scholarly journals Delayed Onset Malignant Hyperthermia after Sevoflurane

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
K. Sanem Cakar Turhan ◽  
Volkan Baytaş ◽  
Yeşim Batislam ◽  
Oya Özatamer
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Consumption ◽  
Case Report ◽  
Malignant Hyperthermia ◽  
Carbon Dioxide Production ◽  
Muscle Rigidity ◽  
Vigorous Exercise ◽  
Delayed Onset

Malignant hyperthermia is a hypermetabolic response to inhalation agents (such as halothane, sevoflurane, and desflurane), succinylcholine, vigorous exercise, and heat. Reactions develop more frequently in males than females (2 : 1). The classical signs of malignant hyperthermia are hyperthermia, tachycardia, tachypnea, increased carbon dioxide production, increased oxygen consumption, acidosis, muscle rigidity and rhabdomyolysis. In this case report, we present a case of delayed onset malignant hyperthermia-like reaction after the second exposure to sevoflurane.

scholarly journals Delayed-onset malignant hyperthermia in the postanesthetic care unit: a case report

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110442
Author(s):  
Ji Young Min ◽  
Sang Hyun Hong ◽  
Sung Jun Kim ◽  
Mee Young Chung
Keyword(s):  
Case Report ◽  
Malignant Hyperthermia ◽  
Recovery Room ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Diagnosis And Treatment ◽  
Muscle Rigidity ◽  
Dantrolene Sodium ◽  
Delayed Onset ◽  
Postanesthetic Care Unit

Malignant hyperthermia (MH) is a potentially fatal hypermetabolic syndrome that occurs when susceptible individuals are exposed to triggering agents. Variability in the order and time of occurrence of symptoms often makes clinical diagnosis difficult. A late diagnosis or misdiagnosis of delayed-onset MH may lead to fatal complications. We herein report a case of delayed-onset MH in the postoperative recovery room. A 77-year-old man awoke from anesthesia and was transferred to the recovery room. Ten minutes after his arrival, his mental status became stuporous and he developed masseter muscle rigidity, hyperventilation, and a body temperature of 39.8°C. The patient was suspected to have MH, and 60 mg of dantrolene sodium (1 mg/kg) was administered via intravenous drip with symptomatic treatment. Within 10 minutes of dantrolene administration, the patient’s clinical signs subsided. This case report demonstrates that rapid diagnosis and treatment are crucial to ensure a good prognosis for patients with MH. A high level of suspicion based on clinical symptoms and early administration of therapeutic drugs such as dantrolene will also improve the clinical course. Therefore, suspicion and prompt diagnosis are absolutely essential. This case report emphasizes the importance of continuous education in the diagnosis and treatment of MH.

Metabolism during normoxia, hyperoxia, and recovery in newborn rats

1992 ◽  
Vol 70 (3) ◽  
pp. 408-411 ◽  
Author(s):  
Peter B. Frappell ◽  
Andrea Dotta ◽  
Jacopo P. Mortola
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Consumption ◽  
Metabolic Rate ◽  
Carbon Dioxide Production ◽  
Oxygen Availability ◽  
Aerobic Metabolism ◽  
Newborn Rats ◽  
Ambient Temperatures ◽  
Positive Effects

Aerobic metabolism (oxygen consumption, [Formula: see text], and carbon dioxide production, [Formula: see text]) has been measured in newborn rats at 2 days of age during normoxia, 30 min of hyperoxia (100% O2) and an additional 30 min of recovery in normoxia at ambient temperatures of 35 °C (thermoneutrality) or 30 °C. In normoxia, at 30 °C [Formula: see text] was higher than at 35 °C. With hyperoxia, [Formula: see text] increased in all cases, but more so at 30 °C (+20%) than at 35 °C (+9%). Upon return to normoxia, metabolism readily returned to the prehyperoxic value. The results support the concept that the normoxic metabolic rate of the newborn can be limited by the availability of oxygen. At temperatures below thermoneutrality the higher metabolic needs aggravate the limitation in oxygen availability, and the positive effects of hyperoxia on [Formula: see text] are therefore more apparent.Key words: neonatal respiration, oxygen consumption, thermoregulation.

GASEOUS METABOLISM IN PREMATURE INFANTS AT 32-34°C AMBIENT TEMPERATURE

PEDIATRICS ◽  
1964 ◽  
Vol 33 (1) ◽  
pp. 75-82
Author(s):  
Forrest H. Adams ◽  
Tetsuro Fujiwara ◽  
Robert Spears ◽  
Joan Hodgman
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Consumption ◽  
Premature Infants ◽  
Rectal Temperature ◽  
Respiratory Quotient ◽  
Carbon Dioxide Production ◽  
Open Circuit ◽  
Co2 Production ◽  
O2 Consumption ◽  
Rate Of Increase

Thirty-four measurements of oxygen consumption, carbon dioxide production, respiratory quotient, and rectal temperature were made on 22 premature infants with ages ranging from 2½ hours to 18 days. The studies were conducted at 32-34°C utilizing an open circuit apparatus and a specially designed climatized chamber. Oxygen consumption and carbon dioxide production were lowest in the first 12 hours and increased thereafter. The rate of increase in O2 consumption was greater than that of CO2 production, with a consequent fall in respiratory quotient during the first 76 hours of life. A reverse relation of O2 consumption and CO2 production was found following the 4th day of life with a consequent rise in respiratory quotient. There was a close correlation between O2 consumption and rectal temperature regardless of age. A respiratory quotient below the value of 0.707 for fat metabolism was observed in 7 premature infants with ages ranging from 24 to 76 hours.

Measurement of ‘Basal’ and Total Metabolism in Hereditarily Obese-Hyperglycemic Mice

1958 ◽  
Vol 193 (3) ◽  
pp. 495-498 ◽  
Author(s):  
Ruth McClintock ◽  
Nathan Lifson
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Consumption ◽  
Energy Expenditure ◽  
Voluntary Movement ◽  
Carbon Dioxide Production ◽  
Open Circuit ◽  
Energy Output ◽  
Obese Mice ◽  
Energy Expenditures ◽  
Isotope Method

Measurements of oxygen consumption and carbon dioxide production were made by the Haldane open circuit method on hereditarily obese mice and littermate controls, and the energy expenditures were estimated. Studies were made on mice for short periods under ‘basal’ conditions, and for periods of approximately a day with the mice fasted and confined, fasted and relatively unconfined, and fed and unconfined. The total energy expenditures of fed and unconfined obese mice were found to be higher than those of nonobese littermate controls by virtue of a) increased ‘basal metabolism’, b) greater energy expenditure associated with feeding, and possibly c) larger energy output for activity despite reduced voluntary movement. The values obtained for total metabolism confirm those previously determined by an isotope method for measuring CO2 output.

Flow-through Respirometry: The Equations

2018 ◽  
pp. 94-100
Author(s):  
John R. B. Lighton
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Consumption ◽  
Water Vapor ◽  
Carbon Dioxide Production ◽  
System P ◽  
Flow Through

This chapter demystifies respirometry equations, showing how they can be derived using a simple mental trick: focusing the analysis on the principal gas that is neither consumed nor produced by animals. The effect of dilution of oxygen by carbon dioxide, the enrichment of carbon dioxide by the consumption of oxygen, and the effects of water vapor on the concentrations of both gases are described and quantified. A system of eight equations is derived that allow oxygen consumption and carbon dioxide production to be calculated in practically any feasible flow-through respirometry system.

A simple macrorespirometer for studies in soil microbiology.

1953 ◽  
Vol 4 (3) ◽  
pp. 334 ◽  
Author(s):  
RJ Swaby ◽  
BI Passey
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Consumption ◽  
Carbon Dioxide Production ◽  
Soil Microbiology ◽  
Mixed Cultures ◽  
Continuous Record

A simple macrorespirometer is described which is capable of providing a continuous record of oxygen consumption and an intermittent record of carbon-dioxide production by pure or mixed cultures of microorganisms in soil and compost.

Combined heart rate and activity improve estimates of oxygen consumption and carbon dioxide production rates

1996 ◽  
Vol 81 (4) ◽  
pp. 1754-1761 ◽  
Author(s):  
Jon K. Moon ◽  
Nancy F. Butte
Keyword(s):  
Carbon Dioxide ◽  
Heart Rate ◽  
Oxygen Consumption ◽  
Energy Expenditure ◽  
Carbon Dioxide Production ◽  
Alternative Methods ◽  
Prediction Errors ◽  
Nonlinear Functions ◽  
Production Rates ◽  
Basal Energy Expenditure

Moon, Jon K., and Nancy F. Butte. Combined heart rate and activity improve estimates of oxygen consumption and carbon dioxide production rates. J. Appl. Physiol.81(4): 1754–1761, 1996.—Oxygen consumption (V˙o 2) and carbon dioxide production (V˙co 2) rates were measured by electronically recording heart rate (HR) and physical activity (PA). Mean daily V˙o 2 andV˙co 2 measurements by HR and PA were validated in adults ( n = 10 women and 10 men) with room calorimeters. Thirteen linear and nonlinear functions of HR alone and HR combined with PA were tested as models of 24-h V˙o 2 andV˙co 2. Mean sleepV˙o 2 andV˙co 2 were similar to basal metabolic rates and were accurately estimated from HR alone [respective mean errors were −0.2 ± 0.8 (SD) and −0.4 ± 0.6%]. The range of prediction errors for 24-h V˙o 2 andV˙co 2 was smallest for a model that used PA to assign HR for each minute to separate active and inactive curves (V˙o 2, −3.3 ± 3.5%; V˙co 2, −4.6 ± 3%). There were no significant correlations betweenV˙o 2 orV˙co 2 errors and subject age, weight, fat mass, ratio of daily to basal energy expenditure rate, or fitness. V˙o 2,V˙co 2, and energy expenditure recorded for 3 free-living days were 5.6 ± 0.9 ml ⋅ min−1 ⋅ kg−1, 4.7 ± 0.8 ml ⋅ min−1 ⋅ kg−1, and 7.8 ± 1.6 kJ/min, respectively. Combined HR and PA measured 24-h V˙o 2 andV˙co 2 with a precision similar to alternative methods.

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