Question of the Day – Tuesday August 1, 2017
Question: What is the immediate treatment for malignant hyperthermia crisis?
Answer: The cited reference summaries the immediate treatment of MH as follows: 1- Stop all triggering agents, 2- hyperventilate with 100% oxygen, 3- administer dantrolene bolus at 2.0 mg/kg up to 10 mg/kg. In addition, consider external cooling, treat hyperkalemia, monitor for acid base disturbances, monitor for arrhythmias and treat as appropriate (avoid calcium channel blockers or digoxin) (Broman M et. al. Malignant hyperthermia, a Scandinavian update. 2015 Acta Anesth Scan 59:951-961)