Malignant Hyperthermia (MH)
MH Hotline (800) 644-9737
Outside US (315) 464-7079
For the name and telephone number of the MH consultant physician on call, dial the MH Hotline of MHAUS (Malignant Hyperthermia Association of the United States). For further information, visit MHAUS website http://www.mhaus.org.
Once the diagnosis of MH has been made:
• Stop anesthesia and curtail surgery immediately.
• Hyperventilate with 100% oxygen.
• Administer dantrolene 2.5 mg/kg IV, which may be repeated every 5鈥�10 minutes toward a total dose of 10 mg/kg but more as needed if symptoms persist.
• Give sodium bicarbonate 2鈥�4 mEq/kg IV and more as guided by arterial pH and Paco2.
• Initiate cooling.
• Maintain urine output with mannitol 25 g IV, furosemide 20 mg IV, and copious intravenous fluid administration.
• Monitor patient and continue therapies until the patient is stable and further until the danger of additional episodes is past.
恶性高热(晚上)
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Malignant Hyperthermia (MH)
MH Hotline (800) 644-9737
Outside US (315) 464-7079
For the name and telephone number of the MH consultant physician on call, dial the MH Hotline of MHAUS (Malignant Hyperthermia Association of the United States). For further information, visit MHAUS website http://www.mhaus.org.
Once the diagnosis of MH has been made:
• Stop anesthesia and curtail surgery immediately.
• Hyperventilate with 100% oxygen.
• Administer dantrolene 2.5 mg/kg IV, which may be repeated every 5鈥�10 minutes toward a total dose of 10 mg/kg but more as needed if symptoms persist.
• Give sodium bicarbonate 2鈥�4 mEq/kg IV and more as guided by arterial pH and Paco2.
• Initiate cooling.
• Maintain urine output with mannitol 25 g IV, furosemide 20 mg IV, and copious intravenous fluid administration.
• Monitor patient and continue therapies until the patient is stable and further until the danger of additional episodes is past.
恶性高热