Must we stock 36 vials of dantrolene if our OR is very close to a fully equipped hospital and the patient could be transported there quickly?

Yes, a stock of 36 vials is recommended. The patient experiencing an MH episode must be stabilized before being transported. Stabilization of an MH episode may take 30 minutes or more with multiple doses of dantrolene because, in some cases, MH progresses with explosive rapidity. The full 36 vials of dantrolene is inexpensive insurance against patient injury or death and a malpractice claim, which the facility will lose. The full 36 vials of dantrolene should be available within five minutes of the diagnosis of MH.