How do you handle patients with known or suspected malignant hyperthermia?

Sample interview questions: How do you handle patients with known or suspected malignant hyperthermia?

Sample answer:

• Identify and prepare:

  • Obtain a thorough history, including family history of MH.
  • Conduct physical examination for signs of MH susceptibility (e.g., masseteric hypertrophy).

• Preoperative management:

  • Obtain informed consent for MH precautions.
  • Arrange for intravenous access and access to emergency supplies.
  • Consider genetic testing for MH susceptibility.

• Intraoperative management:

  • Avoid triggering agents (e.g., succinylcholine, volatile anesthetics).
  • Use non-depolarizing muscle relaxants (e.g., rocuronium).
  • Monitor for early signs of MH (e.g., tachypnea, tachycardia, increased end-tidal CO2).

• Emergency management:

  • Immediacy: Discontinue triggering agents.
  • Cool: Dantrolene IV (2.5 mg/kg initially, repeated as needed).
  • Control hypermeta… Read full answer

    Source: https://hireabo.com/job/2_1_6/Anesthesiologist