Yes! Surgery can be safely performed in the known MH-susceptible patients. However, only those anesthetics that do not trigger the MH reaction must be used. In addition, close monitoring of appropriate vital functions is necessary. When dealing with an MH susceptible, the anesthesiologist should:
- Avoid the use of MH-triggering anesthetics.
- Be familiar with the signs and treatment of MH, e.g., re-review the routine information.
- Continuously monitor the patient’s exhaled carbon dioxide concentration and minute ventilation.
- Continuously monitor the patient’s temperature (also during recovery). Skin temperature is not optimal in this situation.
- Have an MH kit or cart within the operating room suite stocked with an adequate supply of dantrolene.
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