigorous shaking for several minutes to reconstitute. Based on the time needed to reconstitute it and the numerous vials required to reach an effective dose, several personnel mixing the dantrolene may be necessary (Beck, 1994). Several other drugs are often required to treat the secondary metabolic effects related to a hypermetabolic state.…”

Section: Mh Preparednessmentioning

confidence: 99%

“…He stated that all personnel need to know the location of the drugs and equipment needed during an MH episode and recommends a priority list be made as a poster and placed on the wall. Beck (1994) …”

Section: Literature Reviewmentioning

confidence: 99%

“…Time is a critical element when combating an MH crisis. The longer the hypermetabolic process continues, the more difficult it is to control, and it can become irreversible leading to death (Beck, 1994). Rapid treatment requires operating rooms be prepared in advance to deal with an MH crisis.…”

Section: Introductionmentioning

confidence: 99%

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Malignant Hyperthermia Preparation in the United States Air Force

Williams¹

1999

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Section: Problem Statement and Purposementioning

confidence: 99%

Section: Mh Preparednessmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Malignant Hyperthermia Preparation in the United States Air Force

Williams¹

1999

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“…The extra nurses who respond to the MH crisis retrieve cooled IV bags and irrigation bottles of normal saline from the OR refrigerator to decrease the patient's core body temperature through the following methods: IV, rectal lavage (ie, through a three‐way Foley catheter with a 30‐mL balloon that is attached to cystoscopy tubing), direct peritoneal or thoracic lavage (if these cavities are open), indirect abdominal lavage through a nasal gastric tube, extracorporeal perfusion if the patient's core body temperature exceeds 40° C (104° F), and external cooling measures (eg, packing bags of ice around the patient's axillae, groin, neck, and head; placing temperature regulating blankets under and over the patient) 18 …”

Section: Crisis Managementmentioning

confidence: 99%

Malignant Hyperthermia

Dunn¹

1997

AORN Journal

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Malignant hyperthermia (MH) is a medical emergency that all perioperative nurses should be prepared to handle. Patients with the inherited MH trait have a rare skeletal muscle disease that causes them to develop life-threatening hyperthermia (ie, body temperatures of 43.3 degrees C [110.0 degrees F] or higher) at the time MH-triggering agents are administered to induce general anesthesia or shortly thereafter. The incidence of MH episodes is reported to be 1 in every 12,000 pediatric anesthetic procedures and 1 in every 40,000 adult anesthetic procedures. The MH syndrome also is characterized by continuous skeletal muscle rigidity, hypermetabolism, hypercapnia, tachypnea, and tachycardia that result in cardiac arrest and death if left untreated. Perioperative staff members' knowledge of MH, the care of MH-susceptible patients, and adequate preparation for MH crises are the cornerstones of successful patient outcomes to this life-threatening syndrome.

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Genetics in the OR—Implications for Perioperative Nursing Practice

Lea¹,

Tinley²

1998

AORN Journal

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New developments in deoxyribonucleic acid (DNA) technology are increasing understanding of the role of genetics in health and disease. This kind of health information requires that perioperative nurses develop new skills and roles that will enhance the quality of genetic health care they provide to patients, particularly with regard to managing genetic information. Perioperative nurses expand their scope of practice to incorporate a genetic focus into health assessment, patient education, and patient support as they assimilate new genetic information into their daily lives. Perioperative nurses familiar with genetic counseling services--and how and when to refer patients for such services--will ensure that all patients have access to the most current and appropriate genetic information with which to make informed health choices.

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Malignant Hyperthermia: Are You Prepared?

Cited by 6 publications

References 11 publications

Malignant Hyperthermia Preparation in the United States Air Force

Malignant Hyperthermia Preparation in the United States Air Force

Malignant Hyperthermia

Genetics in the OR—Implications for Perioperative Nursing Practice

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