anesthesia cart in every OR.
Follow the standard MH algorithm, which outlines each step of the
response protocols. At our facility, the algorithm is adhered to the
top of the MH cart. The critical first step is to start reconstituting the
dantrolene as soon as
possible.
Stop the flow anes-
thesia immediately
and begin hyperventi-
lating the patient with
100% oxygen. It's also
a good idea to attach
activated charcoal fil-
ters to the anesthesia
machine's breathing
circuit to remove
traces of the volatile
anesthetic that trig-
gered the event.
Reconstitute dantro-
lene for administra-
tion as soon as possi-
ble. Pack ice under
the patient's armpits,
around his neck and
on his groin. Also
obtain cold isotonic
saline for IV infusion
and for irrigating the
surgical wound.
O C T O B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 3 3
