Simons M L, Goldman E
Department of Anesthesiology, Ohio State University College of Medicine, Columbus 43210.
Can J Anaesth. 1988 Jul;35(4):409-12. doi: 10.1007/BF03010864.
A 35-year-old 110 kg male developed marked hyperkalaemia, hyponatraemia, hypercapnia and hyperthermia during living-related renal transplantation under anaesthesia with oxygen-nitrous oxide, isoflurane and muscle relaxation with atracurium. This is the first report of successfully treated malignant hyperthermia triggered by isoflurane during renal transplantation with early appearance and persistent (to 12 hours after surgery) electrolyte abnormalities.