Anesthetic Management for Emergency Cesarean Section Considering Risk of Malignant Hyperthermia

  • SHIMIZU Ayaka
    Department of Anesthesia and Critical Care, Japanese Red Cross Nagoya Daini Hospital
  • FUJII Tomoaki
    Department of Anesthesia and Critical Care, Japanese Red Cross Nagoya Daini Hospital
  • TERAZAWA Atsushi
    Department of Anesthesia and Critical Care, Japanese Red Cross Nagoya Daini Hospital
  • SUGIMOTO Kenji
    Department of Anesthesia and Critical Care, Japanese Red Cross Nagoya Daini Hospital

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Other Title
  • 胎児の先天性神経筋疾患疑いから,母体に悪性高熱症を疑った超緊急帝王切開術の麻酔経験

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<p>When the patient with suspected neuromuscular disease is put under anesthesia, the risk of malignant hyperthermia should be considered.</p><p>In our case, extremely emergent cesarean operation was performed due to highly prolonged transient bradycardia of the fetus after induced labor. The fetus was suspected to have neuromuscular disease because of dysphagia with polyhydramnios. Since hereditary neuromuscular disease had not yet occurred in the mother, we performed general anesthesia with rapid sequence induction and were able to manage the perioperative period well. We were able to provide safe anesthesia by preparing for the possibility of malignant hyperthermia. To take prompt and appropriate action for such rare case, we suggest to take sufficient communication consistently.</p>

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