I have an interesting case to report, now that I actually figured out how to use this blog. About two weeks ago, I got to pump a case with a patient that had malignant hyperthermia. It seems to be a rare condition, so I thought I would share the perfusion aspects of the case.
Malignant Hyperthermia patients react poorly to anesthesia, so we had to remove all of our gas line tubing from our pump, as it was contamined with Forane. We established all new tubing from the gas blender to the connection of the O2 gas line we use in our circuit. We wye'd the tubing around the Forane, so none of the circuit could get contaminated. It is also important to avoid cold fluids with these patients, so we used warm cardioplegia and avoided adding any cold fluids (warm prime, blood). Thats all I can recall at this time, but it was a cool case. Hope everyone is enjoying their rotations.
Marcus
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