Upper limb compartment syndromes: a complication of malignant hyperthermia in a patient with ill-defined myopathy

We report a case of compartment syndrome complicating malignant hyperthermia (MH) in a 12-yr-old girl with a history of myopathy and multiple skeletal deformities; she underwent bilateral Achilles tendon surgery. Marked oedema of both forearms became evident in the immediate postoperative period and...

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Bibliographic Details
Published in:British journal of anaesthesia : BJA 1995-03, Vol.74 (3), p.343-344
Main Authors: O'DONNELL, C.J., BECK, D.H., TAYLOR, B.L., SMITH, G.B.
Format: Article
Language:English
Subjects:
Abnormalities, Multiple
Achilles Tendon - surgery
Anesthesia
Anesthesia, General
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
compartment syndrome
Compartment Syndromes - complications
Complications
Female
Forearm
General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation
Heart Diseases - complications
Humans
Malignant Hyperthermia - complications
Medical sciences
Muscular Diseases - complications
myopathy
Postoperative Period
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Summary:We report a case of compartment syndrome complicating malignant hyperthermia (MH) in a 12-yr-old girl with a history of myopathy and multiple skeletal deformities; she underwent bilateral Achilles tendon surgery. Marked oedema of both forearms became evident in the immediate postoperative period and resolved after conservative treatment. Compartment syndrome is a rare complication of MH. Early recognition and therapy may prevent the onset of muscle ischaemia and distal neurovascular deficit. The need for urgent surgery and repeated anaesthesia in the early phase of recovery from an acute episode of MH may thus be reduced. (Br. J. Anaesth. 1995; 74: 343–344)
ISSN:0007-0912
1471-6771
DOI:10.1093/bja/74.3.343