Nursing Interventions of Intraoperative Malignant Hyperthermia in Patients With Scoliosis: A Report of 3 Cases.
J Neurosci Nurs 2020;
52:66-71. [PMID:
32049870 DOI:
10.1097/jnn.0000000000000496]
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Abstract
INTRODUCTION
The report summarizes the intraoperative rescue and nursing intervention of malignant hyperthermia (MH) in the correction surgery for 3 patients with spinal deformity. Although rare, MH may occur in up to 1 of 5000 cases.
INTERVENTION
The key points of nursing care include preoperative MH risk assessment, MH early warning, cessation of anesthetic, use of a validated scoring system, and initiation of cooling measures.
CONCLUSION
Prompt nursing recognition and team-fcoused interventions provided successful rescue of 3 patients with MH.
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