Here is a real situation for the anesthesia students and CRNAs. Perspective students feel free to comment, also.
When I made my pre-op phone calls for cataract surgery yesterday, one of the patients gave me a history of malignant hyperthermia. She had a family member die at 5 years of age durning tonsil surgery. She had a muscle biopsy which was positive for MH. She has had two surgeries, one under general with her temp being elevated and treated with Dantrolene. The second procedure was performed with regional anesthesia, without problem.
My question--would you do her in an ambulatory surgery facility, where general anesthesia is not performed? The is no dantrolene in the facility. The cataracts are performed with topical local by the surgeon and I administer small doses of versed and hold the patients' hand while monitoring them .
What would you do in this situation?
Yoga
PS, I am in private practice, work alone with no medical direction.
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