%0 Journal Article
%T Hipertermia severa post cirug¨ªa cardiaca: presentaci¨®n de un caso
%A Hern¨¢ndez Ortega
%A Rudy
%A Hidalgo Men¨¦ndez
%A Pedro An¨ªbal
%A Gonz¨¢lez Alfonso
%A Osvaldo
%A M¨¦ndez Mart¨ªnez
%A Jorge
%A Rodr¨ªguez ¨¢lvarez
%A Juan Manuel
%J Revista Cubana de Anestesiolog£¿-a y Reanimaci£¿3n
%D 2011
%I Scientific Electronic Library Online
%X introduction: malignant hyperthermia is a hereditary myopathy caused by a rianodine receptor disorder of rugous sarcoplasmic reticulum of the skeletal muscle becomes clear in patients oversensitive to exposition to halogen agents or to succinylcholine. objective: to present the course of patient presenting with a severe hyperpyrexia after a heart surgery. clinical case: patient aged 56 programmed for an aortic valvular replacement, asa iii, functional class nyha-ii-iii without other backgrounds. at her arrival to postperative intensive care unit (poicu) it was noted a significant widespread muscular contracture mainly in masseter muscles, a progressive increase of the arterial co2 (105 mm hg), metabolic acidosis, low pao2/fio2 relations, urine of red wine color, hyperpotassemia, sinus tachycardia with frequent early ventricular contractions, self-limited of ventricular tachycardia, a sever and low cardiac output and sustained hyperpyrexia if 41¡ãc taking measures related to symptoms. at 8 hours fever decreased with restoration of internal environment, urine color cleared, hemodynamics was stable verifying a rise of serum creatinine which decreased progressively after few days. at 48 hours patient was weaned of the mechanical ventilation. at 5 days she was discharged from the poicu. conclusions: apart from there were not specific tests to malignant hyperthermia, it is a complex case presenting with a severe hyperpyrexia and a satisfactory course.
%K malignant hyperthermia
%K halogen agents
%K hereditary myopathy
%K masseter muscles
%K dantrolen.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1726-67182011000200010&lng=en&nrm=iso&tlng=en