Anesthetic Agent Choice
for the MH-Susceptible Patient
The following anesthetic agents are known triggers of MH
and are not safe for use in MH-susceptible patients:
Unsafe Anesthetic Agents for MHS Patients
|
Inhaled General Anesthetics Desflurane Enflurane Ether Halothane Isoflurane Methoxyflurane Sevoflurane Depolarizing Muscle Relaxants Trigger MH Succinylcholine |
All other anesthetic agents outside of these two categories of
Volatile anesthetic agents and depolarizing muscle relaxants
are considered safe (see below for a sample).
Safe Anesthetic Agents for MH Patients
|
Barbiturates / Intravenous Anesthetics Diazepam Etomidate (Amidate) Hexobarbital Ketamine (Ketalar) Methohexital (Brevital) Midazolam Pentobarbital Propofol (Diprivan) Thiopental (Pentothal). Inhaled Non-Volatile General Anesthetic Nitrous Oxide Local Anesthetics Amethocaine Articaine Bupivicaine Dibucaine Etidocaine Eucaine Lidocaine (Xylocaine)
Levobupivacaine Prilocaine (Citanest) Ropivacaine Stovaine |
Narcotics (Opioids) Alfentanil (Alfenta) Anileridine Codeine (Methyl Morphine) Diamorphine Fentanyl (Sublimaze) Hydromorphone (Dilaudid) Meperidine (Demerol) Methadone Morphine Naloxone Oxycodone Phenoperidine Remifentanil Sufentanil (Sufenta) Safe Muscle Relaxants Arduan (Pipecuronium) Curare (The active ingredient is Tubocurraine) Gallamine Metocurine Mivacron (Mivacurium) Neuromax (Doxacurium) Nimbex (Cisatracurium) Norcuron (Vecuronium) Pavulon (Pancuronium) Tracrium (Atracurium) Zemuron (Rocuronium) |
Anxiety Relieving Medications Ativan (Lorazepam) Centrax Dalmane (Flurazepam) Halcion (Triazolam) Klonopin Librax Librium (Chlordiazepoxide) Midazolam (Versed) Paxipam (Halazepam) Restoril (Temazepam) Serax (Oxazepam) Tranxene (Clorazepate) Valium (Diazepam) |
