Klotz R W
Nurse Anesth. 1991 Mar;2(1):33-5.
The anesthetic technique chosen for a malignant hyperthermia (MH) susceptible patient should include drugs that do not trigger MH, while providing stress-free conditions. This case report describes a MH susceptible patient who was successfully induced and maintained with propofol for third molar extractions while under general anesthesia. Based on this case report, and the other relative few in the literature, it appears unlikely that propofol will trigger an episode of MH. Propofol provides the anesthetist with an alternative for inducing MH susceptible patients, but continued experience is necessary to document its safety and efficacy in these patients.
为恶性高热(MH)易感患者选择的麻醉技术应包括不会引发MH的药物,同时提供无应激的条件。本病例报告描述了一名MH易感患者,在全身麻醉下成功使用丙泊酚诱导并维持麻醉以拔除第三磨牙。基于本病例报告以及文献中其他相对较少的病例,丙泊酚似乎不太可能引发MH发作。丙泊酚为麻醉医生提供了诱导MH易感患者的另一种选择,但需要持续积累经验以证明其在这些患者中的安全性和有效性。