A hypermetabolic reaction during anaesthesia and surgery. A case report
Hopkins, D.; Shipton, E.A.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 31(2): 85-88
1993
ISSN/ISBN: 0038-2361 PMID: 8211415 Document Number: 411077
A young man underwent anaesthesia and surgery after multiple fractures. After 2 hours of anaesthesia, the patient developed hypercapnia, acidosis, hyperpyrexia and mild muscle rigidity. He was treated for malignant hyperthermia. Muscle tension studies with caffeine-halothane and muscle histology proved normal. The differential diagnosis of this abnormal metabolic response is briefly discussed.