MH Case of the Month Challenge

MH Hotline
800MH-HYPER or 800-644-9737
available 24/7
___________________________________________

To challenge you regarding MH management for patient safety, a "brain teaser" - an actual MH Hotline case - will be posted each month with multiple-choice questions.  

We hope to provide valuable education for facilitating patient safety in the OR.

The correct answers and a narrative
will be posted on the first of the following month
along with the new Case of the Month.

Contact Gloria at MHAUS dot org for concerns, questions or to provide feedback in any way.  Thanks!

**August 2008 Case of the Month**

Topic

Date / Answers

Hypermetabolism and Robot-Assisted Laparoscopic Surgery 07/08 answers
High Temperature and rigidity, is it MH 06/08 answers
Spinal Muscular Atrophy 05/08 answers
Thryroid Surgery for Tumor 04/08 answers
Ruling out MH May not be an Easy Process 03/08 answers
Molecular Genetic Testing to Diagnose Malignant Hyperthermia Susceptibility 02/08 answers
Prostoperative Recurrent Fever, Hallucinations, and Agitation in a Child with Spastic Quadriplegia 01/08 answers
Total Muscle rigidity, an important Sign of MH 12/07 answers
Urgent Coronary Artery bypass Grafting:  To proceed or Not? 11/07 answers
Surgery for a Parotidectomy 10/07 answers
The parturient with a suspected MH Susceptible husband 09/07 answers
Hypercarbia Under Anesthesia in a MHS Patient 08/07 answers
Hypercarbia Following Induction of General Anesthesia  07/07 answers
Total body rigidity complicating general anesthesia  06/07 answers
Generalized rigidity 05/07 answers
Family history of exercise-induced rhabdomyolysis 04/07 answers
Increased TECO2 03/07 answers
Is this MH or do common things occur commonly? 01/07 answers
A pulmonary problem that mimics MH 12/06 answers
Acute postoperative rhabdomyolysis in a child 11/06 answers
Postoperative rhabdomyolysis 10/06 answers
Laparoscopy: hypercarbia, subcutaneous emphysema 09/06 answers
Pediatric arthrogryposis: intraoperative difficulty ventilating, hyperthermia 08/06 answers
Pediatric tonsillectomy: postoperative tachycardia, hypercarbia, fever 07/06 answers
Knee arthroscopy: hypertension, tachycardia, pulmonary edema; pheochromocytoma 06/06 answers 
Lithotripsy: postoperative fever, shivering, DIC 05/06 answers
Outpatient knee arthroscopy: tachycardia, hypercarbia; treatment MH crisis 04/06 answers
Pediatric circumcision: postop fever, tachycardia, lethargy 03/06 answers
Appendectomy: fever, tachycardia, hypertension 02/06 answers
Thyroidectomy: postop agitation & rigidity; serotonin syndrome 01/06 answers