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J Perianesth Nurs. 1998 Oct;13(5):304-12.

Malignant hyperthermia: considerations for ambulatory surgery.

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  • 1Kaiser Permanente School of Anesthesia, Pasadena, CA 91103, USA.

Abstract

Patient care offered on an ambulatory basis continues to grow as evidenced by the high percentage of surgical procedures now being performed in such a setting. Many ambulatory surgical facilities are free standing and remote from the primary hospital location. As the popularity of ambulatory surgical care increases, so does the likelihood of encountering malignant hyperthermia-susceptible patients or of experiencing a malignant hyperthermia crisis. The management of this unique population creates new challenges for the perianesthetic nurse working in the free-standing ambulatory setting. A comprehensive plan of patient care under these circumstances includes (1) the ability to identify the high-risk patient and to plan their care accordingly, (2) early recognition of the signs and symptoms of malignant hyperthermia, and (3) being prepared to promptly and efficiently treat a malignant hyperthermic event. This review article will offer guidelines for managing the malignant hyperthermia-susceptible patient in the remote ambulatory surgical setting.

PMID:
9919135
[PubMed - indexed for MEDLINE]
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