Plurad David, Blaschke Gregory, Jones Shari, Pfeiffer James
Department of Surgery, LAC and USC Medical Center, Los Angeles, CA 90033, USA.
Mil Med. 2008 Aug;173(8):805-8. doi: 10.7205/milmed.173.8.805.
Potentially fatal operating room events have become largely preventable with advances in anesthesia and surgical technique. Nonetheless, some lethal emergencies remain unpredictable and can occur whenever general anesthesia is given. We describe a case of malignant hyperthermia encountered and treated during surgical operations concurrent with an overseas humanitarian assistance mission. This case highlights the clinical diversity of malignant hyperthemia as well as the importance of preparation for any potential adverse event wherever trigger agents may be used from the mundane to exotic locales.
随着麻醉和外科技术的进步,潜在致命的手术室事件在很大程度上已可预防。尽管如此,一些致命的紧急情况仍然不可预测,且在进行全身麻醉时随时可能发生。我们描述了一例在海外人道主义援助任务期间的外科手术中遇到并处理的恶性高热病例。该病例突出了恶性高热的临床多样性,以及无论在普通还是特殊场所使用触发剂时,为任何潜在不良事件做好准备的重要性。