Abstract
Malignant hyperthermia is a genetic syndrome that is due to exposure to potent inhaled general anesthetics (halothane, isoflurane, sevoflurane) and/or depolarizing muscle relaxant succinycoline. It occurs generally after the induction of general anesthesia, but it may emerge during or even after the operation. Postoperative pain and stress may be the predisposing factors. A 6-month-old baby was admitted to ICU for his fever resistant to antipiretics and progressive inspiratory distress after a neuroblastoma operation. On the follow up, hyperpotassemia, hypercarbi, severe metabolic acidosis, increased kreatinine and transaminase levels were detected . A multiorgan failure beginning primarily in the central nervous system, involved hepatobiliary and urinary systems. The patient was succesfully treated with supportive therapy despite the absence of dantrolene. early diagnosis and treatment of malign hyperthermia in postoperative period is discussed in the contesat of this case report
Keywords: malignant hyperthermia, children, dantrolen
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