Outpatient Surgery Magazine

Special Edition: Staff & Patient Safety - October 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 24 of 43

Calling for help sounds simple, but its importance can't be overstated. During an MH crisis you will need an extra pair of hands to prepare the dantro- lene while you are taking care of everything else. In our case, the patient was transferred to inten- sive care and his surgery was postponed for two weeks. Genetic testing was sent immediately after the MH event and was negative. Therefore, we obtained a piece of muscle from the latissimus dorsi that the sur- geon harvested for the scalp reconstruction during his re- scheduled surgery, and we con- firmed by the caffeine-halothane contracture test that our patient was indeed MH-susceptible. We usually hold morbidity and mortality meetings whenever there is a serious complication in the OR in order to review what could have been done better. We did not hold any formal meeting to discuss this MH incident, as the outcome was favorable. Nevertheless, all team members shared their satisfaction with how the case was handled, which encouraged us to maintain our current response protocols. The entire incident reinforced the importance of regular, realis- tic training. Our staff performs in- service teaching and hands-on drills at least once a year. The teaching and drills involve review- ing the basics of MH diagnosis and treatment, as well as getting familiarized with the crisis response workflow, the contents of the MH cart and preparing dantrolene for administration. Even though this case ended with a favorable outcome, I think it taught the staff valuable lessons on the importance of prepared- O C T O B E R 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 2 5 Dr. Ibarra Moreno (carlos.ibarra@uhn.ca) is a staff anesthesiologist at Toronto General Hospital – University Health Network and a consultant for the Malignant Hyperthermia Investigation Unit. ness, early recognition and prompt treatment. Because we were ready, we prevented a crisis from becoming a catastrophe. OSM

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