of 10L/min to flush volatile anesthetics from the patient and lower
his end-tidal CO
2
level.
5. How long should it take to get the MH cart to a patient's bedside?
a. less than 1 minute
b. 5 minutes
c. 10 minutes
d. 15 minutes
Answer: c
The reason: MHAUS recommends that dantrolene should be "imme-
diately" available; which means it should take no longer than 10 min-
utes to bring the drug bedside for administration. Many third-party
state and national medical facility review organizations have endorsed
dantrolene availability within that time frame. Surveyors from the
Joint Commission often ask about dantrolene availability during sur-
veys of both inpatient and outpatient surgical facilities.
6. Who should retrieve the MH cart
during a crisis?
a. surgeon
b. anesthesia provider
c. scrub tech
d. circulating nurse
e. someone outside the OR
Answer: e
The reason: The anesthesia provider is immediately involved in the
MH crisis recognition and management, and both the surgeon and
4 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 8