KMID : 0356920170700030345
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Korean Journal of Anesthesiology 2017 Volume.70 No. 3 p.345 ~ p.349
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Successful early application of extracorporeal membrane oxygenation to support cardiopulmonary resuscitation for a patient suffering from severe malignant hyperthermia and cardiac arrest: a case report
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Huh Hyub
Jung Jae-Seung Park Sang-Jae Park Min-Kyung Lim Choon-Hak Yoon Seung-Zhoo
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Abstract
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Malignant hyperthermia (MH) may lead to metabolic crisis of skeletal muscle in susceptible individuals following exposure to triggering agents such as volatile anesthetics or depolarizing muscle relaxants. MH is a rare and a potentially lethal disease, which can lead to cardiac arrest. We report a case of severe MH, in which the rapidly evolving signs of hypermetabolism eventually resulted in cardiac arrest. Despite conventional treatments following cardiopulmonary resuscitation, the patient¡¯s vital signs did not improve. Therefore, we applied extracorporeal membrane oxygenation for providing hemodynamic support.
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KEYWORD
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Dantrolene, Desflurane, Extracorporeal membrane oxygenation, Malignant hyperthermia
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