Diagnosis
You should call this Hotline when you have a suspected case of MH
What is the MHAUS Hotline?
Post crisis MH care should occur in this location
What is ICU or PACU?
Form of Dantrolene that is stocked in the MH cart
What is Ryanodex?
Filters that can be used on the anesthesia circuit during a suspected MH
What are Carbon filters?
Location of the MH cart in Austin
What is back hallway in OR next to the difficult airway cart?
Earliest and most sensitive sign of MH
What is increase in end-tidal CO2?
Additional monitors and/or lines that should be considered in acute management of suspected MH
What are core temperature (urine/esophageal), urine output (foley) and arterial/central venous monitoring?
Loading dose of Dantrolene that is used in the initial treatment of suspected MH
What is 2.5mg/kg?
Time frame that MH can still occur following a known triggering event
What is one hour?
What is the location of the MH cart in Albert Lea?
What is the anesthesia supply room?
Initial lab recommended during acute management of MH
What is a blood gas (venous or arterial)?
Patient should be monitor for signs for MH relapse for this length of time
What is 24 hours?
Medications that are used to treat hyperkalemia in suspected MH
What is Calcium Chloride (10mg/kg) or Calcium Gluconate (30mg/kg)?
GE Aisys anesthesia machine should be prepared using this procedure for a MH case
What is the GE technical report?
Incidence of MH in adults
What is 1:100,000?
Cooling the patient should begin at this temperature or lower if temperature is rapidly rising
What is 39C?
Type of acidosis that most often occurs in MH
What is metabolic acidosis?
Class of medications that should NOT be used to treat arrhythmia during a suspected MH
What are Calcium Channel blockers?
Known triggers for MH include these
What are volatile anesthetic and succinylcholine?
Gold standard diagnostic test for MH
What is Caffeine Halothane contracture test (CHCT)?
Pathophysiology of MH
What is inherited disorder of skeletal muscle resulting in an increase in intracellular calcium?
Patients with history of or susceptibility to MH should be monitored for this minimal period of time in the PACU
What is one hour in the PACU?
What is one hour in Phase II?
Period of time that Dantrolene (0.25mg/kg/hr) should be continued in the post crisis treatment of MH after the initial acute crisis dose
What is 24 hours?
Personal history of heat stroke, rheumatoid arthritis, temperature instability or unexplained high fever following anesthesia
What is preoperative assessment?
Labor & delivery management of a parturient whose partner is MH susceptible
What is non-triggering anesthetic?