Suyama Hidemichi, Kawamoto Masashi, Yuge Osafumi
Department of Anesthesiology and Critical Care, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
J Anesth. 2002;16(3):207-10. doi: 10.1007/s005400200026.
To assess the preparedness of hospitals in Japan for cases of malignant hyperthermia (MH).
A survey was sent to 884 training hospitals certified by the Japan Society of Anesthesiologists (JSA) in June and July 2000. Useful answers were received from 431 (48.8%) institutions.
For general anesthesia, inhalation anesthetics were widely used in 283 (65.7%) hospitals, and succinylcholine was the most commonly used muscle relaxant, which was used in 270 hospitals (62.5%). For patient monitoring, 422 (97.9%) hospitals used a pulse oximeter for all general anesthesia cases. A capnogram was used in 152 (35.3%) hospitals, and continuous body temperature was measured in 128 (29.7%). Two hundred and eighty-eight (66.8%) hospitals had more than six vials of dantrolene prepared for use, whereas 13 (3.0%) had none.
The results of the survey revealed that some hospitals had inadequate monitoring methods and a lack of prepared dantrolene for cases of MH under general anesthesia. We recommend that essential monitors be deployed and adequate preparations of dantrolene be maintained for effective early diagnosis and treatment of MH.
评估日本医院对恶性高热（MH）病例的准备情况。
2000年6月和7月，向日本麻醉医师协会（JSA）认证的884家培训医院发送了调查问卷。收到了431家机构（48.8%）的有效回复。
对于全身麻醉，283家医院（65.7%）广泛使用吸入性麻醉剂，琥珀酰胆碱是最常用的肌肉松弛剂，270家医院（62.5%）使用。对于患者监测，422家医院（97.9%）在所有全身麻醉病例中使用脉搏血氧仪。152家医院（35.3%）使用二氧化碳图，128家医院（29.7%）测量连续体温。288家医院（66.8%）准备了超过6瓶丹曲林以供使用，而13家医院（3.0%）没有准备。
调查结果显示，一些医院在全身麻醉下对MH的监测方法不足且丹曲林准备不足。我们建议配备必要的监测设备并维持丹曲林的充分准备，以便对MH进行有效的早期诊断和治疗。
